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  5. VICTORY INTERNAL MEDICINE, P.C.

VICTORY INTERNAL MEDICINE, P.C.

Company Details

Name: VICTORY INTERNAL MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Mar 2000 (25 years ago)
Entity Number: 2485849
ZIP code: 10314
County: Richmond
Place of Formation: New York
Principal Address: 2315 VICTORY BLVD, STATEN ISLAND, NY, United States, 10314
Address: 2315 VICTORY BOULEVARD, STATEN ISLAND, NY, United States, 10314

Contact Details

Phone +1 718-967-6700

Phone +1 718-226-9000

Phone +1 718-720-9600

Phone +1 718-448-9000

Phone +1 718-682-1580

Phone +1 718-477-1900

Phone +1 718-818-1234

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
VICTORY INTERNAL MEDICINE, P.C. RETIREMENT PLAN 2014 134114612 2015-10-07 VICTORY INTERNAL MEDICINE, P.C. 50
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7184776900
Plan sponsor’s address 2315 VICTORY BLVD., STATEN ISLAND, NY, 103146623

Plan administrator’s name and address
Administrator’s EIN 134114612
Plan administrator’s name VICTORY INTERNAL MEDICINE, P.C.
Plan administrator’s address 2315 VICTORY BLVD., STATEN ISLAND, NY, 103146623
Administrator’s telephone number 7184776900

Signature of
Role Plan administrator
Date 2015-10-07
Name of individual signing DAVID WORTMAN
VICTORY INTERNAL MEDICINE, P.C. RETIREMENT PLAN 2013 134114612 2014-09-22 VICTORY INTERNAL MEDICINE, P.C. 48
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7184776900
Plan sponsor’s address 2315 VICTORY BLVD., STATEN ISLAND, NY, 103146623

Plan administrator’s name and address
Administrator’s EIN 134114612
Plan administrator’s name VICTORY INTERNAL MEDICINE, P.C.
Plan administrator’s address 2315 VICTORY BLVD., STATEN ISLAND, NY, 103146623
Administrator’s telephone number 7184776900

Signature of
Role Plan administrator
Date 2014-09-22
Name of individual signing DAVID WORTMAN
VICTORY INTERNAL MEDICINE, P.C. RETIREMENT PLAN 2012 134114612 2013-10-09 VICTORY INTERNAL MEDICINE, P.C. 0
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7184776900
Plan sponsor’s address 2315 VICTORY BLVD., STATEN ISLAND, NY, 103146623

Plan administrator’s name and address
Administrator’s EIN 134114612
Plan administrator’s name VICTORY INTERNAL MEDICINE, P.C.
Plan administrator’s address 2315 VICTORY BLVD., STATEN ISLAND, NY, 103146623
Administrator’s telephone number 7184776900

Signature of
Role Plan administrator
Date 2013-10-09
Name of individual signing DAVID WORTMAN
VICTORY INTERNAL MEDICINE 401K PLAN 2011 134114612 2012-09-21 VICTORY INTERNAL MEDICINE, P.C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-09-30
Business code 621111
Sponsor’s telephone number 7184776900
Plan sponsor’s address 2315 VICTORY BLVD., STATEN ISLAND, NY, 103146623

Plan administrator’s name and address
Administrator’s EIN 134114612
Plan administrator’s name VICTORY INTERNAL MEDICINE, P.C.
Plan administrator’s address 2315 VICTORY BLVD., STATEN ISLAND, NY, 103146623
Administrator’s telephone number 7184776900

Signature of
Role Plan administrator
Date 2012-09-21
Name of individual signing DAVID WORTMAN
VICTORY INTERNAL MEDICINE 401K PLAN 2010 134114612 2011-06-13 VICTORY INTERNAL MEDICINE, P.C. 24
Three-digit plan number (PN) 001
Effective date of plan 2003-09-30
Business code 621111
Sponsor’s telephone number 7184776900
Plan sponsor’s address 2315 VICTORY BLVD., STATEN ISLAND, NY, 103146623

Plan administrator’s name and address
Administrator’s EIN 134114612
Plan administrator’s name VICTORY INTERNAL MEDICINE, P.C.
Plan administrator’s address 2315 VICTORY BLVD., STATEN ISLAND, NY, 103146623
Administrator’s telephone number 7184776900

Signature of
Role Plan administrator
Date 2011-06-13
Name of individual signing DAVID WORTMAN
VICTORY INTERNAL MEDICINE 401K PLAN 2010 134114612 2011-06-13 VICTORY INTERNAL MEDICINE, P.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-09-30
Business code 621111
Sponsor’s telephone number 7184776900
Plan sponsor’s address 2315 VICTORY BLVD., STATEN ISLAND, NY, 103146623

Plan administrator’s name and address
Administrator’s EIN 134114612
Plan administrator’s name VICTORY INTERNAL MEDICINE, P.C.
Plan administrator’s address 2315 VICTORY BLVD., STATEN ISLAND, NY, 103146623
Administrator’s telephone number 7184776900

Signature of
Role Plan administrator
Date 2011-06-13
Name of individual signing DAVID WORTMAN
VICTORY INTERNAL MEDICINE 401K PLAN 2009 134114612 2010-08-07 VICTORY INTERNAL MEDICINE, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-09-30
Business code 621111
Sponsor’s telephone number 7184776900
Plan sponsor’s address 2315 VICTORY BLVD., STATEN ISLAND, NY, 103146623

Plan administrator’s name and address
Administrator’s EIN 134114612
Plan administrator’s name VICTORY INTERNAL MEDICINE, P.C.
Plan administrator’s address 2315 VICTORY BLVD., STATEN ISLAND, NY, 103146623
Administrator’s telephone number 7184776900

Signature of
Role Plan administrator
Date 2010-08-07
Name of individual signing DAVID WORTMAN

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2315 VICTORY BOULEVARD, STATEN ISLAND, NY, United States, 10314

Chief Executive Officer

Name Role Address
SHYE WORTMAN Chief Executive Officer 2315 VICTORY BLVD, STATEN ISLAND, NY, United States, 10314

Filings

Filing Number Date Filed Type Effective Date
140721002234 2014-07-21 BIENNIAL STATEMENT 2014-03-01
120420002189 2012-04-20 BIENNIAL STATEMENT 2012-03-01
100611002481 2010-06-11 BIENNIAL STATEMENT 2010-03-01
080303003129 2008-03-03 BIENNIAL STATEMENT 2008-03-01
060327003180 2006-03-27 BIENNIAL STATEMENT 2006-03-01
040315002957 2004-03-15 BIENNIAL STATEMENT 2004-03-01
020227002590 2002-02-27 BIENNIAL STATEMENT 2002-03-01
000315000069 2000-03-15 CERTIFICATE OF INCORPORATION 2000-03-15

Related by officers

THE CORPORATION

ARSHIA DESIGNS INC. AAA VACUUM CORP. ATLANTICA TELECOM, INC. MISTY SPORTSWEAR, INC. INRACKS, INC. FAT JAMS ELECTRONICS INC. CROQUEMBOUCHE, INC. LONG BEACH PEDIATRIC GROUP, P.C. LAW OFFICES OF JOSEPH A. GRECO, P.C. TEREZ, INC.

SHYE WORTMAN

WOOLLEY ASSOCIATES, INC.

Related by address

2315 VICTORY BLVD, STATEN ISLAND, NY, United States, 10314

VICTORY HEALTH PARTNERS LLC WOOLLEY ASSOCIATES, INC. VICTORY IN-PATIENT MEDICINE, P.C.

Date of last update: 02 Jan 2025

Sources: New York Secretary of State

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