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  5. PARK SOUTH MEDICAL, PLLC

PARK SOUTH MEDICAL, PLLC

Company Details

Name: PARK SOUTH MEDICAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 24 Dec 1997 (27 years ago)
Entity Number: 2211819
ZIP code: 10462
County: Bronx
Place of Formation: New York
Address: 1545 UNIONPORT ROAD, BRONX, NY, United States, 10462

Contact Details

Phone +1 718-892-2201

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PARK SOUTH ASSOCIATES INCENTIVE SAVINGS TRUST 2023 133441043 2024-06-12 PARK SOUTH MEDICAL PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 561300
Sponsor’s telephone number 7188922201
Plan sponsor’s address 1545 UNIONPORT ROAD, BRONX, NY, 10462

Signature of
Role Plan administrator
Date 2024-06-12
Name of individual signing MONTE EZRATTY, M.D.
PARK SOUTH ASSOCIATES INCENTIVE SAVINGS TRUST 2022 133441043 2023-09-28 PARK SOUTH MEDICAL PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 561300
Sponsor’s telephone number 7188922201
Plan sponsor’s address 1545 UNIONPORT ROAD, BRONX, NY, 10462

Signature of
Role Plan administrator
Date 2023-09-28
Name of individual signing MONTE EZRATTY, M.D.
PARK SOUTH ASSOCIATES INCENTIVE SAVINGS TRUST 2021 133441043 2022-10-03 PARK SOUTH MEDICAL PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 561300
Sponsor’s telephone number 7188922201
Plan sponsor’s address 1545 UNIONPORT ROAD, BRONX, NY, 10462

Signature of
Role Plan administrator
Date 2022-10-03
Name of individual signing MONTE EZRATTY, M.D.
PARK SOUTH ASSOCIATES INCENTIVE SAVINGS TRUST 2020 133441043 2021-04-19 PARK SOUTH MEDICAL PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 561300
Sponsor’s telephone number 7188922201
Plan sponsor’s address 1545 UNIONPORT ROAD, BRONX, NY, 10462

Signature of
Role Plan administrator
Date 2021-04-19
Name of individual signing MONTE EZRATTY, M.D.
PARK SOUTH ASSOCIATES INCENTIVE SAVINGS TRUST 2019 133441043 2020-08-26 PARK SOUTH MEDICAL PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 561300
Sponsor’s telephone number 7188922201
Plan sponsor’s address 1545 UNIONPORT ROAD, BRONX, NY, 10462

Signature of
Role Plan administrator
Date 2020-08-26
Name of individual signing MONTE EZRATTY, M.D.
PARK SOUTH ASSOCIATES INCENTIVE SAVINGS TRUST 2018 133441043 2019-09-17 PARK SOUTH MEDICAL PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 561300
Sponsor’s telephone number 7188922201
Plan sponsor’s address 1545 UNIONPORT ROAD, BRONX, NY, 10462

Signature of
Role Plan administrator
Date 2019-09-17
Name of individual signing MONTE EZRATTY, M.D.
PARK SOUTH ASSOCIATES INCENTIVE SAVINGS TRUST 2017 133441043 2018-09-20 PARK SOUTH MEDICAL PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 561300
Sponsor’s telephone number 7188922201
Plan sponsor’s address 1545 UNIONPORT ROAD, BRONX, NY, 10462

Signature of
Role Plan administrator
Date 2018-09-20
Name of individual signing MONTE EZRATTY, M.D.
PARK SOUTH ASSOCIATES INCENTIVE SAVINGS TRUST 2016 133441043 2017-12-21 PARK SOUTH MEDICAL PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 561300
Sponsor’s telephone number 7188922201
Plan sponsor’s address 1545 UNIONPORT ROAD, BRONX, NY, 10462

Signature of
Role Plan administrator
Date 2017-12-21
Name of individual signing MONTE EZRATTY, M.D.
PARK SOUTH ASSOCIATES INCENTIVE SAVINGS TRUST 2016 133441043 2017-09-20 PARK SOUTH MEDICAL PLLC 13
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 561300
Sponsor’s telephone number 7188922201
Plan sponsor’s address 1545 UNIONPORT ROAD, BRONX, NY, 10462

Signature of
Role Plan administrator
Date 2017-09-20
Name of individual signing MONTE EZRATTY, M.D.
PARK SOUTH ASSOCIATES INCENTIVE SAVINGS TRUST 2015 133441043 2016-07-13 PARK SOUTH MEDICAL PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 561300
Sponsor’s telephone number 7188922201
Plan sponsor’s address 1545 UNIONPORT ROAD, BRONX, NY, 10462

Signature of
Role Plan administrator
Date 2016-07-13
Name of individual signing MONTE EZRATTY, M.D.

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1545 UNIONPORT ROAD, BRONX, NY, United States, 10462

Filings

Filing Number Date Filed Type Effective Date
980617000367 1998-06-17 AFFIDAVIT OF PUBLICATION 1998-06-17
980617000368 1998-06-17 AFFIDAVIT OF PUBLICATION 1998-06-17
971224000456 1997-12-24 ARTICLES OF ORGANIZATION 1997-12-24

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Date of last update: 03 Jan 2025

Sources: New York Secretary of State

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