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MOHAWK GLEN IMAGING, P.C.

Company Details

Name: MOHAWK GLEN IMAGING, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 28 Oct 1971 (53 years ago)
Date of dissolution: 19 Jul 2018
Entity Number: 316891
ZIP code: 13441
County: Oneida
Place of Formation: New York
Address: 91 PERIMETER RD, ROME, NY, United States, 13441

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
MOHAWK GLEN IMAGING, P.C. PROFIT SHARING TRUST 2017 160989209 2019-06-25 MOHAWK GLEN IMAGING, P.C. 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1998-10-01
Business code 621111
Sponsor’s telephone number 3153349729
Plan sponsor’s address 91 PERMIMETER ROAD, ROME, NY, 13441

Signature of

Role Plan administrator
Date 2019-06-25
Name of individual signing LAWRENCE BURGREEN, M.D.
MOHAWK GLEN IMAGING, P.C. PROFIT SHARING TRUST 2016 160989209 2018-04-18 MOHAWK GLEN IMAGING, P.C. 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1998-10-01
Business code 621111
Sponsor’s telephone number 3153349729
Plan sponsor’s address 91 PERIMETER ROAD, ROME, NY, 13441

Signature of

Role Plan administrator
Date 2018-04-18
Name of individual signing LAWRENCE BURGREEN, M.D.
MOHAWK GLEN IMAGING, P.C. PROFIT SHARING TRUST 2015 160989209 2017-06-21 MOHAWK GLEN IMAGING, P.C. 17
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1998-10-01
Business code 621111
Sponsor’s telephone number 3153349729
Plan sponsor’s address 91 PERIMETER ROAD, ROME, NY, 13441

Signature of

Role Plan administrator
Date 2017-06-21
Name of individual signing LAWRENCE BURGREEN, M.D.
MOHAWK GLEN IMAGING, P.C. PROFIT SHARING TRUST 2014 160989209 2016-06-06 MOHAWK GLEN IMAGING, P.C. 19
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1998-10-01
Business code 621111
Sponsor’s telephone number 3153349729
Plan sponsor’s address 91 PERIMETER ROAD, ROME, NY, 13441

Signature of

Role Plan administrator
Date 2016-06-06
Name of individual signing LAWRENCE BURGREEN, M.D.
MOHAWK GLEN IMAGING, P.C. PROFIT SHARING TRUST 2013 160989209 2015-06-11 MOHAWK GLEN IMAGING, P.C. 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1998-10-01
Business code 621111
Sponsor’s telephone number 3153349729
Plan sponsor’s address 91 PERIMETER ROAD, ROME, NY, 13441

Signature of

Role Plan administrator
Date 2015-06-11
Name of individual signing LAWRENCE BURGREEN, M.D.
MOHAWK GLEN IMAGING, P.C. PROFIT SHARING TRUST 2012 160989209 2014-06-26 MOHAWK GLEN IMAGING, P.C. 21
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1998-10-01
Business code 621111
Sponsor’s telephone number 3153349729
Plan sponsor’s address 91 PERIMETER ROAD, ROME, NY, 13441

Signature of

Role Plan administrator
Date 2014-06-26
Name of individual signing LAWRENCE BURGREEN, M.D.
MOHAWK GLEN IMAGING, P.C. PROFIT SHARING TRUST 2011 160989209 2013-05-20 MOHAWK GLEN IMAGING, P.C. 24
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1998-10-01
Business code 621111
Sponsor’s telephone number 3153349729
Plan sponsor’s address 91 PERIMETER ROAD, ROME, NY, 13441

Plan administrator’s name and address

Administrator’s EIN 160989209
Plan administrator’s name MOHAWK GLEN IMAGING, P.C.
Plan administrator’s address 91 PERIMETER ROAD, ROME, NY, 13441
Administrator’s telephone number 3153349729

Signature of

Role Plan administrator
Date 2013-05-20
Name of individual signing LAWRENCE BURGREEN, M.D.
MOHAWK GLEN IMAGING, P.C. PROFIT SHARING TRUST 2010 160989209 2012-05-23 MOHAWK GLEN IMAGING, P.C. 21
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1998-10-01
Business code 621111
Sponsor’s telephone number 3153349729
Plan sponsor’s address 91 PERIMETER ROAD, ROME, NY, 13441

Plan administrator’s name and address

Administrator’s EIN 160989209
Plan administrator’s name MOHAWK GLEN IMAGING, P.C.
Plan administrator’s address 91 PERIMETER ROAD, ROME, NY, 13441
Administrator’s telephone number 3153349729

Signature of

Role Plan administrator
Date 2012-05-23
Name of individual signing LAWRENCE BURGREEN, M.D.
MOHAWK GLEN IMAGING, P.C. PROFIT SHARING TRUST 2009 160989209 2011-06-08 MOHAWK GLEN IMAGING, P.C. 21
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1998-10-01
Business code 621111
Sponsor’s telephone number 3153349729
Plan sponsor’s address 91 PERIMETER ROAD, ROME, NY, 13441

Plan administrator’s name and address

Administrator’s EIN 160989209
Plan administrator’s name MOHAWK GLEN IMAGING, P.C.
Plan administrator’s address 91 PERIMETER ROAD, ROME, NY, 13441
Administrator’s telephone number 3153349729

Signature of

Role Plan administrator
Date 2011-06-08
Name of individual signing LAWRENCE BURGREEN, M.D.

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 91 PERIMETER RD, ROME, NY, United States, 13441

Chief Executive Officer

Name Role Address
LAWRENCE BURGREEN MD Chief Executive Officer 91 PERIMETER RD, ROME, NY, United States, 13441

History

Start date End date Type Value
1993-10-18 1999-10-27 Address 6765 GOLF COURSE ROAD, ROME, NY, 13440, USA (Type of address: Chief Executive Officer)
1992-12-02 1993-10-18 Address ROME RADIOLOGICAL ASSOC. PC, 6765 GOLF COURSE RD, ROME, NY, 13440, USA (Type of address: Chief Executive Officer)
1992-12-02 1999-10-27 Address 6765 GOLF COURSE RD, ROME, NY, 13440, USA (Type of address: Principal Executive Office)
1992-12-02 1999-10-27 Address 6765 GOLF COURSE RD, ROME, NY, 13440, USA (Type of address: Service of Process)
1974-09-26 1998-08-31 Name ROME RADIOLOGICAL ASSOCIATES, P.C.
1971-10-28 1974-09-26 Name SHELDON WALDMAN, M.D., P.C.
1971-10-28 1992-12-02 Address 1203 NORTH GEORGE ST., ROME, NY, 13440, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
180719000779 2018-07-19 CERTIFICATE OF DISSOLUTION 2018-07-19
151001006512 2015-10-01 BIENNIAL STATEMENT 2015-10-01
131022006128 2013-10-22 BIENNIAL STATEMENT 2013-10-01
111025002984 2011-10-25 BIENNIAL STATEMENT 2011-10-01
091015002047 2009-10-15 BIENNIAL STATEMENT 2009-10-01
071022002405 2007-10-22 BIENNIAL STATEMENT 2007-10-01
20060301045 2006-03-01 ASSUMED NAME CORP DISCONTINUANCE 2006-03-01
051118002731 2005-11-18 BIENNIAL STATEMENT 2005-10-01
030930002867 2003-09-30 BIENNIAL STATEMENT 2003-10-01
C324173-2 2002-11-22 ASSUMED NAME CORP INITIAL FILING 2002-11-22

Date of last update: 18 Mar 2025

Sources: New York Secretary of State