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PARKVILLE MEDICAL HEALTH P.C.

Company Details

Name: PARKVILLE MEDICAL HEALTH P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 24 May 2001 (24 years ago)
Entity Number: 2642566
ZIP code: 11230
County: Kings
Place of Formation: New York
Address: 198 FOSTER AVE, STE B, BROOKLYN, NY, United States, 11230

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
PARKVILLE MEDICAL HEALTH, P.C. 401(K) PLAN 2020 061616292 2021-04-08 PARKVILLE MEDICAL HEALTH, P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 7188543005
Plan sponsor’s address 198 FOSTER AVE., SUITE B, BROOKLYN, NY, 11230
PARKVILLE MEDICAL HEALTH, P.C. CASH BALANCE PLAN 2020 061616292 2021-04-08 PARKVILLE MEDICAL HEALTH, P.C. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 7188543005
Plan sponsor’s address 198 FOSTER AVE., SUITE B, BROOKLYN, NY, 11230
PARKVILLE MEDICAL HEALTH, P.C. CASH BALANCE PLAN 2020 061616292 2021-04-08 PARKVILLE MEDICAL HEALTH, P.C. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 7188543005
Plan sponsor’s address 198 FOSTER AVE., SUITE B, BROOKLYN, NY, 11230
PARKVILLE MEDICAL HEALTH, P.C. 401(K) PLAN 2015 061616292 2016-10-17 PARKVILLE MEDICAL HEALTH, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 7188543005
Plan sponsor’s address 198 FOSTER AVE., SUITE B, BROOKLYN, NY, 11230

Signature of

Role Plan administrator
Date 2016-10-17
Name of individual signing ALEX TSYPENYUK
PARKVILLE MEDICAL HEALTH, P.C. CASH BALANCE PLAN 2015 061616292 2016-10-17 PARKVILLE MEDICAL HEALTH, P.C. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 7188543005
Plan sponsor’s address 198 FOSTER AVE., SUITE B, BROOKLYN, NY, 11230

Signature of

Role Plan administrator
Date 2016-10-17
Name of individual signing ALEX TSYPENYUK
PARKVILLE MEDICAL HEALTH, P.C. CASH BALANCE PLAN 2014 061616292 2015-10-15 PARKVILLE MEDICAL HEALTH, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 7188543005
Plan sponsor’s address 198 FOSTER AVE., SUITE B, BROOKLYN, NY, 11230

Signature of

Role Plan administrator
Date 2015-10-15
Name of individual signing RUSS KOYFMAN
PARKVILLE MEDICAL HEALTH, P.C. 401(K) PLAN 2014 061616292 2015-05-21 PARKVILLE MEDICAL HEALTH, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 7188543005
Plan sponsor’s address 198 FOSTER AVE., SUITE B, BROOKLYN, NY, 11230

Signature of

Role Plan administrator
Date 2015-05-21
Name of individual signing RUSS KOYFMAN
PARKVILLE MEDICAL HEALTH, P.C. CASH BALANCE PLAN 2013 061616292 2014-10-15 PARKVILLE MEDICAL HEALTH, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 7188543005
Plan sponsor’s address 198 FOSTER AVE., SUITE B, BROOKLYN, NY, 11230

Signature of

Role Plan administrator
Date 2014-10-15
Name of individual signing RUSS KOYFMAN
PARKVILLE MEDICAL HEALTH, P.C. 401(K) PLAN 2013 061616292 2014-10-15 PARKVILLE MEDICAL HEALTH, P.C. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 7188543005
Plan sponsor’s address 198 FOSTER AVE., SUITE B, BROOKLYN, NY, 11230

Signature of

Role Plan administrator
Date 2014-10-15
Name of individual signing RUSS KOYFMAN

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 198 FOSTER AVE, STE B, BROOKLYN, NY, United States, 11230

Chief Executive Officer

Name Role Address
LAZAR FEYRIN, MD Chief Executive Officer 198 FOSTER AVE, STE B, BROOKLYN, NY, United States, 11230

History

Start date End date Type Value
2022-03-16 2022-03-16 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2011-06-03 2013-06-28 Address 702 OCEAN PKWY, STE 1B, BROOKLYN, NY, 11230, USA (Type of address: Service of Process)
2011-06-03 2013-06-28 Address 702 OCEAN PKWY, STE 1B, BROOKLYN, NY, 11230, USA (Type of address: Principal Executive Office)
2011-06-03 2013-06-28 Address 702 OCEAN PKWY, STE 1B, BROOKLYN, NY, 11230, USA (Type of address: Chief Executive Officer)
2010-06-11 2011-06-03 Address 702 OCEAN PKWY, STE 1 B, BROOKLYN, NY, 11230, USA (Type of address: Principal Executive Office)
2010-06-11 2011-06-03 Address 702 OCEAN PKWY, STE 1 B, BROOKLYN, NY, 11230, USA (Type of address: Chief Executive Officer)
2010-06-11 2011-06-03 Address 702 OCEAN PKWY, STE 1 B, BROOKLYN, NY, 11230, USA (Type of address: Service of Process)
2001-05-24 2022-03-16 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2001-05-24 2010-06-11 Address 69 PROSPECT AVENUE, UNIT 9P, HEWLETT, NY, 11557, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130628002323 2013-06-28 BIENNIAL STATEMENT 2013-05-01
110603002421 2011-06-03 BIENNIAL STATEMENT 2011-05-01
100611002275 2010-06-11 BIENNIAL STATEMENT 2010-05-01
010524000223 2001-05-24 CERTIFICATE OF INCORPORATION 2001-05-24

Date of last update: 02 Jan 2025

Sources: New York Secretary of State