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ISLAND HEIGHTS PEDIATRICS P.C.

Company Details

Name: ISLAND HEIGHTS PEDIATRICS P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 Mar 1996 (29 years ago)
Entity Number: 2005419
ZIP code: 11228
County: Kings
Place of Formation: New York
Address: 8014 13TH AVENUE, BROOKLYN, NY, United States, 11228
Principal Address: 8014 13TH AVE, BROOKLYN, NY, United States, 11228

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
ISLAND HEIGHTS PEDIATRICS, P.C., PROFIT SHARING PLAN 2018 113297620 2019-07-31 ISLAND HEIGHTS PEDIATRICS, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 621111
Sponsor’s telephone number 7182277117
Plan sponsor’s address 3371 RICHMOND AVE, STATEN ISLAND, NY, 10312

Signature of

Role Plan administrator
Date 2019-07-31
Name of individual signing ANN MARIE GRIGOLETTO, MD
ISLAND HEIGHTS PEDIATRICS, P.C., PROFIT SHARING PLAN 2017 113297620 2018-06-26 ISLAND HEIGHTS PEDIATRICS, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 621111
Sponsor’s telephone number 7182277117
Plan sponsor’s address 3371 RICHMOND AVE, STATEN ISLAND, NY, 10312

Signature of

Role Plan administrator
Date 2018-06-26
Name of individual signing ANN MARIE GRIGOLETTO, MD
ISLAND HEIGHTS PEDIATRICS, P.C., PROFIT SHARING PLAN 2016 113297620 2017-09-26 ISLAND HEIGHTS PEDIATRICS, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 621111
Sponsor’s telephone number 7182277117
Plan sponsor’s address 3371 RICHMOND AVE, STATEN ISLAND, NY, 10312

Signature of

Role Plan administrator
Date 2017-09-26
Name of individual signing ANN MARIE GRIGOLETTO, MD
ISLAND HEIGHTS PEDIATRICS, P.C., PROFIT SHARING PLAN 2015 113297620 2016-10-17 ISLAND HEIGHTS PEDIATRICS, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 621111
Sponsor’s telephone number 7182277117
Plan sponsor’s address 3371 RICHMOND AVE, STATEN ISLAND, NY, 10312

Signature of

Role Plan administrator
Date 2016-10-17
Name of individual signing ANN MARIE GRIGOLETTO, MD
ISLAND HEIGHTS PEDIATRICS, P.C., PROFIT SHARING PLAN 2014 113297620 2015-10-14 ISLAND HEIGHTS PEDIATRICS, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 621111
Sponsor’s telephone number 7182277117
Plan sponsor’s address 3371 RICHMOND AVE, STATEN ISLAND, NY, 10312

Signature of

Role Plan administrator
Date 2015-10-14
Name of individual signing ANN MARIE GRIGOLETTO, MD
ISLAND HEIGHTS PEDIATRICS, P.C., PROFIT SHARING PLAN 2013 113297620 2014-07-29 ISLAND HEIGHTS PEDIATRICS, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 621111
Sponsor’s telephone number 7182277117
Plan sponsor’s address 3371 RICHMOND AVE, STATEN ISLAND, NY, 10312

Signature of

Role Plan administrator
Date 2014-07-29
Name of individual signing ANN MARIE GRIGOLETTO, MD
ISLAND HEIGHTS PEDIATRICS, P.C., PROFIT SHARING PLAN 2012 113297620 2013-09-19 ISLAND HEIGHTS PEDIATRICS, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 621111
Sponsor’s telephone number 7182277117
Plan sponsor’s address 3371 RICHMOND AVE, STATEN ISLAND, NY, 10312

Signature of

Role Plan administrator
Date 2013-09-19
Name of individual signing ANN MARIE GRIGOLETTO, MD
ISLAND HEIGHTS PEDIATRICS, P.C., PROFIT SHARING PLAN 2011 113297620 2012-05-08 ISLAND HEIGHTS PEDIATRICS, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 621111
Sponsor’s telephone number 7182277117
Plan sponsor’s address 3371 RICHMOND AVE, STATEN ISLAND, NY, 10312

Plan administrator’s name and address

Administrator’s EIN 113297620
Plan administrator’s name ISLAND HEIGHTS PEDIATRICS, P.C.
Plan administrator’s address 3371 RICHMOND AVE, STATEN ISLAND, NY, 10312
Administrator’s telephone number 7182277117

Signature of

Role Plan administrator
Date 2012-05-08
Name of individual signing ANN MARIE GRIGOLETTO, MD
ISLAND HEIGHTS PEDIATRICS, P.C., PROFIT SHARING PLAN 2010 113297620 2011-05-09 ISLAND HEIGHTS PEDIATRICS, P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 621111
Sponsor’s telephone number 7182277117
Plan sponsor’s address 3371 RICHMOND AVE, STATEN ISLAND, NY, 10312

Plan administrator’s name and address

Administrator’s EIN 113297620
Plan administrator’s name ISLAND HEIGHTS PEDIATRICS, P.C.
Plan administrator’s address 3371 RICHMOND AVE, STATEN ISLAND, NY, 10312
Administrator’s telephone number 7182277117

Signature of

Role Plan administrator
Date 2011-05-09
Name of individual signing PAUL ACETO, MD
ISLAND HEIGHTS PEDIATRICS, P.C., PROFIT SHARING PLAN 2009 113297620 2010-09-14 ISLAND HEIGHTS PEDIATRICS, P.C. 17
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 621111
Sponsor’s telephone number 7182277117
Plan sponsor’s address 3371 RICHMOND AVE, STATEN ISLAND, NY, 10312

Plan administrator’s name and address

Administrator’s EIN 113297620
Plan administrator’s name ISLAND HEIGHTS PEDIATRICS, P.C.
Plan administrator’s address 3371 RICHMOND AVE, STATEN ISLAND, NY, 10312
Administrator’s telephone number 7182277117

Signature of

Role Plan administrator
Date 2010-09-13
Name of individual signing PAUL ACETO, MD

DOS Process Agent

Name Role Address
ANN-MARIE GRIGOLETTO DOS Process Agent 8014 13TH AVENUE, BROOKLYN, NY, United States, 11228

Chief Executive Officer

Name Role Address
ANN MARIE GRIGOLETTO MD Chief Executive Officer 8014 13TH AVE, BROOKLYN, NY, United States, 11228

Filings

Filing Number Date Filed Type Effective Date
100407002723 2010-04-07 BIENNIAL STATEMENT 2010-03-01
080425002511 2008-04-25 BIENNIAL STATEMENT 2008-03-01
060328002424 2006-03-28 BIENNIAL STATEMENT 2006-03-01
040315003065 2004-03-15 BIENNIAL STATEMENT 2004-03-01
020315002651 2002-03-15 BIENNIAL STATEMENT 2002-03-01
000322002409 2000-03-22 BIENNIAL STATEMENT 2000-03-01
960301000316 1996-03-01 CERTIFICATE OF INCORPORATION 1996-03-01

Date of last update: 04 Jan 2025

Sources: New York Secretary of State