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ISLAND SURGICAL AND VASCULAR GROUP, P.C.

Company Details

Name: ISLAND SURGICAL AND VASCULAR GROUP, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 May 1971 (54 years ago)
Entity Number: 307453
ZIP code: 11706
County: Suffolk
Place of Formation: New York
Address: 15 PARK AVE, STE 101, BAY SHORE, NY, United States, 11706

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
ISLAND SURGICAL PROFIT SHARING PLAN 2023 112232585 2024-10-23 ISLAND SURGICAL AND VASCULAR GROUP, P.C. 68
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 6315815333
Plan sponsor’s address 15 PARK AVENUE, BAYSHORE, NY, 11706

Signature of

Role Plan administrator
Date 2024-10-23
Name of individual signing MANAL HEGAZY
Valid signature Filed with authorized/valid electronic signature
ISLAND SURGICAL PROFIT SHARING PLAN 2023 112232585 2024-11-06 ISLAND SURGICAL AND VASCULAR GROUP, P.C. 68
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 6315815333
Plan sponsor’s address 15 PARK AVENUE, BAYSHORE, NY, 11706

Signature of

Role Plan administrator
Date 2024-11-06
Name of individual signing MANAL HEGAZY
Valid signature Filed with authorized/valid electronic signature
ISLAND SURGICAL PROFIT SHARING PLAN 2023 112232585 2024-09-26 ISLAND SURGICAL AND VASCULAR GROUP, P.C. 68
Three-digit plan number (PN) 005
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 6315815333
Plan sponsor’s address 15 PARK AVENUE, BAYSHORE, NY, 11706

Signature of

Role Plan administrator
Date 2024-09-26
Name of individual signing MANAL HEGAZY
Valid signature Filed with authorized/valid electronic signature
ISLAND SURGICAL PROFIT SHARING PLAN 2022 112232585 2024-09-04 ISLAND SURGICAL AND VASCULAR GROUP, P.C. 68
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 6315815333
Plan sponsor’s address 15 PARK AVENUE, BAYSHORE, NY, 11706

Signature of

Role Plan administrator
Date 2024-09-04
Name of individual signing MANAL HEGAZY
Valid signature Filed with authorized/valid electronic signature
ISLAND SURGICAL PROFIT SHARING PLAN 2022 112232585 2023-10-04 ISLAND SURGICAL AND VASCULAR GROUP, P.C. 69
Three-digit plan number (PN) 005
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 6315815333
Plan sponsor’s address 15 PARK AVENUE, BAYSHORE, NY, 11706

Signature of

Role Plan administrator
Date 2023-10-04
Name of individual signing MANAL HEGAZY
ISLAND SURGICAL PROFIT SHARING PLAN 2021 112232585 2022-10-10 ISLAND SURGICAL AND VASCULAR GROUP, P.C. 69
Three-digit plan number (PN) 005
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 6315815333
Plan sponsor’s address 15 PARK AVENUE, BAYSHORE, NY, 11706

Plan administrator’s name and address

Administrator’s EIN 112232585
Plan administrator’s name ISLAND SURGICAL AND VASCULAR GROUP, P.C.
Plan administrator’s address 15 PARK AVENUE, BAYSHORE, NY, 11706
Administrator’s telephone number 6315815333

Signature of

Role Plan administrator
Date 2022-10-10
Name of individual signing MANAL HEGAZY
ISLAND SURGICAL PROFIT SHARING PLAN 2021 112232585 2022-12-28 ISLAND SURGICAL AND VASCULAR GROUP, P.C. 69
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 6315815333
Plan sponsor’s address 15 PARK AVENUE, BAYSHORE, NY, 11706

Plan administrator’s name and address

Administrator’s EIN 112232585
Plan administrator’s name ISLAND SURGICAL AND VASCULAR GROUP, P.C.
Plan administrator’s address 15 PARK AVENUE, BAYSHORE, NY, 11706
Administrator’s telephone number 6315815333

Signature of

Role Plan administrator
Date 2022-12-28
Name of individual signing MANAL HEGAZY
ISLAND SURGICAL PROFIT SHARING PLAN 2020 112232585 2021-10-14 ISLAND SURGICAL AND VASCULAR GROUP, P.C. 71
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 6315815333
Plan sponsor’s address 15 PARK AVENUE, BAYSHORE, NY, 11706

Plan administrator’s name and address

Administrator’s EIN 112232585
Plan administrator’s name ISLAND SURGICAL AND VASCULAR GROUP, P.C.
Plan administrator’s address 15 PARK AVENUE, BAYSHORE, NY, 11706
Administrator’s telephone number 6315815333

Signature of

Role Plan administrator
Date 2021-10-14
Name of individual signing MANAL HEGAZY
ISLAND SURGICAL PROFIT SHARING PLAN 2019 112232585 2020-09-08 ISLAND SURGICAL AND VASCULAR GROUP, P.C. 72
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 6315815333
Plan sponsor’s address 15 PARK AVENUE, BAYSHORE, NY, 11706

Plan administrator’s name and address

Administrator’s EIN 112232585
Plan administrator’s name ISLAND SURGICAL AND VASCULAR GROUP, P.C.
Plan administrator’s address 15 PARK AVENUE, BAYSHORE, NY, 11706
Administrator’s telephone number 6315815333

Signature of

Role Plan administrator
Date 2020-09-08
Name of individual signing MANAL HEGAZY
ISLAND SURGICAL PROFIT SHARING PLAN 2018 112232585 2019-09-11 ISLAND SURGICAL AND VASCULAR GROUP, P.C. 68
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 6315815333
Plan sponsor’s address 15 PARK AVENUE, BAYSHORE, NY, 11706

Plan administrator’s name and address

Administrator’s EIN 112232585
Plan administrator’s name ISLAND SURGICAL AND VASCULAR GROUP, P.C.
Plan administrator’s address 15 PARK AVENUE, BAYSHORE, NY, 11706
Administrator’s telephone number 6315815333

Signature of

Role Plan administrator
Date 2019-09-11
Name of individual signing MANAL HEGAZY

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 15 PARK AVE, STE 101, BAY SHORE, NY, United States, 11706

Chief Executive Officer

Name Role Address
BRADLEY COHEN M.D. Chief Executive Officer 15 PARK AVENUE, STE 101, BAY SHORE, NY, United States, 11706

History

Start date End date Type Value
2024-02-29 2024-03-20 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-01-25 2024-02-29 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-09-07 2024-01-25 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-07-29 2023-09-07 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-06-02 2023-07-29 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-03-28 2023-06-02 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-03-16 2023-03-28 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2001-08-15 2021-01-19 Address 111 CARLETON AVE, ISLIP TERRACE, NY, 11752, USA (Type of address: Service of Process)
2001-08-15 2021-01-19 Address 111 CARLETON AVE, ISLIP TERRACE, NY, 11752, USA (Type of address: Chief Executive Officer)
1995-07-26 2021-01-19 Address 111 CARLETON AVENUE, ISLIP TERRACE, NY, 11752, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
210119002001 2021-01-19 BIENNIAL STATEMENT 2019-05-01
070521002390 2007-05-21 BIENNIAL STATEMENT 2007-05-01
050711002694 2005-07-11 BIENNIAL STATEMENT 2005-05-01
C353086-2 2004-09-22 ASSUMED NAME CORP DISCONTINUANCE 2004-09-22
C352136-2 2004-08-30 ASSUMED NAME CORP INITIAL FILING 2004-08-30
010815002689 2001-08-15 BIENNIAL STATEMENT 2001-05-01
971022002673 1997-10-22 BIENNIAL STATEMENT 1997-05-01
950726002120 1995-07-26 BIENNIAL STATEMENT 1993-05-01
A935958-4 1982-12-30 CERTIFICATE OF AMENDMENT 1982-12-30
906889-8 1971-05-10 CERTIFICATE OF INCORPORATION 1971-05-10

Date of last update: 08 Jan 2025

Sources: New York Secretary of State