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JUBIL MALIECKAL, M.D., P.C.

Company Details

Name: JUBIL MALIECKAL, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 09 Apr 1997 (28 years ago)
Entity Number: 2131516
ZIP code: 11205
County: Kings
Place of Formation: New York
Address: 242 DEKALB AVE, BROOKLYN, NY, United States, 11205

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
JUBIL MALIECKAL, M.D., P.C. PENSION PLAN 2016 113380190 2017-10-04 JUBIL MALIECKAL, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 7187897100
Plan sponsor’s address 242 DEKALB AVE., BROOKLYN, NY, 11205

Plan administrator’s name and address

Administrator’s EIN 113380190
Plan administrator’s name JUBIL MALIECKAL, M.D., P.C.
Plan administrator’s address 242 DEKALB AVE., BROOKLYN, NY, 11205
Administrator’s telephone number 7187897100

Signature of

Role Plan administrator
Date 2017-10-04
Name of individual signing JUBIL MALIECKAL
JUBIL MALIECKAL, M.D., P.C. PENSION PLAN 2015 113380190 2016-10-11 JUBIL MALIECKAL, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 7187897100
Plan sponsor’s address 242 DEKALB AVE., BROOKLYN, NY, 11205

Plan administrator’s name and address

Administrator’s EIN 113380190
Plan administrator’s name JUBIL MALIECKAL, M.D., P.C.
Plan administrator’s address 242 DEKALB AVE., BROOKLYN, NY, 11205
Administrator’s telephone number 7187897100

Signature of

Role Plan administrator
Date 2016-10-11
Name of individual signing JUBIL MALIECKAL
JUBIL MALIECKAL, M.D., P.C. PENSION PLAN 2014 113380190 2015-08-31 JUBIL MALIECKAL, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 7187897100
Plan sponsor’s address 242 DEKALB AVE., BROOKLYN, NY, 11205

Plan administrator’s name and address

Administrator’s EIN 113380190
Plan administrator’s name JUBIL MALIECKAL, M.D., P.C.
Plan administrator’s address 242 DEKALB AVE., BROOKLYN, NY, 11205
Administrator’s telephone number 7187897100

Signature of

Role Plan administrator
Date 2015-08-31
Name of individual signing JUBIL MALIECKAL
JUBIL MALIECKAL, M.D., P.C. PENSION PLAN 2013 113380190 2014-09-11 JUBIL MALIECKAL, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 7187897100
Plan sponsor’s address 242 DEKALB AVE., BROOKLYN, NY, 11205

Plan administrator’s name and address

Administrator’s EIN 113380190
Plan administrator’s name JUBIL MALIECKAL, M.D., P.C.
Plan administrator’s address 242 DEKALB AVE., BROOKLYN, NY, 11205
Administrator’s telephone number 7187897100

Signature of

Role Plan administrator
Date 2014-09-11
Name of individual signing JUBIL MALIECKAL
JUBIL MALIECKAL, M.D., P.C. PENSION PLAN 2012 113380190 2013-10-02 JUBIL MALIECKAL, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 7187897100
Plan sponsor’s address 242 DEKALB AVE., BROOKLYN, NY, 11205

Plan administrator’s name and address

Administrator’s EIN 113380190
Plan administrator’s name JUBIL MALIECKAL, M.D., P.C.
Plan administrator’s address 242 DEKALB AVE., BROOKLYN, NY, 11205
Administrator’s telephone number 7187897100

Signature of

Role Plan administrator
Date 2013-10-02
Name of individual signing JUBIL MALIECKAL
JUBIL MALIECKAL, M.D., P.C. PENSION PLAN 2011 113380190 2012-10-09 JUBIL MALIECKAL, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 7187897100
Plan sponsor’s address 242 DEKALB AVE., BROOKLYN, NY, 11205

Plan administrator’s name and address

Administrator’s EIN 113380190
Plan administrator’s name JUBIL MALIECKAL, M.D., P.C.
Plan administrator’s address 242 DEKALB AVE., BROOKLYN, NY, 11205
Administrator’s telephone number 7187897100

Signature of

Role Plan administrator
Date 2012-10-09
Name of individual signing JUBIL MALIECKAL
JUBIL MALIECKAL, M.D., P.C. PENSION PLAN 2010 113380190 2011-10-18 JUBIL MALIECKAL, M.D., P.C. 5
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 7187897100
Plan sponsor’s address 242 DEKALB AVE, BROOKLYN, NY, 11234

Plan administrator’s name and address

Administrator’s EIN 113380190
Plan administrator’s name JUBIL MALIECKAL, M.D., P.C.
Plan administrator’s address 242 DEKALB AVE, BROOKLYN, NY, 11234
Administrator’s telephone number 7187897100

Signature of

Role Plan administrator
Date 2011-10-18
Name of individual signing JUBIL MALIECKAL, MD
Role Employer/plan sponsor
Date 2011-10-18
Name of individual signing JUBIL MALIECKAL, MD
JUBIL MALIECKAL, M.D., P.C. PENSION PLAN 2010 113380190 2011-11-07 JUBIL MALIECKAL, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 7187897100
Plan sponsor’s address 242 DEKALB AVE, BROOKLYN, NY, 11234

Plan administrator’s name and address

Administrator’s EIN 113380190
Plan administrator’s name JUBIL MALIECKAL, M.D., P.C.
Plan administrator’s address 242 DEKALB AVE, BROOKLYN, NY, 11234
Administrator’s telephone number 7187897100

Signature of

Role Plan administrator
Date 2011-11-07
Name of individual signing JUBIL MALIECKAL, MD
Role Employer/plan sponsor
Date 2011-11-07
Name of individual signing JUBIL MALIECKAL, MD
JUBIL MALIECKAL, M.D., P.C. PENSION PLAN 2010 113380190 2011-10-17 JUBIL MALIECKAL, M.D., P.C. 5
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 7187897100
Plan sponsor’s address 242 DEKALB AVE, BROOKLYN, NY, 11234

Plan administrator’s name and address

Administrator’s EIN 113380190
Plan administrator’s name JUBIL MALIECKAL, M.D., P.C.
Plan administrator’s address 242 DEKALB AVE, BROOKLYN, NY, 11234
Administrator’s telephone number 7187897100

Signature of

Role Plan administrator
Date 2011-10-17
Name of individual signing JUBIL MALIECKAL, MD
Role Employer/plan sponsor
Date 2011-10-17
Name of individual signing JUBIL MALIECKAL, MD
JUBIL MALIECKAL, M.D., P.C. PENSION PLAN 2009 113380190 2010-10-15 JUBIL MALIECKAL, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 7187897100
Plan sponsor’s address 242 DEKALB AVE, BROOKLYN, NY, 11234

Plan administrator’s name and address

Administrator’s EIN 113380190
Plan administrator’s name JUBIL MALIECKAL, M.D., P.C.
Plan administrator’s address 242 DEKALB AVE, BROOKLYN, NY, 11234
Administrator’s telephone number 7187897100

Signature of

Role Plan administrator
Date 2010-10-15
Name of individual signing JUBIL MALIECKAL, MD
Role Employer/plan sponsor
Date 2010-10-15
Name of individual signing JUBIL MALIECKAL, MD

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 242 DEKALB AVE, BROOKLYN, NY, United States, 11205

Chief Executive Officer

Name Role Address
JUBIL MALIECKAL MD Chief Executive Officer 242 DEKALB AVE, BROOKLYN, NY, United States, 11205

History

Start date End date Type Value
1999-04-30 2003-04-01 Address 242 DEKALB AVE, BROOKLYN, NY, 11205, USA (Type of address: Chief Executive Officer)
1999-04-30 2003-04-01 Address 80 WHITMAN DR, BROOKLYN, NY, 11234, USA (Type of address: Principal Executive Office)
1997-04-09 1999-04-30 Address 80 WHITMAN DRIVE, BROOKLYN, NY, 11234, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130910002051 2013-09-10 BIENNIAL STATEMENT 2013-04-01
110426002020 2011-04-26 BIENNIAL STATEMENT 2011-04-01
090406002670 2009-04-06 BIENNIAL STATEMENT 2009-04-01
070418002250 2007-04-18 BIENNIAL STATEMENT 2007-04-01
050523002697 2005-05-23 BIENNIAL STATEMENT 2005-04-01
030401003041 2003-04-01 BIENNIAL STATEMENT 2003-04-01
010423002756 2001-04-23 BIENNIAL STATEMENT 2001-04-01
990430002142 1999-04-30 BIENNIAL STATEMENT 1999-04-01
970409000221 1997-04-09 CERTIFICATE OF INCORPORATION 1997-04-09

Date of last update: 21 Jan 2025

Sources: New York Secretary of State