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DIEDRICH K. HOLTKAMP M.D., P.C.

Company Details

Name: DIEDRICH K. HOLTKAMP M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Feb 1996 (29 years ago)
Entity Number: 2000491
ZIP code: 11209
County: Kings
Place of Formation: New York
Address: 541 BAY RIDGE PARKWAY, BROOKLYN, NY, United States, 11209
Principal Address: 541 BAY RIDGE PKWY, BROOKLYN, NY, United States, 11209

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DR. DIEDRICH K. HOLTKAMP KEOGH PLAN 2021 113310805 2022-07-21 DIEDRICH K. HOLTKAMP, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 7187486451
Plan sponsor’s address 541 BAY RIDGE PARKWAY, BROOKLYN, NY, 11209
DR. DIEDRICH K. HOLTKAMP KEOGH PLAN 2021 113310805 2022-07-21 DIEDRICH K. HOLTKAMP, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 7187486451
Plan sponsor’s address 541 BAY RIDGE PARKWAY, BROOKLYN, NY, 11209
DR. DIEDRICH K. HOLTKAMP KEOGH PLAN 2020 113310805 2021-07-06 DIEDRICH K. HOLTKAMP, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 7187486451
Plan sponsor’s address 541 BAY RIDGE PARKWAY, BROOKLYN, NY, 11209
DR. DIEDRICH K. HOLTKAMP KEOGH PLAN 2019 113310805 2020-09-18 DIEDRICH K. HOLTKAMP, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 7187486451
Plan sponsor’s address 541 BAY RIDGE PARKWAY, BROOKLYN, NY, 11209
DR. DIEDRICH K. HOLTKAMP KEOGH PLAN 2018 113310805 2019-10-02 DIEDRICH K. HOLTKAMP, M.D., P.C. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 7187486451
Plan sponsor’s address 541 BAY RIDGE PARKWAY, BROOKLYN, NY, 11209
DR. DIEDRICH K. HOLTKAMP KEOGH PLAN 2017 113310805 2018-10-05 DIEDRICH K. HOLTKAMP, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 7187486451
Plan sponsor’s address 541 BAY RIDGE PARKWAY, BROOKLYN, NY, 11209

Plan administrator’s name and address

Administrator’s EIN 113310805
Plan administrator’s name DIEDRICH K. HOLTKAMP, M.D., P.C.
Plan administrator’s address 541 BAY RIDGE PARKWAY, BROOKLYN, NY, 11209
Administrator’s telephone number 7187486451
DR. DIEDRICH K. HOLTKAMP KEOGH PLAN 2016 113310805 2017-09-25 DIEDRICH K. HOLTKAMP, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 7187486451
Plan sponsor’s address 541 BAY RIDGE PARKWAY, BROOKLYN, NY, 11209

Plan administrator’s name and address

Administrator’s EIN 113310805
Plan administrator’s name DIEDRICH K. HOLTKAMP, M.D., P.C.
Plan administrator’s address 541 BAY RIDGE PARKWAY, BROOKLYN, NY, 11209
Administrator’s telephone number 7187486451
DR. DIEDRICH K. HOLTKAMP KEOGH PLAN 2015 113310805 2016-10-08 DIEDRICH K. HOLTKAMP, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 7187486451
Plan sponsor’s address 541 BAY RIDGE PARKWAY, BROOKLYN, NY, 11209

Plan administrator’s name and address

Administrator’s EIN 113310805
Plan administrator’s name DIEDRICH K. HOLTKAMP, M.D., P.C.
Plan administrator’s address 541 BAY RIDGE PARKWAY, BROOKLYN, NY, 11209
Administrator’s telephone number 7187486451
DR. DIEDRICH K. HOLTKAMP KEOGH PLAN 2014 113310805 2015-10-07 DIEDRICH K. HOLTKAMP, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 7187486451
Plan sponsor’s address 541 BAY RIDGE PARKWAY, BROOKLYN, NY, 11209

Plan administrator’s name and address

Administrator’s EIN 113310805
Plan administrator’s name DIEDRICH K. HOLTKAMP, M.D., P.C.
Plan administrator’s address 541 BAY RIDGE PARKWAY, BROOKLYN, NY, 11209
Administrator’s telephone number 7187486451
DR. DIEDRICH K. HOLTKAMP KEOGH PLAN 2014 113310805 2015-10-07 DIEDRICH K. HOLTKAMP, M.D., P.C. 4
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 7187486451
Plan sponsor’s address 541 BAY RIDGE PARKWAY, BROOKLYN, NY, 11209

Plan administrator’s name and address

Administrator’s EIN 113310805
Plan administrator’s name DIEDRICH K. HOLTKAMP, M.D., P.C.
Plan administrator’s address 541 BAY RIDGE PARKWAY, BROOKLYN, NY, 11209
Administrator’s telephone number 7187486451

Chief Executive Officer

Name Role Address
DIEDRICH K HOLTKAMP MD Chief Executive Officer 541 BAY RIDGE PKWY, BROOKLYN, NY, United States, 11209

DOS Process Agent

Name Role Address
C/O DIEDRICH K HOLTKAMP, MD DOS Process Agent 541 BAY RIDGE PARKWAY, BROOKLYN, NY, United States, 11209

Agent

Name Role Address
DIEDRICH K HOLTKAMP, MD Agent 428 37TH STREET, BROOKLYN, NY, 11232

History

Start date End date Type Value
1998-05-11 2008-02-15 Address 7701 SHORE RD, BROOKLYN, NY, 11209, USA (Type of address: Chief Executive Officer)
1998-05-11 2008-02-15 Address 7701 SHORE RD, BROOKLYN, NY, 11209, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
140428002118 2014-04-28 BIENNIAL STATEMENT 2014-02-01
120403002268 2012-04-03 BIENNIAL STATEMENT 2012-02-01
100312002795 2010-03-12 BIENNIAL STATEMENT 2010-02-01
080215002577 2008-02-15 BIENNIAL STATEMENT 2008-02-01
060320002108 2006-03-20 BIENNIAL STATEMENT 2006-02-01
040210003084 2004-02-10 BIENNIAL STATEMENT 2004-02-01
020222002007 2002-02-22 BIENNIAL STATEMENT 2002-02-01
000321002513 2000-03-21 BIENNIAL STATEMENT 2000-02-01
980511002231 1998-05-11 BIENNIAL STATEMENT 1998-02-01
960215000149 1996-02-15 CERTIFICATE OF INCORPORATION 1996-02-15

Date of last update: 04 Jan 2025

Sources: New York Secretary of State