| Name: | MAIN STREET INTERNAL MEDICINE, PLLC |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY |
| Status: | Active |
| Date of registration: | 14 Feb 2005 (20 years ago) |
| Entity Number: | 3164012 |
| ZIP code: | 11743 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | 124 MAIN STREET - SUITE 12, HUNTINGTON, NY, United States, 11743 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MAIN STREET INTERNAL MEDICINE RETIREMENT PLAN | 2009 | 202343976 | 2010-10-14 | MAIN STREET INTERNAL MEDICINE | 3 | |||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 202343976 |
| Plan administrator’s name | MAIN STREET INTERNAL MEDICINE |
| Plan administrator’s address | 124 MAIN STREET, SUITE 12, HUNTINGTON, NY, 117436922 |
| Administrator’s telephone number | 6312716406 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-14 |
| Name of individual signing | MICHEL GHOBRIAL |
| Name | Role | Address |
|---|---|---|
| THE LLC | DOS Process Agent | 124 MAIN STREET - SUITE 12, HUNTINGTON, NY, United States, 11743 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2005-04-28 | 2023-02-28 | Address | 124 MAIN STREET - SUITE 12, HUNTINGTON, NY, 11743, USA (Type of address: Service of Process) |
| 2005-02-14 | 2005-04-28 | Address | 772 PROVIDENCE ROAD APT 402, ALDAN, PA, 19018, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 230228001746 | 2023-02-28 | BIENNIAL STATEMENT | 2023-02-01 |
| 210203060936 | 2021-02-03 | BIENNIAL STATEMENT | 2021-02-01 |
| 190212060090 | 2019-02-12 | BIENNIAL STATEMENT | 2019-02-01 |
| 170203006549 | 2017-02-03 | BIENNIAL STATEMENT | 2017-02-01 |
| 150206006040 | 2015-02-06 | BIENNIAL STATEMENT | 2015-02-01 |
| 130204006439 | 2013-02-04 | BIENNIAL STATEMENT | 2013-02-01 |
| 110218003056 | 2011-02-18 | BIENNIAL STATEMENT | 2011-02-01 |
| 090203002450 | 2009-02-03 | BIENNIAL STATEMENT | 2009-02-01 |
| 070129002241 | 2007-01-29 | BIENNIAL STATEMENT | 2007-02-01 |
| 050706000623 | 2005-07-06 | AFFIDAVIT OF PUBLICATION | 2005-07-06 |
Date of last update: 01 Jan 2025
Sources: New York Secretary of State
