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  5. BELLEROSE ANIMAL HOSPITAL, INC.

BELLEROSE ANIMAL HOSPITAL, INC.

Company Details

Name: BELLEROSE ANIMAL HOSPITAL, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 05 Mar 1971 (54 years ago)
Entity Number: 303886
ZIP code: 11021
County: Queens
Place of Formation: New York
Principal Address: 195 REVERE ROAD, ROSLYN HEIGHTS, NY, United States, 11577
Address: 111 GREAT NECK ROAD, GREAT NECK, NY, United States, 11021

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
BELLEROSE ANIMAL HOSPITAL INC. 401(K) PROFIT SHARING PLAN 2014 112233210 2015-10-09 BELLEROSE ANIMAL HOSPITAL INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-03-01
Business code 541940
Sponsor’s telephone number 7183471057
Plan sponsor’s address 232-01 JAMAICA AVENUE, BELLEROSE, NY, 11426
BELLEROSE ANIMAL HOSPITAL INC. 401(K)/PROFIT SHARING PLAN 2013 112233210 2014-03-26 BELLEROSE ANIMAL HOSPITAL INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-03-01
Business code 541940
Sponsor’s telephone number 7183471057
Plan sponsor’s address 232-01 JAMAICA AVENUE, BELLEROSE, NY, 11426

Signature of
Role Plan administrator
Date 2014-03-26
Name of individual signing ANDREW KARMIN
BELLEROSE ANIMAL HOSPITAL INC. 401(K)/PROFIT SHARING PLAN 2012 112233210 2013-03-21 BELLEROSE ANIMAL HOSPITAL INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-03-01
Business code 541940
Sponsor’s telephone number 7183471057
Plan sponsor’s address 232-01 JAMAICA AVENUE, BELLEROSE, NY, 11426

Signature of
Role Plan administrator
Date 2013-03-21
Name of individual signing ANDREW KARMIN
BELLEROSE ANIMAL HOSPITAL INC. 401(K)/PROFIT SHARING PLAN 2011 112233210 2012-03-02 BELLEROSE ANIMAL HOSPITAL INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-03-01
Business code 541940
Sponsor’s telephone number 7183471057
Plan sponsor’s address 232-01 JAMAICA AVENUE, BELLEROSE, NY, 11426

Plan administrator’s name and address
Administrator’s EIN 112233210
Plan administrator’s name BELLEROSE ANIMAL HOSPITAL INC
Plan administrator’s address 232-01 JAMAICA AVENUE, BELLEROSE, NY, 11426
Administrator’s telephone number 7183471057

Signature of
Role Plan administrator
Date 2012-03-02
Name of individual signing ANDREW KARMIN
BELLEROSE ANIMAL HOSPITAL INC. 401(K)/PROFIT SHARING PLAN 2010 112233210 2011-03-25 BELLEROSE ANIMAL HOSPITAL INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-03-01
Business code 541940
Sponsor’s telephone number 7183471057
Plan sponsor’s address 232-01 JAMAICA AVENUE, BELLEROSE, NY, 11426

Plan administrator’s name and address
Administrator’s EIN 112233210
Plan administrator’s name BELLEROSE ANIMAL HOSPITAL INC
Plan administrator’s address 232-01 JAMAICA AVENUE, BELLEROSE, NY, 11426
Administrator’s telephone number 7183471057

Signature of
Role Plan administrator
Date 2011-03-25
Name of individual signing ANDREW KARMIN
BELLEROSE ANIMAL HOSPITAL INC. 401(K)/PROFIT SHARING PLAN 2009 112233210 2010-07-27 BELLEROSE ANIMAL HOSPITAL INC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-03-01
Business code 541940
Sponsor’s telephone number 7183471057
Plan sponsor’s address 232-01 JAMAICA AVENUE, BELLEROSE, NY, 11426

Plan administrator’s name and address
Administrator’s EIN 112233210
Plan administrator’s name BELLEROSE ANIMAL HOSPITAL INC
Plan administrator’s address 232-01 JAMAICA AVENUE, BELLEROSE, NY, 11426
Administrator’s telephone number 7183471057

Signature of
Role Plan administrator
Date 2010-07-26
Name of individual signing ANDREW KARMIN

Chief Executive Officer

Name Role Address
ANDREW KARMIN Chief Executive Officer 195 REVERE ROAD, ROSLYN HEIGHTS, NY, United States, 11577

DOS Process Agent

Name Role Address
GREG BLOOM DOS Process Agent 111 GREAT NECK ROAD, GREAT NECK, NY, United States, 11021

History

Start date End date Type Value
2005-04-29 2007-03-14 Address 195 REVERE ROAD, ROSLYN, NY, 11577, USA (Type of address: Principal Executive Office)
2005-04-29 2007-03-14 Address 195 REVERE ROAD, ROSLYN, NY, 11577, USA (Type of address: Chief Executive Officer)
1999-03-11 2005-04-29 Address 195 REVERE ROAD, ROSLYN, NY, 11577, USA (Type of address: Principal Executive Office)
1999-03-11 2011-04-06 Address 111 GREAT NECK ROAD, GREAT NECK, NY, 11021, USA (Type of address: Service of Process)
1999-03-11 2005-04-29 Address 242-01 JAMAICA AVENUE, BELLEROSE, NY, 11426, USA (Type of address: Chief Executive Officer)
1993-06-30 1999-03-11 Address 242-01 JAMAICA AVENUE, BELLEROSE, NY, 11426, USA (Type of address: Principal Executive Office)
1993-06-30 1999-03-11 Address 242-01 JAMAICA AVENUE, BELLEROSE, NY, 11426, USA (Type of address: Chief Executive Officer)
1971-03-05 1999-03-11 Address 60 E. 42ND ST., NEW YORK, NY, 10017, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
20201020045 2020-10-20 ASSUMED NAME CORP INITIAL FILING 2020-10-20
110406002194 2011-04-06 BIENNIAL STATEMENT 2011-03-01
070314002700 2007-03-14 BIENNIAL STATEMENT 2007-03-01
050429002491 2005-04-29 BIENNIAL STATEMENT 2005-03-01
030311002758 2003-03-11 BIENNIAL STATEMENT 2003-03-01
010314002507 2001-03-14 BIENNIAL STATEMENT 2001-03-01
990311002786 1999-03-11 BIENNIAL STATEMENT 1999-03-01
970317002611 1997-03-17 BIENNIAL STATEMENT 1997-03-01
940502002582 1994-05-02 BIENNIAL STATEMENT 1994-03-01
930630002048 1993-06-30 BIENNIAL STATEMENT 1993-03-01

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD HSBP1012P00667 2012-08-06 2012-08-31 2012-08-31
Unique Award Key CONT_AWD_HSBP1012P00667_7014_-NONE-_-NONE-
Awarding Agency Department of Homeland Security
Link View Page

Description
Title EMERGENCY VETERINARY SERIVES
NAICS Code 541940: VETERINARY SERVICES
Product and Service Codes R416: SUPPORT- PROFESSIONAL: VETERINARY/ANIMAL CARE

Recipient Details
Recipient BELLEROSE ANIMAL HOSPITAL
UEI TVG5YRVW74E4
Legacy DUNS 077444727
Recipient Address UNITED STATES, 242-01 JAMAICA AVE, BELLEROSE, 114261055

Related by officers

No related officers

Related by address

195 REVERE ROAD, ROSLYN HEIGHTS, NY, United States, 11577

DEBSAR REALTY, LLC

111 GREAT NECK ROAD, GREAT NECK, NY, United States, 11021

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Date of last update: 21 Dec 2024

Sources: New York Secretary of State

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