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  5. PARK SLOPE MEDICINE, P.C.

PARK SLOPE MEDICINE, P.C.

Company Details

Name: PARK SLOPE MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Jan 1997 (28 years ago)
Entity Number: 2097847
ZIP code: 11215
County: Kings
Place of Formation: New York
Principal Address: 506 6TH ST, BROOKLYN, NY, United States, 11215
Address: 506 SIXTH STREET, BROOKLYN, NY, United States, 11215

Contact Details

Phone +1 718-499-2169

Phone +1 718-246-8614

Phone +1 718-266-6100

Phone +1 718-859-2626

Phone +1 212-496-1187

Phone +1 914-771-9666

Phone +1 845-634-8200

Phone +1 516-771-2623

Phone +1 347-462-1914

Phone +1 516-371-5410

Phone +1 845-738-7383

Phone +1 718-701-6257

Phone +1 718-545-0700

Phone +1 347-582-2534

Phone +1 718-881-9525

Phone +1 516-437-5300

Phone +1 845-738-7371

Phone +1 718-369-8000

Phone +1 718-424-9531

Phone +1 718-946-1102

Phone +1 845-359-1877

Phone +1 516-621-2267

Phone +1 845-634-2460

Phone +1 212-816-1400

Phone +1 631-813-4499

Phone +1 718-963-0882

Phone +1 718-431-0073

Phone +1 718-780-5131

Phone +1 845-738-7351

Phone +1 718-622-2608

Phone +1 718-409-9444

Phone +1 914-693-2665

Phone +1 718-677-7680

Phone +1 718-693-6060

Phone +1 718-544-5730

Phone +1 718-282-7880

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
PARK SLOPE MEDICINE P.C. 401(K) PLAN 2016 113362663 2017-10-13 PARK SLOPE MEDICINE, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2122975962
Plan sponsor’s address 506 SIXTH STREET, BROOKLYN, NY, 11215

Plan administrator’s name and address
Administrator’s EIN 113362663
Plan administrator’s name PARK SLOPE MEDICINE, P.C.
Plan administrator’s address 506 SIXTH STREET, BROOKLYN, NY, 11215
Administrator’s telephone number 2122975962

Signature of
Role Plan administrator
Date 2017-10-12
Name of individual signing D ERIC POGUE
PARK SLOPE MEDICINE P.C. 401(K) PLAN 2016 113362663 2017-07-11 PARK SLOPE MEDICINE, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2122975962
Plan sponsor’s address 506 SIXTH STREET, BROOKLYN, NY, 11215

Plan administrator’s name and address
Administrator’s EIN 113362663
Plan administrator’s name PARK SLOPE MEDICINE, P.C.
Plan administrator’s address 506 SIXTH STREET, BROOKLYN, NY, 11215
Administrator’s telephone number 2122975962

Signature of
Role Plan administrator
Date 2017-07-11
Name of individual signing D ERIC POGUE
PARK SLOPE MEDICINE P.C. 401(K) PLAN 2015 113362663 2016-04-13 PARK SLOPE MEDICINE, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2122975962
Plan sponsor’s address 506 SIXTH STREET, BROOKLYN, NY, 11215

Plan administrator’s name and address
Administrator’s EIN 113362663
Plan administrator’s name PARK SLOPE MEDICINE, P.C.
Plan administrator’s address 506 SIXTH STREET, BROOKLYN, NY, 11215
Administrator’s telephone number 2122975962

Signature of
Role Plan administrator
Date 2016-04-13
Name of individual signing STANLEY SHERBELL
PARK SLOPE MEDICINE P.C. 401(K) PLAN 2014 113362663 2015-04-20 PARK SLOPE MEDICINE, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2122975962
Plan sponsor’s address 506 SIXTH STREET, BROOKLYN, NY, 11215

Plan administrator’s name and address
Administrator’s EIN 113362663
Plan administrator’s name PARK SLOPE MEDICINE, P.C.
Plan administrator’s address 506 SIXTH STREET, BROOKLYN, NY, 11215
Administrator’s telephone number 2122975962

Signature of
Role Plan administrator
Date 2015-04-20
Name of individual signing STANLEY SHERBELL
PARK SLOPE MEDICINE, P.C. 401(K) PLAN 2013 113362663 2014-05-27 PARK SLOPE MEDICINE, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2122975962
Plan sponsor’s address 506 SIXTH STREET, BROOKLYN, NY, 11215

Plan administrator’s name and address
Administrator’s EIN 113362663
Plan administrator’s name PARK SLOPE MEDICINE, P.C.
Plan administrator’s address 506 SIXTH STREET, BROOKLYN, NY, 11215
Administrator’s telephone number 2122975962

Signature of
Role Plan administrator
Date 2014-05-26
Name of individual signing STANLEY SHERBELL
PARK SLOPE MEDICINE, P.C. 401(K) PLAN 2012 113362663 2013-05-31 PARK SLOPE MEDICINE, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2122975962
Plan sponsor’s address 506 SIXTH STREET, BROOKLYN, NY, 11215

Plan administrator’s name and address
Administrator’s EIN 113362663
Plan administrator’s name PARK SLOPE MEDICINE, P.C.
Plan administrator’s address 506 SIXTH STREET, BROOKLYN, NY, 11215
Administrator’s telephone number 2122975962

Signature of
Role Plan administrator
Date 2013-05-30
Name of individual signing STANLEY SHERBELL
PARK SLOPE MEDICINE, P.C. 401(K) PLAN 2011 113362663 2012-06-05 PARK SLOPE MEDICINE, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2122975962
Plan sponsor’s address 506 SIXTH STREET, BROOKLYN, NY, 11215

Plan administrator’s name and address
Administrator’s EIN 113362663
Plan administrator’s name PARK SLOPE MEDICINE, P.C.
Plan administrator’s address 506 SIXTH STREET, BROOKLYN, NY, 11215
Administrator’s telephone number 2122975962

Signature of
Role Plan administrator
Date 2012-06-05
Name of individual signing STANLEY SHERBELL
PARK SLOPE MEDICINE, P.C. 401(K) PLAN 2010 113362663 2011-04-11 PARK SLOPE MEDICINE, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2122975962
Plan sponsor’s address 506 SIXTH STREET, BROOKLYN, NY, 11215

Plan administrator’s name and address
Administrator’s EIN 113362663
Plan administrator’s name PARK SLOPE MEDICINE, P.C.
Plan administrator’s address 506 SIXTH STREET, BROOKLYN, NY, 11215
Administrator’s telephone number 2122975962

Signature of
Role Plan administrator
Date 2011-04-11
Name of individual signing STANLEY SHERBELL
PARK SLOPE MEDICINE, P.C. 401(K) PLAN 2009 113362663 2010-09-23 PARK SLOPE MEDICINE, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2122975962
Plan sponsor’s address 506 SIXTH STREET, BROOKLYN, NY, 11215

Plan administrator’s name and address
Administrator’s EIN 113362663
Plan administrator’s name PARK SLOPE MEDICINE, P.C.
Plan administrator’s address 506 SIXTH STREET, BROOKLYN, NY, 11215
Administrator’s telephone number 2122975962

Signature of
Role Plan administrator
Date 2010-09-23
Name of individual signing STANLEY SHERBELL

Chief Executive Officer

Name Role Address
STEPHEN J. PETERSON, MD Chief Executive Officer 506 6TH ST, BROOKLYN, NY, United States, 11215

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 506 SIXTH STREET, BROOKLYN, NY, United States, 11215

History

Start date End date Type Value
2007-03-12 2015-02-11 Address 506 6TH ST, BROOKLYN, NY, 11215, USA (Type of address: Chief Executive Officer)
2000-01-18 2024-10-22 Shares Share type: PAR VALUE, Number of shares: 200, Par value: 1
1999-01-21 2007-03-12 Address 506 6TH ST, BROOKLYN, NY, 11215, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
210105062093 2021-01-05 BIENNIAL STATEMENT 2021-01-01
150211006311 2015-02-11 BIENNIAL STATEMENT 2015-01-01
130220002182 2013-02-20 BIENNIAL STATEMENT 2013-01-01
110311002606 2011-03-11 BIENNIAL STATEMENT 2011-01-01
090122002271 2009-01-22 BIENNIAL STATEMENT 2009-01-01
070312002695 2007-03-12 BIENNIAL STATEMENT 2007-01-01
030129002954 2003-01-29 BIENNIAL STATEMENT 2003-01-01
010129002428 2001-01-29 BIENNIAL STATEMENT 2001-01-01
000118000713 2000-01-18 CERTIFICATE OF AMENDMENT 2000-01-18
990121002108 1999-01-21 BIENNIAL STATEMENT 1999-01-01

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
11-3362663 Corporation Unconditional Exemption 506 6TH ST, BROOKLYN, NY, 11215-3609 1999-09
In Care of Name % MICHAEL FAGAN
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organizations operated solely for the benefit of and in conjunction with organizations described in 10 through 16 above 509(a)(3)
Tax Period 2023-12
Asset 10,000 to 24,999
Income 0
Filing Requirement 990 - Required to file Form 990-N - Income less than $50,000 per year
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 14340
Income Amount 0
Form 990 Revenue Amount 0
National Taxonomy of Exempt Entities Health Care: Health Treatment Facilities, Primarily Outpatient
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A supporting organization, unspecified type. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name PARK SLOPE MEDICINE PC
EIN 11-3362663
Tax Period 202212
Filing Type E
Return Type 990EZ
File View File
Organization Name PARK SLOPE MEDICINE PC
EIN 11-3362663
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name PARK SLOPE MEDICINE PC
EIN 11-3362663
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name PARK SLOPE MEDICINE PC
EIN 11-3362663
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name PARK SLOPE MEDICINE PC
EIN 11-3362663
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name PARK SLOPE MEDICINE PC
EIN 11-3362663
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name PARK SLOPE MEDICINE PC
EIN 11-3362663
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name PARK SLOPE MEDICINE PC
EIN 11-3362663
Tax Period 201512
Filing Type E
Return Type 990
File View File

Related by officers

THE CORPORATION

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Related by address

506 6TH ST, BROOKLYN, NY, United States, 11215

BROOKLYN RADIOLOGY SERVICES, P.C. HANI ASHAMALLA PHYSICIAN, P.C. JOSEPH BOVE, M.D., P.C. PARK SLOPE PHYSICIAN SERVICES, P.C. RADIATION THERAPIST ASSOCIATES, P.C.

506 SIXTH STREET, BROOKLYN, NY, United States, 11215

BROOKLYN DENTAL SERVICES, P.C. BROOKLYN FOOT & ANKLE, P.C. KINGS PHYSICIAN SERVICES, P.C. NEW YORK IVF P.C. PARK SLOPE HEMATOLOGY AND ONCOLOGY, P.C. PARK SLOPE MEDICAL HEALTH PROVIDER, P.C. PARK SLOPE OBSTETRICS & GYNECOLOGY, P.C. PARK SLOPE PEDIATRIC MEDICINE, P.C.

Date of last update: 01 Apr 2025

Sources: New York Secretary of State

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