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  5. BENJAMIN Z. ARBESFELD, M.D., P.C.

BENJAMIN Z. ARBESFELD, M.D., P.C.

Company Details

Name: BENJAMIN Z. ARBESFELD, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Nov 2001 (23 years ago)
Entity Number: 2699192
ZIP code: 11375
County: Queens
Place of Formation: New York
Address: 69-40 108 ST, FOREST HILLS, NY, United States, 11375

Shares Details

Shares issued 200

Share Par Value 0.01

Type PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BENJAMIN ARBESFELD M.D. PROFIT SHARING PLAN 2023 113637801 2024-10-01 BENJAMIN Z. ARBESFELD, M.D. P.C. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7182633131
Plan sponsor’s address 69-40 108 STREET, FOREST HILLS, NY, 11375

Plan administrator’s name and address
Administrator’s EIN 113637801
Plan administrator’s name BENJAMIN Z. ARBESFELD, M.D.P.C.
Plan administrator’s address 69-40 108TE STREET, FOREST HILLS, NY, 11375
Administrator’s telephone number 7182633131

Signature of
Role Plan administrator
Date 2024-10-01
Name of individual signing BENJAMIN ARBESFELD
Valid signature Filed with authorized/valid electronic signature
BENJAMIN ARBESFELD M.D. PROFIT SHARING PLAN 2022 113637801 2023-06-08 BENJAMIN Z. ARBESFELD, M.D. P.C. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7182633131
Plan sponsor’s address 69-40 108 STREET, FOREST HILLS, NY, 11375

Plan administrator’s name and address
Administrator’s EIN 113637801
Plan administrator’s name BENJAMIN Z. ARBESFELD, M.D. P.C.
Plan administrator’s address 69-40 108TH STREET, FOREST HILLS, NY, 11375
Administrator’s telephone number 7182633131

Signature of
Role Plan administrator
Date 2023-06-08
Name of individual signing BENJAMIN ARBESFELD
BENJAMIN ARBESFELD M.D. PROFIT SHARING PLAN 2021 113637801 2022-09-22 BENJAMIN Z. ARBESFELD, M.D. P.C. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7182633131
Plan sponsor’s address 69-40 108TH STREET, FOREST HILLS, NY, 11375

Plan administrator’s name and address
Administrator’s EIN 113637801
Plan administrator’s name BENJAMIN Z. ARBESFELD, M.D. P.C.
Plan administrator’s address 69-40 108TH STREET, FOREST HILLS, NY, 11375
Administrator’s telephone number 7182633131

Signature of
Role Plan administrator
Date 2022-09-22
Name of individual signing BENJAMIN ARBESFELD
BENJAMIN ARBESFELD M.D. PROFIT SHARING PLAN 2020 113637801 2022-02-15 BENJAMIN Z. ARBESFELD, M.D. P.C. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7182633131
Plan sponsor’s address 69-40 108TH STREET, FOREST HILLS, NY, 11375

Plan administrator’s name and address
Administrator’s EIN 113637801
Plan administrator’s name BENJAMIN Z. ARBESFELD, M.D. P.C.
Plan administrator’s address 69-40 108TH STREET, FOREST HILLS, NY, 11375
Administrator’s telephone number 7182633131

Signature of
Role Plan administrator
Date 2022-02-15
Name of individual signing BENJAMIN ARBESFELD
BENJAMIN ARBESFELD M.D. PROFIT SHARING PLAN 2019 113637801 2020-08-25 BENJAMIN Z. ARBESFELD, M.D. P.C. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7182633131
Plan sponsor’s address 69-40 108TH STREET, FOREST HILLS, NY, 11375

Plan administrator’s name and address
Administrator’s EIN 113637801
Plan administrator’s name BENJAMIN Z. ARBESFELD, M.D. P.C.
Plan administrator’s address 69-40 108TH STREET, FOREST HILLS, NY, 11375
Administrator’s telephone number 7182633131

Signature of
Role Plan administrator
Date 2020-08-25
Name of individual signing BENJAMIN ARBESFELD
BENJAMIN ARBESFELD M.D. PROFIT SHARING PLAN 2018 113637801 2019-04-30 BENJAMIN Z. ARBESFELD, M.D. P.C. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7182633131
Plan sponsor’s address 69-40 108TH STREET, FOREST HILLS, NY, 11375

Plan administrator’s name and address
Administrator’s EIN 113637801
Plan administrator’s name BENJAMIN Z. ARBESFELD, M.D. P.C.
Plan administrator’s address 69-40 108TH STREET, FOREST HILLS, NY, 11375
Administrator’s telephone number 7182633131

Signature of
Role Plan administrator
Date 2019-04-30
Name of individual signing BENJAMIN ARBESFELD
BENJAMIN ARBESFELD M.D. PROFIT SHARING PLAN 2017 113637801 2018-04-01 BENJAMIN Z. ARBESFELD, M.D. P.C. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7182633131
Plan sponsor’s address 69-40 108TH STREET, FOREST HILLS, NY, 11375

Plan administrator’s name and address
Administrator’s EIN 113637801
Plan administrator’s name BENJAMIN Z. ARBESFELD, M.D. P.C.
Plan administrator’s address 69-40 108TH STREET, FOREST HILLS, NY, 11375
Administrator’s telephone number 7182633131

Signature of
Role Plan administrator
Date 2018-04-01
Name of individual signing BENJAMIN ARBESFELD
BENJAMIN ARBESFELD M.D. PROFIT SHARING PLAN 2016 113637801 2017-07-09 BENJAMIN Z. ARBESFELD, M.D. P.C. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7182633131
Plan sponsor’s address 69-40 108TH STREET, FOREST HILLS, NY, 11375

Plan administrator’s name and address
Administrator’s EIN 113637801
Plan administrator’s name BENJAMIN Z. ARBESFELD, M.D. P.C.
Plan administrator’s address 69-40 108TH STREET, FOREST HILLS, NY, 11375
Administrator’s telephone number 7182633131

Signature of
Role Plan administrator
Date 2017-07-09
Name of individual signing BENJAMIN ARBESFELD
BENJAMIN ARBESFELD M.D. PROFIT SHARING PLAN 2015 113637801 2016-08-03 BENJAMIN Z. ARBESFELD, M.D. P.C. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7182633131
Plan sponsor’s address 69-40 108TH STREET, FOREST HILLS, NY, 11375

Plan administrator’s name and address
Administrator’s EIN 113637801
Plan administrator’s name BENJAMIN Z. ARBESFELD, M.D. P.C.
Plan administrator’s address 69-40 108TH STREET, FOREST HILLS, NY, 11375
Administrator’s telephone number 7182633131

Signature of
Role Plan administrator
Date 2016-08-03
Name of individual signing BENJAMIN ARBESFELD

Chief Executive Officer

Name Role Address
BENJAMIN Z ARBESFELD MD Chief Executive Officer 69-40 108 ST, FOREST HILLS, NY, United States, 11375

DOS Process Agent

Name Role Address
C/O BENJAMIN Z ARBESFELD MD DOS Process Agent 69-40 108 ST, FOREST HILLS, NY, United States, 11375

History

Start date End date Type Value
2001-11-15 2003-10-28 Address 104-20 QUEENS BOULEVARD, FOREST HILLS, NY, 11375, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
131106007100 2013-11-06 BIENNIAL STATEMENT 2013-11-01
111115002797 2011-11-15 BIENNIAL STATEMENT 2011-11-01
091209002063 2009-12-09 BIENNIAL STATEMENT 2009-11-01
071128002841 2007-11-28 BIENNIAL STATEMENT 2007-11-01
051213002933 2005-12-13 BIENNIAL STATEMENT 2005-11-01
031028002879 2003-10-28 BIENNIAL STATEMENT 2003-11-01
011115000012 2001-11-15 CERTIFICATE OF INCORPORATION 2001-11-15

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 02 Jan 2025

Sources: New York Secretary of State

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