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RALPH GIBSON, M.D., P.C.

Company Details

Name: RALPH GIBSON, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 07 Mar 2002 (23 years ago)
Entity Number: 2739179
ZIP code: 11937
County: Suffolk
Place of Formation: New York
Address: 200 PANTIGO PLACE, SUITE H, EAST HAMPTON, NY, United States, 11937

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
RALPH GIBSON, M.D. P.C. 401(K) PROFIT SHARING PLAN 2023 043656649 2024-02-16 RALPH GIBSON, M.D. P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6313244700
Plan sponsor’s address 200 PANTIGO PL STE H, EAST HAMPTON, NY, 119375922

Signature of

Role Plan administrator
Date 2024-02-16
Name of individual signing RALPH GIBSON
RALPH GIBSON, M.D. P.C. 401(K) PROFIT SHARING PLAN 2022 043656649 2023-03-14 RALPH GIBSON, M.D. P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6313244700
Plan sponsor’s address 200 PANTIGO PL STE H, EAST HAMPTON, NY, 119375922

Signature of

Role Plan administrator
Date 2023-03-14
Name of individual signing RALPH GIBSON
RALPH GIBSON, M.D. P.C. 401(K) PROFIT SHARING PLAN 2021 043656649 2022-05-12 RALPH GIBSON, M.D. P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6313244700
Plan sponsor’s address 200 PANTIGO PL STE H, EAST HAMPTON, NY, 119375922

Signature of

Role Plan administrator
Date 2022-05-12
Name of individual signing RALPH GIBSON
RALPH GIBSON, M.D. P.C. 401(K) PROFIT SHARING PLAN 2020 043656649 2021-02-05 RALPH GIBSON, M.D. P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6313244700
Plan sponsor’s address 200 PANTIGO PL STE H, EAST HAMPTON, NY, 119375922

Signature of

Role Plan administrator
Date 2021-02-05
Name of individual signing RALPH GIBSON
RALPH GIBSON, M.D. P.C. 401(K) PROFIT SHARING PLAN 2019 043656649 2020-03-11 RALPH GIBSON, M.D. P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6313244700
Plan sponsor’s address 200 PANTIGO PL STE H, EAST HAMPTON, NY, 119375922

Signature of

Role Plan administrator
Date 2020-03-11
Name of individual signing RALPH GIBSON
RALPH GIBSON, M.D. P.C. 401(K) PROFIT SHARING PLAN 2018 043656649 2019-03-11 RALPH GIBSON, M.D. P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6313244700
Plan sponsor’s address 200 PANTIGO PL STE H, EAST HAMPTON, NY, 119375922

Signature of

Role Plan administrator
Date 2019-03-11
Name of individual signing RALPH GIBSON
RALPH GIBSON, M.D. P.C. 401(K) PROFIT SHARING PLAN 2017 043656649 2018-03-03 RALPH GIBSON, M.D. P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6313244700
Plan sponsor’s address 200 PANTIGO PL STE H, EAST HAMPTON, NY, 119375922

Signature of

Role Plan administrator
Date 2018-03-03
Name of individual signing RALPH GIBSON
RALPH GIBSON, M.D. P.C. 401(K) PROFIT SHARING PLAN 2016 043656649 2017-07-05 RALPH GIBSON, M.D. P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6313244700
Plan sponsor’s address 200 PANTIGO PL STE H, EAST HAMPTON, NY, 119375922

Signature of

Role Plan administrator
Date 2017-07-05
Name of individual signing RALPH GIBSON
RALPH GIBSON, M.D. P.C. 401(K) PROFIT SHARING PLAN 2015 043656649 2016-10-07 RALPH GIBSON, M.D. P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6313244700
Plan sponsor’s address 200 PANTIGO PL STE H, EAST HAMPTON, NY, 119375922

Signature of

Role Plan administrator
Date 2016-10-07
Name of individual signing RALPH GIBSON
RALPH GIBSON, M.D. P.C. 401(K) PROFIT SHARING PLAN 2014 043656649 2016-01-19 RALPH GIBSON, M.D. P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6313244700
Plan sponsor’s address 200 PANTIGO PLACE SUITE H, EAST HAMPTON, NY, 11937

Signature of

Role Plan administrator
Date 2016-01-19
Name of individual signing RALPH GIBSON

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 200 PANTIGO PLACE, SUITE H, EAST HAMPTON, NY, United States, 11937

Chief Executive Officer

Name Role Address
RALPH GIBSON, MD Chief Executive Officer 200 PANTIGO PLACE, SUITE H, EAST HAMPTON, NY, United States, 11937

History

Start date End date Type Value
2004-03-10 2008-03-03 Address 8 HOLLOW TREE LANE, EAST HAMPTON, NY, 11937, USA (Type of address: Chief Executive Officer)
2004-03-10 2008-03-03 Address 8 HOLLOW TREE LANE, EAST HAMPTON, NY, 11937, USA (Type of address: Principal Executive Office)
2002-03-07 2008-03-03 Address 8 HOLLOW TREE LANE, EAST HAMPTON, NY, 11937, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
160302006905 2016-03-02 BIENNIAL STATEMENT 2016-03-01
140306006164 2014-03-06 BIENNIAL STATEMENT 2014-03-01
120417002577 2012-04-17 BIENNIAL STATEMENT 2012-03-01
100323002235 2010-03-23 BIENNIAL STATEMENT 2010-03-01
080303003023 2008-03-03 BIENNIAL STATEMENT 2008-03-01
060411002723 2006-04-11 BIENNIAL STATEMENT 2006-03-01
040310002028 2004-03-10 BIENNIAL STATEMENT 2004-03-01
020307000015 2002-03-07 CERTIFICATE OF INCORPORATION 2002-03-07

Date of last update: 02 Jan 2025

Sources: New York Secretary of State