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  5. ALEXANDER GOLBERG, PHYSICIAN, P.C.

ALEXANDER GOLBERG, PHYSICIAN, P.C.

Company Details

Name: ALEXANDER GOLBERG, PHYSICIAN, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 11 Feb 1999 (26 years ago)
Entity Number: 2344729
ZIP code: 11229
County: Kings
Place of Formation: New York
Address: 2361 EAST 14 STREET, BROOKLYN, NY, United States, 11229
Principal Address: 2361 EAST 14TH ST, BROOKLYN, NY, United States, 11229

Contact Details

Phone +1 718-759-0100

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
ALEXANDER GOLBERG, M.D. RETIREMENT PLAN 2014 113475662 2015-11-13 ALEXANDER GOLBERG PHYSICIAN, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-02-01
Business code 621111
Sponsor’s telephone number 7187590100
Plan sponsor’s address 2361 EAST 14TH STREET, BROOKLYN, NY, 11229

Signature of
Role Plan administrator
Date 2015-11-13
Name of individual signing ALEXANDER GOLBERG
Role Employer/plan sponsor
Date 2015-11-13
Name of individual signing ALEXANDER GOLBERG
ALEXANDER GOLBERG, M.D. RETIREMENT PLAN 2013 113475662 2014-11-14 ALEXANDER GOLBERG PHYSICIAN, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-02-01
Business code 621111
Sponsor’s telephone number 7187590100
Plan sponsor’s address 2361 EAST 14TH STREET, BROOKLYN, NY, 11229

Signature of
Role Plan administrator
Date 2014-11-14
Name of individual signing ALEXANDER GOLBERG
Role Employer/plan sponsor
Date 2014-11-14
Name of individual signing ALEXANDER GOLBERG
ALEXANDER GOLBERG, M.D. RETIREMENT PLAN 2012 113475662 2013-11-04 ALEXANDER GOLBERG PHYSICIAN, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-02-01
Business code 621111
Sponsor’s telephone number 7187590100
Plan sponsor’s address 2361 EAST 14TH STREET, BROOKLYN, NY, 11229

Signature of
Role Plan administrator
Date 2013-11-04
Name of individual signing ALEXANDER GOLBERG
Role Employer/plan sponsor
Date 2013-11-04
Name of individual signing ALEXANDER GOLBERG
ALEXANDER GOLBERG, M.D. RETIREMENT PLAN 2011 113475662 2013-02-01 ALEXANDER GOLBERG PHYSICIAN, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-02-01
Business code 621111
Sponsor’s telephone number 7187590100
Plan sponsor’s address 2361 EAST 14TH STREET, BROOKLYN, NY, 11229

Plan administrator’s name and address
Administrator’s EIN 113475662
Plan administrator’s name ALEXANDER GOLBERG PHYSICIAN, P.C.
Plan administrator’s address 2361 EAST 14TH STREET, BROOKLYN, NY, 11229
Administrator’s telephone number 7187590100

Signature of
Role Plan administrator
Date 2013-02-01
Name of individual signing ALEXANDER GOLBERG
Role Employer/plan sponsor
Date 2013-02-01
Name of individual signing ALEXANDER GOLBERG
ALEXANDER GOLBERG, M.D. RETIREMENT PLAN 2010 113475662 2011-11-15 ALEXANDER GOLBERG PHYSICIAN, P.C. 4
Three-digit plan number (PN) 001
Effective date of plan 2000-02-01
Business code 621111
Sponsor’s telephone number 7187590100
Plan sponsor’s address 2361 EAST 14TH STREET, BROOKLYN, NY, 11229

Plan administrator’s name and address
Administrator’s EIN 113475662
Plan administrator’s name ALEXANDER GOLBERG PHYSICIAN, P.C.
Plan administrator’s address 2361 EAST 14TH STREET, BROOKLYN, NY, 11229
Administrator’s telephone number 7187590100

Signature of
Role Plan administrator
Date 2011-11-15
Name of individual signing ALEXANDER GOLBERG
Role Employer/plan sponsor
Date 2011-11-15
Name of individual signing ALEXANDER GOLBERG
ALEXANDER GOLBERG, M.D. RETIREMENT PLAN 2010 113475662 2011-11-15 ALEXANDER GOLBERG PHYSICIAN, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-02-01
Business code 621111
Sponsor’s telephone number 7187590100
Plan sponsor’s address 2361 EAST 14TH STREET, BROOKLYN, NY, 11229

Plan administrator’s name and address
Administrator’s EIN 113475662
Plan administrator’s name ALEXANDER GOLBERG PHYSICIAN, P.C.
Plan administrator’s address 2361 EAST 14TH STREET, BROOKLYN, NY, 11229
Administrator’s telephone number 7187590100

Signature of
Role Plan administrator
Date 2011-11-15
Name of individual signing ALEXANDER GOLBERG
Role Employer/plan sponsor
Date 2011-11-15
Name of individual signing ALEXANDER GOLBERG
ALEXANDER GOLBERG, M.D. RETIREMENT PLAN 2009 113475662 2010-11-10 ALEXANDER GOLBERG PHYSICIAN, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-02-01
Business code 621111
Sponsor’s telephone number 7187590100
Plan sponsor’s address 2361 EAST 14TH STREET, BROOKLYN, NY, 11229

Plan administrator’s name and address
Administrator’s EIN 113475662
Plan administrator’s name ALEXANDER GOLBERG PHYSICIAN, P.C.
Plan administrator’s address 2361 EAST 14TH STREET, BROOKLYN, NY, 11229
Administrator’s telephone number 7187590100

Signature of
Role Plan administrator
Date 2010-11-10
Name of individual signing LILLY GOLBERG
Role Employer/plan sponsor
Date 2010-11-10
Name of individual signing LILLY GOLBERG

Chief Executive Officer

Name Role Address
ALEXANDER GOLBERG Chief Executive Officer 2361 EAST 14TH ST, BROOKLYN, NY, United States, 11229

DOS Process Agent

Name Role Address
ALEXANDER GOLBERG, PHYSICIAN, P.C. DOS Process Agent 2361 EAST 14 STREET, BROOKLYN, NY, United States, 11229

History

Start date End date Type Value
2007-03-23 2021-02-02 Address 2361 EAST 14 STREET, BROOKLYN, NY, 11229, USA (Type of address: Service of Process)
2006-11-21 2007-03-23 Address 2361 EAST 14 STREET, BROOKLYN, NY, 11229, USA (Type of address: Service of Process)
2001-02-16 2007-03-23 Address 450 77TH ST, BROOKLYN, NY, 11209, USA (Type of address: Chief Executive Officer)
2001-02-16 2007-03-23 Address 450 77TH ST, BROOKLYN, NY, 11209, USA (Type of address: Principal Executive Office)
1999-02-11 2006-11-21 Address 450 77TH STREET, BROOKLYN, NY, 11209, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210202061761 2021-02-02 BIENNIAL STATEMENT 2021-02-01
130424006214 2013-04-24 BIENNIAL STATEMENT 2013-02-01
110301002463 2011-03-01 BIENNIAL STATEMENT 2011-02-01
090130003468 2009-01-30 BIENNIAL STATEMENT 2009-02-01
070323002076 2007-03-23 BIENNIAL STATEMENT 2007-02-01
061121000336 2006-11-21 CERTIFICATE OF CHANGE 2006-11-21
050318003169 2005-03-18 BIENNIAL STATEMENT 2005-02-01
030205002435 2003-02-05 BIENNIAL STATEMENT 2003-02-01
010216002465 2001-02-16 BIENNIAL STATEMENT 2001-02-01
990211000072 1999-02-11 CERTIFICATE OF INCORPORATION 1999-02-11

Related by officers

No related officers

Related by address

2361 EAST 14TH ST, BROOKLYN, NY, United States, 11229

ILMAR LLC

Date of last update: 20 Jan 2025

Sources: New York Secretary of State

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