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SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES, LLP

Company Details

Name: SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES, LLP
Jurisdiction: New York
Legal type: DOMESTIC REGISTERED LIMITED LIABILITY PARTNERSHIP
Status: Inactive
Date of registration: 19 Jan 2005 (20 years ago)
Date of dissolution: 29 Jul 2015
Entity Number: 3152299
ZIP code: 11520
County: Blank
Place of Formation: New York
Address: 155 WEST MERRICK ROAD, FREEPORT, NY, United States, 11520

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES KEOGH PLAN 2015 111988108 2016-07-26 SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES, LLP 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5163793139
Plan sponsor’s address 155 WEST MERRICK ROAD, FREEPORT, NY, 11520

Signature of

Role Plan administrator
Date 2016-07-26
Name of individual signing SUSAN OSTUNI
401(K) PROFIT SHARING PLAN & TRUST 2014 111988108 2017-11-30 SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5163793139
Plan sponsor’s address 155 W MERRICK ROAD, STE 101, FREEPORT, NY, 11520

Signature of

Role Plan administrator
Date 2017-11-30
Name of individual signing SUSAN OSTUNI
Role Employer/plan sponsor
Date 2017-11-30
Name of individual signing SUSAN OSTUNI
401(K) PROFIT SHARING PLAN & TRUST 2014 111988108 2017-01-31 SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5163793139
Plan sponsor’s address 155 W MERRICK ROAD, STE 101, FREEPORT, NY, 11520

Signature of

Role Plan administrator
Date 2017-01-31
Name of individual signing SUSAN OSTUNI
SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES KEOGH PLAN 2014 111988108 2015-09-23 SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES, LLP 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5163793139
Plan sponsor’s address 155 WEST MERRICK ROAD, FREEPORT, NY, 11520

Signature of

Role Plan administrator
Date 2015-09-23
Name of individual signing SUSAN OSTUNI
401(K) PROFIT SHARING PLAN & TRUST 2013 111988108 2017-11-30 SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5163793139
Plan sponsor’s address 155 W MERRICK ROAD, STE 101, FREEPORT, NY, 11520

Signature of

Role Plan administrator
Date 2017-11-30
Name of individual signing SUSAN OSTUNI
Role Employer/plan sponsor
Date 2017-11-30
Name of individual signing SUSAN OSTUNI
401(K) PROFIT SHARING PLAN & TRUST 2013 111988108 2017-01-31 SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5163793139
Plan sponsor’s address 155 W MERRICK ROAD, STE 101, FREEPORT, NY, 11520

Signature of

Role Plan administrator
Date 2017-01-31
Name of individual signing SUSAN OSTUNI
SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES KEOGH PLAN 2013 111988108 2014-10-07 SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES, LLP 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5163793139
Plan sponsor’s address 155 WEST MERRICK ROAD, FREEPORT, NY, 11520

Signature of

Role Plan administrator
Date 2014-10-07
Name of individual signing SUSAN OSTUNI
SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES KEOGH PLAN 2012 111988108 2013-06-12 SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES, LLP 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5163793139
Plan sponsor’s address 155 WEST MERRICK ROAD, FREEPORT, NY, 11520

Signature of

Role Plan administrator
Date 2013-06-12
Name of individual signing SUSAN OSTUNI
SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES KEOGH PLAN 2011 111988108 2012-10-11 SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES, LLP 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5163793139
Plan sponsor’s address 155 WEST MERRICK ROAD, FREEPORT, NY, 11520

Plan administrator’s name and address

Administrator’s EIN 111988108
Plan administrator’s name SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES, LLP
Plan administrator’s address 155 WEST MERRICK ROAD, FREEPORT, NY, 11520
Administrator’s telephone number 5163793139

Signature of

Role Plan administrator
Date 2012-10-11
Name of individual signing SUSAN OSTUNI
SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES KEOGH PLAN 2010 111988108 2012-10-11 SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES, LLP 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 5163793139
Plan sponsor’s address 155 WEST MERRICK ROAD, FREEPORT, NY, 11520

Plan administrator’s name and address

Administrator’s EIN 111988108
Plan administrator’s name SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES, LLP
Plan administrator’s address 155 WEST MERRICK ROAD, FREEPORT, NY, 11520
Administrator’s telephone number 5163793139

Signature of

Role Plan administrator
Date 2012-10-11
Name of individual signing SUSAN OSTUNI

DOS Process Agent

Name Role Address
THE PARTNERSHIP DOS Process Agent 155 WEST MERRICK ROAD, FREEPORT, NY, United States, 11520

Filings

Filing Number Date Filed Type Effective Date
RV-2140769 2015-07-29 REVOCATION OF REGISTRATION 2015-07-29
100217002243 2010-02-17 FIVE YEAR STATEMENT 2010-01-01
050816000378 2005-08-16 CERTIFICATE OF AMENDMENT 2005-08-16
050531000947 2005-05-31 AFFIDAVIT OF PUBLICATION 2005-05-31
050531000955 2005-05-31 AFFIDAVIT OF PUBLICATION 2005-05-31
050119000591 2005-01-19 NOTICE OF REGISTRATION 2005-01-19

Date of last update: 01 Jan 2025

Sources: New York Secretary of State