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RUBEN U. CARVAJAL, M.D., P.C.

Company Details

Name: RUBEN U. CARVAJAL, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Apr 1999 (26 years ago)
Entity Number: 2364172
ZIP code: 10468
County: Westchester
Place of Formation: New York
Address: 2271 GRAND AVENUE, BRONX, NY, United States, 10468
Principal Address: 2271 GRAND AVE, BRONX, NY, United States, 10468

Contact Details

Phone +1 718-733-2621

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
RUBEN U. CARVAJAL, M.D., P.C. DEFINED BENEFIT PLAN 2019 134055426 2020-10-15 RUBEN U. CARVAJAL, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9148447936
Plan sponsor’s address 2271 GRAND AVENUE, BRONX, NY, 104686905

Signature of

Role Plan administrator
Date 2020-10-15
Name of individual signing RUBEN CARVAJAL
Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing RUBEN CARVAJAL
RUBEN U. CARVAJAL, M.D., P.C. DEFINED BENEFIT PLAN 2018 134055426 2019-10-06 RUBEN U. CARVAJAL, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9148447936
Plan sponsor’s address 2271 GRAND AVENUE, BRONX, NY, 104686905

Signature of

Role Plan administrator
Date 2019-10-06
Name of individual signing RUBEN U. CARVAJAL
Role Employer/plan sponsor
Date 2019-10-06
Name of individual signing RUBEN U. CARVAJAL
RUBEN U. CARVAJAL, M.D., P.C. DEFINED BENEFIT PLAN 2017 134055426 2018-10-12 RUBEN U. CARVAJAL, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9148447936
Plan sponsor’s address 2271 GRAND AVENUE, BRONX, NY, 104686905

Signature of

Role Plan administrator
Date 2018-10-12
Name of individual signing RUBEN CARVAJAL
Role Employer/plan sponsor
Date 2018-10-12
Name of individual signing RUBEN CARVAJAL
RUBEN U. CARVAJAL, M.D., P.C. DEFINED BENEFIT PLAN 2016 134055426 2017-09-22 RUBEN U. CARVAJAL, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9148447936
Plan sponsor’s address 2271 GRAND AVENUE, BRONX, NY, 104686905

Signature of

Role Plan administrator
Date 2017-09-22
Name of individual signing RUBEN U. CARVAJAL, M.D.
RUBEN U. CARVAJAL, M.D., P.C. DEFINED BENEFIT PLAN 2015 134055426 2016-09-26 RUBEN U. CARVAJAL, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9148447936
Plan sponsor’s address 2271 GRAND AVENUE, BRONX, NY, 104686905

Signature of

Role Plan administrator
Date 2016-09-26
Name of individual signing RUBEN U. CARVAJAL, M.D.
RUBEN U. CARVAJAL, M.D., P.C. DEFINED BENEFIT PLAN 2014 134055426 2015-09-29 RUBEN U. CARVAJAL, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9148447936
Plan sponsor’s address 2271 GRAND AVENUE, BRONX, NY, 104686905

Signature of

Role Plan administrator
Date 2015-09-29
Name of individual signing RUBEN U. CARVAJAL, M.D.
RUBEN U. CARVAJAL, M.D., P.C. DEFINED BENEFIT PLAN 2013 134055426 2014-09-23 RUBEN U. CARVAJAL, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9148447936
Plan sponsor’s address 2271 GRAND AVENUE, BRONX, NY, 104686905

Signature of

Role Plan administrator
Date 2014-09-23
Name of individual signing RUBEN U. CARVAJAL, M.D.
RUBEN U. CARVAJAL, M.D., P.C. DEFINED BENEFIT PLAN 2012 134055426 2013-09-25 RUBEN U. CARVAJAL, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9148447936
Plan sponsor’s address 2271 GRAND AVENUE, BRONX, NY, 104686905

Signature of

Role Plan administrator
Date 2013-09-25
Name of individual signing RUBEN U. CARVAJAL, MD
RUBEN U. CARVAJAL, M.D., P.C. DEFINED BENEFIT PLAN 2011 134055426 2012-10-12 RUBEN U. CARVAJAL, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 9148447936
Plan sponsor’s address 2271 GRAND AVENUE, BRONX, NY, 104686905

Plan administrator’s name and address

Administrator’s EIN 134055426
Plan administrator’s name RUBEN U. CARVAJAL, M.D., P.C.
Plan administrator’s address 2271 GRAND AVENUE, BRONX, NY, 104686905
Administrator’s telephone number 9148447936

Signature of

Role Plan administrator
Date 2012-10-12
Name of individual signing RUBEN U. CARVAJAL, M.D.
RUBEN U. CARVAJAL, M.D., P.C. DEFINED BENEFIT PLAN 2010 134055426 2011-05-16 RUBEN U. CARVAJAL, M.D., P.C. 2
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7187332621
Plan sponsor’s address 2271 GRAND AVENUE, BRONX, NY, 104686905

Plan administrator’s name and address

Administrator’s EIN 134055426
Plan administrator’s name RUBEN U. CARVAJAL, M.D., P.C.
Plan administrator’s address 2271 GRAND AVENUE, BRONX, NY, 104686905
Administrator’s telephone number 7187332621

Signature of

Role Plan administrator
Date 2011-05-15
Name of individual signing RUBEN U. CARVAJAL MDPC

Chief Executive Officer

Name Role Address
RUBEN UY CARVAJAL Chief Executive Officer 2271 GRAND AVE, BRONX, NY, United States, 10468

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2271 GRAND AVENUE, BRONX, NY, United States, 10468

History

Start date End date Type Value
2001-04-19 2005-05-27 Address 2271 GRAND AVE, BRONX, NY, 10468, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
110525002465 2011-05-25 BIENNIAL STATEMENT 2011-04-01
090413003167 2009-04-13 BIENNIAL STATEMENT 2009-04-01
070427002555 2007-04-27 BIENNIAL STATEMENT 2007-04-01
050527002252 2005-05-27 BIENNIAL STATEMENT 2005-04-01
030416002616 2003-04-16 BIENNIAL STATEMENT 2003-04-01
010419002522 2001-04-19 BIENNIAL STATEMENT 2001-04-01
990406000155 1999-04-06 CERTIFICATE OF INCORPORATION 1999-04-06

Date of last update: 13 Mar 2025

Sources: New York Secretary of State