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CALVIN W. ROBERTS, M.D., P.C.

Company Details

Name: CALVIN W. ROBERTS, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Apr 1998 (27 years ago)
Entity Number: 2248294
ZIP code: 10530
County: New York
Place of Formation: New York
Address: 50 CROSS HILL ROAD, HARTSDALE, NY, United States, 10530

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
CALVIN W. ROBERTS, M.D., P.C. PENSION PLAN 2014 134001879 2015-06-08 CALVIN W. ROBERTS, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2126285168
Plan sponsor’s address 50 CROSS HILL ROAD, HARTSDALE, NY, 10530

Signature of

Role Plan administrator
Date 2015-06-08
Name of individual signing CALVIN ROBERTS
Role Employer/plan sponsor
Date 2015-06-08
Name of individual signing CALVIN ROBERTS
CALVIN W. ROBERTS, M.D., P.C. PENSION PLAN 2013 134001879 2014-09-08 CALVIN W. ROBERTS, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2126285168
Plan sponsor’s address 50 CROSS HILL ROAD, HARTSDALE, NY, 10530

Signature of

Role Plan administrator
Date 2014-09-06
Name of individual signing CALVIN ROBERTS
Role Employer/plan sponsor
Date 2014-09-06
Name of individual signing CALVIN ROBERTS
CALVIN W. ROBERTS, M.D., P.C. PENSION PLAN 2012 134001879 2013-09-23 CALVIN W. ROBERTS, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2126285168
Plan sponsor’s address 50 CROSS HILL ROAD, HARTSDALE, NY, 10530

Signature of

Role Plan administrator
Date 2013-09-22
Name of individual signing CALVIN ROBERTS
Role Employer/plan sponsor
Date 2013-09-22
Name of individual signing CALVIN ROBERTS
CALVIN W. ROBERTS, M.D., P.C. PENSION PLAN 2011 134001879 2012-10-11 CALVIN W. ROBERTS, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2126285168
Plan sponsor’s address 50 CROSS HILL ROAD, HARTSDALE, NY, 10530

Plan administrator’s name and address

Administrator’s EIN 134001879
Plan administrator’s name CALVIN W. ROBERTS, M.D., P.C.
Plan administrator’s address 50 CROSS HILL ROAD, HARTSDALE, NY, 10530
Administrator’s telephone number 2126285168

Signature of

Role Plan administrator
Date 2012-10-11
Name of individual signing CALVIN ROBERTS
Role Employer/plan sponsor
Date 2012-10-11
Name of individual signing CALVIN ROBERTS
CALVIN W. ROBERTS, M.D., P.C. PENSION PLAN 2010 134001879 2011-08-26 CALVIN W. ROBERTS, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2126285168
Plan sponsor’s address 50 CROSS HILL ROAD, HARTSDALE, NY, 10530

Plan administrator’s name and address

Administrator’s EIN 134001879
Plan administrator’s name CALVIN W. ROBERTS, M.D., P.C.
Plan administrator’s address 50 CROSS HILL ROAD, HARTSDALE, NY, 10530
Administrator’s telephone number 2126285168

Signature of

Role Plan administrator
Date 2011-08-25
Name of individual signing CALVIN ROBERTS
Role Employer/plan sponsor
Date 2011-08-25
Name of individual signing CALVIN ROBERTS
CALVIN W. ROBERTS, M.D., P.C. PENSION PLAN 2009 134001879 2010-10-13 CALVIN W. ROBERTS, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2126285168
Plan sponsor’s address 50 CROSS HILL ROAD, HARTSDALE, NY, 10530

Plan administrator’s name and address

Administrator’s EIN 134001879
Plan administrator’s name CALVIN W. ROBERTS, M.D., P.C.
Plan administrator’s address 50 CROSS HILL ROAD, HARTSDALE, NY, 10530
Administrator’s telephone number 2126285168

Signature of

Role Plan administrator
Date 2010-10-13
Name of individual signing CALVIN ROBERTS
Role Employer/plan sponsor
Date 2010-10-13
Name of individual signing CALVIN ROBERTS

Chief Executive Officer

Name Role Address
CALVIN W ROBERTS, MD Chief Executive Officer 50 CROSS HILL ROAD, HARTSDALE, NY, United States, 10530

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 50 CROSS HILL ROAD, HARTSDALE, NY, United States, 10530

History

Start date End date Type Value
2000-04-07 2008-05-05 Address 876 PARK AVE, NEW YORK, NY, 10021, 1832, USA (Type of address: Chief Executive Officer)
2000-04-07 2008-05-05 Address 876 PARK AVE, NEW YORK, NY, 10021, 1832, USA (Type of address: Principal Executive Office)
1998-04-10 2008-05-05 Address 876 PARK AVE., NEW YORK, NY, 10021, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140408007795 2014-04-08 BIENNIAL STATEMENT 2014-04-01
120618002168 2012-06-18 BIENNIAL STATEMENT 2012-04-01
100510002421 2010-05-10 BIENNIAL STATEMENT 2010-04-01
080505002940 2008-05-05 BIENNIAL STATEMENT 2008-04-01
060407003058 2006-04-07 BIENNIAL STATEMENT 2006-04-01
040421002726 2004-04-21 BIENNIAL STATEMENT 2004-04-01
020327002872 2002-03-27 BIENNIAL STATEMENT 2002-04-01
000407002525 2000-04-07 BIENNIAL STATEMENT 2000-04-01
980410000019 1998-04-10 CERTIFICATE OF INCORPORATION 1998-04-10

Date of last update: 21 Jan 2025

Sources: New York Secretary of State