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  5. GABRIEL TENEMBAUM, M.D., P.C.

GABRIEL TENEMBAUM, M.D., P.C.

Company Details

Name: GABRIEL TENEMBAUM, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 24 Oct 2001 (23 years ago)
Entity Number: 2692335
ZIP code: 10901
County: Rockland
Place of Formation: New York
Principal Address: 233 LAFAYETTE AVE, SUFFERN, NY, United States, 10901
Address: 233 LAFAYETTE AVE. STE M4, SUFFERN, NY, United States, 10901

Shares Details

Shares issued 100

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GABRIEL TENEMBAUM, M.D. P.C. PROFIT SHARING PLAN 2023 954126120 2024-10-15 GABRIEL TENEMBAUM, M.D. P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8453699556
Plan sponsor’s address 233 LAFAYETTE AVENUE, SUITE M4, SUFFERN, NY, 10901

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing GABRIEL TENEMBAUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-15
Name of individual signing GABRIEL TENEMBAUM
Valid signature Filed with authorized/valid electronic signature
GABRIEL TENEMBAUM, M.D. P.C. DEFINED BENEFIT PENSION PLAN 2023 954126120 2024-10-15 GABRIEL TENEMBAUM, M.D. P.C. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 8453699556
Plan sponsor’s address 233 LAFAYETTE AVENUE, SUITE M4, SUFFERN, NY, 10901

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing GABRIEL TENEMBAUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-15
Name of individual signing GABRIEL TENEMBAUM
Valid signature Filed with authorized/valid electronic signature
GABRIEL TENEMBAUM, M.D. P.C. DEFINED BENEFIT PENSION PLAN 2022 954126120 2023-10-18 GABRIEL TENEMBAUM, M.D. P.C. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 8453699556
Plan sponsor’s address 233 LAFAYETTE AVENUE, SUITE M4, SUFFERN, NY, 10901

Signature of
Role Plan administrator
Date 2023-10-18
Name of individual signing GABRIEL TENEMBAUM
Role Employer/plan sponsor
Date 2023-10-18
Name of individual signing GABRIEL TENEMBAUM
GABRIEL TENEMBAUM, M.D. P.C. PROFIT SHARING PLAN 2022 954126120 2023-10-18 GABRIEL TENEMBAUM, M.D. P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8453699556
Plan sponsor’s address 233 LAFAYETTE AVENUE, SUITE M4, SUFFERN, NY, 10901

Signature of
Role Plan administrator
Date 2023-10-18
Name of individual signing GABRIEL TENEMBAUM
Role Employer/plan sponsor
Date 2023-10-18
Name of individual signing GABRIEL TENEMBAUM
GABRIEL TENEMBAUM, M.D. P.C. PROFIT SHARING PLAN 2021 954126120 2022-10-20 GABRIEL TENEMBAUM, M.D. P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8453699556
Plan sponsor’s address 233 LAFAYETTE AVENUE, SUITE M4, SUFFERN, NY, 10901

Signature of
Role Plan administrator
Date 2022-10-19
Name of individual signing GABRIEL TENEMBAUM
Role Employer/plan sponsor
Date 2022-10-19
Name of individual signing GABRIEL TENEMBAUM
GABRIEL TENEMBAUM, M.D. P.C. DEFINED BENEFIT PENSION PLAN 2021 954126120 2022-10-20 GABRIEL TENEMBAUM, M.D. P.C. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 8453699556
Plan sponsor’s address 233 LAFAYETTE AVENUE, SUITE M4, SUFFERN, NY, 10901

Signature of
Role Plan administrator
Date 2022-10-19
Name of individual signing GABRIEL TENEMBAUM
Role Employer/plan sponsor
Date 2022-10-19
Name of individual signing GABRIEL TENEMBAUM
GABRIEL TENEMBAUM, M.D. P.C. PROFIT SHARING PLAN 2020 954126120 2021-10-12 GABRIEL TENEMBAUM, M.D. P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8453699556
Plan sponsor’s address 233 LAFAYETTE AVENUE, SUITE M4, SUFFERN, NY, 10901

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing GABRIEL TENEMBAUM
Role Employer/plan sponsor
Date 2021-10-12
Name of individual signing GABRIEL TENEMBAUM
GABRIEL TENEMBAUM, M.D. P.C. DEFINED BENEFIT PENSION PLAN 2020 954126120 2021-10-12 GABRIEL TENEMBAUM, M.D. P.C. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 8453699556
Plan sponsor’s address 233 LAFAYETTE AVENUE, SUITE M4, SUFFERN, NY, 10901

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing GABRIEL TENEMBAUM
Role Employer/plan sponsor
Date 2021-10-12
Name of individual signing GABRIEL TENEMBAUM
GABRIEL TENEMBAUM, M.D. P.C. PROFIT SHARING PLAN 2019 954126120 2020-09-22 GABRIEL TENEMBAUM, M.D. P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8453699556
Plan sponsor’s address 233 LAFAYETTE AVENUE, SUITE M4, SUFFERN, NY, 10901

Signature of
Role Plan administrator
Date 2020-09-22
Name of individual signing GABRIEL TENEMBAUM
Role Employer/plan sponsor
Date 2020-09-22
Name of individual signing GABRIEL TENEMBAUM
GABRIEL TENEMBAUM, M.D. P.C. DEFINED BENEFIT PENSION PLAN 2019 954126120 2020-09-22 GABRIEL TENEMBAUM, M.D. P.C. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 8453699556
Plan sponsor’s address 233 LAFAYETTE AVENUE, SUITE M4, SUFFERN, NY, 10901

Signature of
Role Plan administrator
Date 2020-09-22
Name of individual signing GABRIEL TENEMBAUM
Role Employer/plan sponsor
Date 2020-09-22
Name of individual signing GABRIEL TENEMBAUM

Chief Executive Officer

Name Role Address
GABRIEL TENEBAUM MD Chief Executive Officer 233 LAFAYETTE AVE, SUFFERN, NY, United States, 10901

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 233 LAFAYETTE AVE. STE M4, SUFFERN, NY, United States, 10901

History

Start date End date Type Value
2004-02-24 2011-11-14 Address 233 LAFAYETTE AVE, SUFFERN, NY, 10901, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
131022002463 2013-10-22 BIENNIAL STATEMENT 2013-10-01
111114002823 2011-11-14 BIENNIAL STATEMENT 2011-10-01
091113002164 2009-11-13 BIENNIAL STATEMENT 2009-10-01
071109003181 2007-11-09 BIENNIAL STATEMENT 2007-10-01
060222002870 2006-02-22 BIENNIAL STATEMENT 2005-10-01
040224002328 2004-02-24 BIENNIAL STATEMENT 2003-10-01
011024000579 2001-10-24 CERTIFICATE OF INCORPORATION 2001-10-24

Related by officers

THE CORPORATION

ARSHIA DESIGNS INC. AAA VACUUM CORP. ATLANTICA TELECOM, INC. MISTY SPORTSWEAR, INC. FAT JAMS ELECTRONICS INC. CROQUEMBOUCHE, INC. LONG BEACH PEDIATRIC GROUP, P.C. LAW OFFICES OF JOSEPH A. GRECO, P.C. TEREZ, INC. 732 CINNAMON BEACH INC.

Related by address

233 LAFAYETTE AVE, SUFFERN, NY, United States, 10901

CHRISTIAN COUNSELING CENTER OF NY & NJ LLC CHARLES S. HAWARD, M.D., P.C. PENTHOUSE HOMES AND APARTMENTS OF AMERICA INC. A & K DENTAL LAB, INC. TECH MAN, INC.

Date of last update: 13 Mar 2025

Sources: New York Secretary of State

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