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ANTHONY CIPOLLA PHYSICIAN, P.C.

Company Details

Name: ANTHONY CIPOLLA PHYSICIAN, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 29 Mar 1996 (29 years ago)
Entity Number: 2014880
ZIP code: 12206
County: Nassau
Place of Formation: New York
Address: 500 CENTRAL AVENUE, ALBANY, NY, United States, 12206

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
ANTHONY CIPOLLA, PHYSICIAN P.C. 401(K) PROFIT SHARING PLAN 2012 113328971 2013-07-08 ANTHONY CIPOLLA, PHYSICIAN P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-03-01
Business code 621111
Sponsor’s telephone number 6314223200
Plan sponsor’s address P.O. BOX 853, BABYLON, NY, 11702

Signature of

Role Plan administrator
Date 2013-07-08
Name of individual signing ANTHONY CIPOLLA MD
ANTHONY CIPOLLA, PHYSICIAN P.C. 401(K) PROFIT SHARING PLAN 2011 113328971 2012-07-09 ANTHONY CIPOLLA, PHYSICIAN P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-03-01
Business code 621111
Sponsor’s telephone number 6314223200
Plan sponsor’s address P.O. BOX 853, BABYLON, NY, 11702

Plan administrator’s name and address

Administrator’s EIN 113328971
Plan administrator’s name ANTHONY CIPOLLA, PHYSICIAN P.C.
Plan administrator’s address P.O. BOX 853, BABYLON, NY, 11702
Administrator’s telephone number 6314223200

Signature of

Role Plan administrator
Date 2012-07-09
Name of individual signing ANTHONY CIPOLLA, MD
ANTHONY CIPOLLA, PHYSICIAN P.C. 401(K) PROFIT SHARING PLAN 2010 113328971 2011-09-23 ANTHONY CIPOLLA, PHYSICIAN P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-03-01
Business code 621111
Sponsor’s telephone number 6314223200
Plan sponsor’s address P.O. BOX 853, BABYLON, NY, 11702

Plan administrator’s name and address

Administrator’s EIN 113328971
Plan administrator’s name ANTHONY CIPOLLA, PHYSICIAN P.C.
Plan administrator’s address P.O. BOX 853, BABYLON, NY, 11702
Administrator’s telephone number 6314223200

Signature of

Role Plan administrator
Date 2011-09-23
Name of individual signing ANTHONY CIPOLLA, MD
ANTHONY CIPOLLA, PHYSICIAN P.C. 401(K) PROFIT SHARING PLAN 2009 113328971 2010-10-01 ANTHONY CIPOLLA, PHYSICIAN P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-03-01
Business code 621111
Sponsor’s telephone number 6314223200
Plan sponsor’s address P.O. BOX 853, BABYLON, NY, 11702

Plan administrator’s name and address

Administrator’s EIN 113328971
Plan administrator’s name ANTHONY CIPOLLA, PHYSICIAN P.C.
Plan administrator’s address P.O. BOX 853, BABYLON, NY, 11702
Administrator’s telephone number 6314223200

Signature of

Role Plan administrator
Date 2010-10-01
Name of individual signing ANTHONY CIPOLLA, MD

Agent

Name Role
REGISTERED AGENT RESIGNED Agent

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 500 CENTRAL AVENUE, ALBANY, NY, United States, 12206

History

Start date End date Type Value
1996-03-29 2022-06-22 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1996-03-29 2018-05-03 Address 500 CENTRAL AVENUE, ALBANY, NY, 12206, USA (Type of address: Registered Agent)

Filings

Filing Number Date Filed Type Effective Date
180503000014 2018-05-03 CERTIFICATE OF RESIGNATION OF REGISTERED AGENT 2018-06-02
960329000074 1996-03-29 CERTIFICATE OF INCORPORATION 1996-03-29

Date of last update: 04 Jan 2025

Sources: New York Secretary of State