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WOJCIECH PALKA, M.D., P.C.

Company Details

Name: WOJCIECH PALKA, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Dec 2002 (22 years ago)
Entity Number: 2847604
ZIP code: 10023
County: New York
Place of Formation: New York
Address: P.O. BOX 237077, ANSONIA STATION, NEW YORK, NY, United States, 10023
Principal Address: 30 WEST 70TH ST, NEW YORK, NY, United States, 10023

Contact Details

Phone +1 212-787-9318

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
WOJCIECH PALKA, M.D., P.C. 401(K) PROFIT SHARING PLAN 2014 260057222 2015-03-26 WOJCIECH PALKA, M.D., P.C. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2127879318
Plan sponsor’s address 30 WEST 70TH STREET, APT 3-C, NEW YORK, NY, 10023
WOJCIECH PALKA, M.D., P.C. 401(K) PROFIT SHARING PLAN 2013 260057222 2014-03-10 WOJCIECH PALKA, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2127879318
Plan sponsor’s address 30 WEST 70TH STREET, APT 3-C, NEW YORK, NY, 10023
WOJCIECH PALKA, M.D., P.C. 401(K) PROFIT SHARING PLAN 2012 260057222 2013-05-10 WOJCIECH PALKA, M.D., P.C. 2
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2127879318
Plan sponsor’s address 30 WEST 70TH STREET, APT 3-C, NEW YORK, NY, 10023

Signature of

Role Plan administrator
Date 2013-05-10
Name of individual signing WOJCIECH PALKA
Role Employer/plan sponsor
Date 2013-05-10
Name of individual signing WOJCIECH PALKA
WOJCIECH PALKA, M.D., P.C. 401(K) PROFIT SHARING PLAN 2012 260057222 2013-05-10 WOJCIECH PALKA, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2127879318
Plan sponsor’s address 30 WEST 70TH STREET, APT 3-C, NEW YORK, NY, 10023

Signature of

Role Plan administrator
Date 2013-05-10
Name of individual signing WOJCIECH PALKA
Role Employer/plan sponsor
Date 2013-05-10
Name of individual signing WOJCIECH PALKA
WOJCIECH PALKA, M.D., P.C. 401(K) PROFIT SHARING PLAN 2011 260057222 2012-07-27 WOJCIECH PALKA, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2127879318
Plan sponsor’s address 30 WEST 70TH STREET, APT 3-C, NEW YORK, NY, 10023

Plan administrator’s name and address

Administrator’s EIN 260057222
Plan administrator’s name WOJCIECH PALKA, M.D., P.C.
Plan administrator’s address 30 WEST 70TH STREET, APT 3-C, NEW YORK, NY, 10023
Administrator’s telephone number 2127879318

Signature of

Role Plan administrator
Date 2012-07-27
Name of individual signing WOJCIECH PALKA
Role Employer/plan sponsor
Date 2012-07-27
Name of individual signing WOJCIECH PALKA
WOJCIECH PALKA, M.D., P.C. 401(K) PROFIT SHARING PLAN 2010 260057222 2011-07-25 WOJCIECH PALKA, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2127879318
Plan sponsor’s address 30 WEST 70TH STREET, APT 3-C, NEW YORK, NY, 10023

Plan administrator’s name and address

Administrator’s EIN 260057222
Plan administrator’s name WOJCIECH PALKA, M.D., P.C.
Plan administrator’s address 30 WEST 70TH STREET, APT 3-C, NEW YORK, NY, 10023
Administrator’s telephone number 2127879318

Signature of

Role Plan administrator
Date 2011-07-25
Name of individual signing WOJCIECH PALKA
Role Employer/plan sponsor
Date 2011-07-25
Name of individual signing WOJCIECH PALKA

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent P.O. BOX 237077, ANSONIA STATION, NEW YORK, NY, United States, 10023

Chief Executive Officer

Name Role Address
WOJCIECH PALKA MD Chief Executive Officer 30 WEST 70TH ST, NEW YORK, NY, United States, 10023

History

Start date End date Type Value
2002-12-19 2003-03-17 Address P.O. BOX 230836, ANSONIA STATION, NEW YORK, NY, 10023, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
071218003012 2007-12-18 BIENNIAL STATEMENT 2006-12-01
050328002952 2005-03-28 BIENNIAL STATEMENT 2004-12-01
030317000523 2003-03-17 CERTIFICATE OF AMENDMENT 2003-03-17
021219000572 2002-12-19 CERTIFICATE OF INCORPORATION 2002-12-19

Date of last update: 01 Jan 2025

Sources: New York Secretary of State