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JEFFREY SCHILLER, M.D., LLC

Company Details

Name: JEFFREY SCHILLER, M.D., LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 30 Oct 2002 (22 years ago)
Entity Number: 2829103
ZIP code: 10314
County: Richmond
Place of Formation: New York
Address: 1550 RICHMOND AVE., STATEN ISLAND, NY, United States, 10314

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JEFFREY SCHILLER, M.D. PROFIT SHARING PLAN 2023 133610250 2024-09-16 JEFFREY SCHILLER, M.D. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 7183701001
Plan sponsor’s address 1550 RICHMOND AVE. STE 104, STATEN ISLAND, NY, 103141578

Signature of

Role Plan administrator
Date 2024-09-16
Name of individual signing JEFFREY SCHILLER
Valid signature Filed with authorized/valid electronic signature
JEFFREY SCHILLER, M.D. PROFIT SHARING PLAN 2022 133610250 2023-10-11 JEFFREY SCHILLER, M.D. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 7183701001
Plan sponsor’s address 1550 RICHMOND AVE. STE 104, STATEN ISLAND, NY, 103141578

Signature of

Role Plan administrator
Date 2023-10-11
Name of individual signing JEFFREY SCHILLER
JEFFREY SCHILLER, M.D. PROFIT SHARING PLAN 2021 133610250 2022-10-15 JEFFREY SCHILLER, M.D. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 7183701001
Plan sponsor’s address 1550 RICHMOND AVE. STE 104, STATEN ISLAND, NY, 103141578

Signature of

Role Plan administrator
Date 2022-10-15
Name of individual signing JEFFREY SCHILLER
JEFFREY SCHILLER, M.D. PROFIT SHARING PLAN 2020 133610250 2021-07-30 JEFFREY SCHILLER, M.D. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 7183701001
Plan sponsor’s address 1550 RICHMOND AVE. STE 104, STATEN ISLAND, NY, 103141578

Signature of

Role Plan administrator
Date 2021-07-30
Name of individual signing JEFFREY SCHILLER
JEFFREY SCHILLER, M.D. PROFIT SHARING PLAN 2019 133610250 2020-07-16 JEFFREY SCHILLER, M.D. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 7183701001
Plan sponsor’s address 1550 RICHMOND AVE. STE 104, STATEN ISLAND, NY, 103141578

Signature of

Role Plan administrator
Date 2020-07-16
Name of individual signing JEFFREY SCHILLER
JEFFREY SCHILLER, M.D. PROFIT SHARING PLAN 2018 133610250 2019-07-25 JEFFREY SCHILLER, M.D. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 7183701001
Plan sponsor’s address 1550 RICHMOND AVE. STE 104, STATEN ISLAND, NY, 103141578

Signature of

Role Plan administrator
Date 2019-07-25
Name of individual signing JEFFREY SCHILLER
JEFFREY SCHILLER, M.D. PROFIT SHARING PLAN 2017 133610250 2018-07-20 JEFFREY SCHILLER, M.D. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 7183701001
Plan sponsor’s address 1550 RICHMOND AVE. STE 104, STATEN ISLAND, NY, 103141578

Signature of

Role Plan administrator
Date 2018-07-20
Name of individual signing JEFFREY SCHILLER
JEFFREY SCHILLER, M.D. PROFIT SHARING PLAN 2016 133610250 2017-07-26 JEFFREY SCHILLER, M.D. 4
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 7183701001
Plan sponsor’s address 1550 RICHMOND AVE. STE 104, STATEN ISLAND, NY, 103141578

Signature of

Role Plan administrator
Date 2017-07-26
Name of individual signing JEFFREY SCHILLER
JEFFREY SCHILLER, M.D. PROFIT SHARING PLAN 2016 133610250 2017-12-21 JEFFREY SCHILLER, M.D. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 7183701001
Plan sponsor’s address 1550 RICHMOND AVE. STE 104, STATEN ISLAND, NY, 103141578

Signature of

Role Plan administrator
Date 2017-12-21
Name of individual signing JEFFREY SCHILLER
JEFFREY SCHILLER, M.D. PROFIT SHARING PLAN 2015 133610250 2016-08-22 JEFFREY SCHILLER, M.D. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 7183701001
Plan sponsor’s address 1550 RICHMOND AVE. STE 104, STATEN ISLAND, NY, 103141578

Signature of

Role Plan administrator
Date 2016-08-22
Name of individual signing JEFFREY SCHILLER

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1550 RICHMOND AVE., STATEN ISLAND, NY, United States, 10314

Filings

Filing Number Date Filed Type Effective Date
021030000926 2002-10-30 ARTICLES OF ORGANIZATION 2002-10-30

Date of last update: 19 Jan 2025

Sources: New York Secretary of State