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MARJORIE J. VAN DE STOUWE, M.D., P.C.

Company Details

Name: MARJORIE J. VAN DE STOUWE, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Jul 1996 (28 years ago)
Entity Number: 2045621
ZIP code: 11581
County: Nassau
Place of Formation: New York
Address: 210 E SUNRISE HWY, VALLEY STREAM, NY, United States, 11581

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
MARJORIE J. VAN DE STOUWE, M.D., P.C. PROFIT SHARING PLAN 2013 161502701 2014-06-20 MARJORIE J. VAN DE STOUWE, M.D., P.C. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5168728235
Plan sponsor’s address 210 EAST SUNRISE HIGHWAY, SUITE 201, VALLEY STREAM, NY, 11581
MARJORIE J. VAN DE STOUWE, M.D., P.C. PROFIT SHARING PLAN 2013 161502701 2014-06-20 MARJORIE J. VAN DE STOUWE, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5168728235
Plan sponsor’s address 210 EAST SUNRISE HIGHWAY, SUITE 201, VALLEY STREAM, NY, 11581
MARJORIE J. VAN DE STOUWE, M.D., P.C. PROFIT SHARING PLAN 2012 161502701 2013-10-08 MARJORIE J. VAN DE STOUWE, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5168728235
Plan sponsor’s address 210 EAST SUNRISE HIGHWAY, SUITE 201, VALLEY STREAM, NY, 11581

Signature of

Role Plan administrator
Date 2013-10-08
Name of individual signing MARJORIE J. VAN DE STOUWE, M.D.
Role Employer/plan sponsor
Date 2013-10-08
Name of individual signing MARJORIE J. VAN DE STOUWE, M.D.
MARJORIE J. VAN DE STOUWE, M.D., P.C. PROFIT SHARING PLAN 2011 161502701 2012-10-12 MARJORIE J. VAN DE STOUWE, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5168728235
Plan sponsor’s address 210 EAST SUNRISE HIGHWAY, SUITE 201, VALLEY STREAM, NY, 11581

Plan administrator’s name and address

Administrator’s EIN 161502701
Plan administrator’s name MARJORIE J. VAN DE STOUWE, M.D., P.C.
Plan administrator’s address 210 EAST SUNRISE HIGHWAY, SUITE 201, VALLEY STREAM, NY, 11581
Administrator’s telephone number 5168728235

Signature of

Role Plan administrator
Date 2012-10-12
Name of individual signing MARJORIE J. VAN DE STOUWE, M.D.
Role Employer/plan sponsor
Date 2012-10-12
Name of individual signing MARJORIE J. VAN DE STOUWE, M.D.

DOS Process Agent

Name Role Address
MARJORIE J. VANDE STOUWE, MD DOS Process Agent 210 E SUNRISE HWY, VALLEY STREAM, NY, United States, 11581

Chief Executive Officer

Name Role Address
MARJORIE J. VANDE STOUWE, MD Chief Executive Officer 210 E SUNRISE HWY, SUITE 210, VALLEY STREAM, NY, United States, 11581

History

Start date End date Type Value
2006-06-27 2012-08-07 Address 210 E SUNRISE HWY / SUITE 210, VALLEY STREAM, NY, 11581, USA (Type of address: Chief Executive Officer)
1998-08-25 2006-06-27 Address 210 E SUNRISE HWY, VALLEY STREAM, NY, 11581, USA (Type of address: Chief Executive Officer)
1998-08-25 2006-06-27 Address 210 E SUNRISE HWY, VALLEY STREAM, NY, 11581, USA (Type of address: Principal Executive Office)
1998-08-25 2006-06-27 Address 210 E SUNRISE HWY, VALLEY STREAM, NY, 11581, USA (Type of address: Service of Process)
1996-07-05 1998-08-25 Address 1001 FRANKLIN AVENUE STE. 300, GARDEN CITY, NY, 11530, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
120807002391 2012-08-07 BIENNIAL STATEMENT 2012-07-01
100805002242 2010-08-05 BIENNIAL STATEMENT 2010-07-01
080718003192 2008-07-18 BIENNIAL STATEMENT 2008-07-01
060627002884 2006-06-27 BIENNIAL STATEMENT 2006-07-01
040812002516 2004-08-12 BIENNIAL STATEMENT 2004-07-01
020627002343 2002-06-27 BIENNIAL STATEMENT 2002-07-01
000719002015 2000-07-19 BIENNIAL STATEMENT 2000-07-01
980825002171 1998-08-25 BIENNIAL STATEMENT 1998-07-01
960705000254 1996-07-05 CERTIFICATE OF INCORPORATION 1996-07-05

Date of last update: 17 Dec 2024

Sources: New York Secretary of State