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VILLAGE PARK MEDICAL, P.C.

Company Details

Name: VILLAGE PARK MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 07 Jan 1972 (53 years ago)
Entity Number: 321141
ZIP code: 10011
County: New York
Place of Formation: New York
Address: 31 WASHINGTON SQUARE WEST, NEW YORK, NY, United States, 10011

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
VILLAGE PARK MEDICAL, P.C. INCENTIVE SAVINGS TRUST 2023 132702178 2024-09-28 VILLAGE PARK MEDICAL, P.C.. 14
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2124758833
Plan sponsor’s address 31 WASHINGTON SQUARE WEST, NEW YORK, NY, 10011

Signature of

Role Plan administrator
Date 2024-09-29
Name of individual signing DR. DAVID BEKHOR
Valid signature Filed with authorized/valid electronic signature
VILLAGE PARK MEDICAL, P.C. INCENTIVE SAVINGS TRUST 2022 132702178 2023-04-26 VILLAGE PARK MEDICAL, P.C.. 11
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2124758833
Plan sponsor’s address 31 WASHINGTON SQUARE WEST, NEW YORK, NY, 10011

Signature of

Role Plan administrator
Date 2023-04-26
Name of individual signing DR. DAVID BEKHOR
VILLAGE PARK MEDICAL, P.C. INCENTIVE SAVINGS TRUST 2021 132702178 2022-10-17 VILLAGE PARK MEDICAL, P.C.. 16
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2124758833
Plan sponsor’s address 31 WASHINGTON SQUARE WEST, NEW YORK, NY, 10011

Signature of

Role Plan administrator
Date 2022-10-17
Name of individual signing DR. DAVID BEKHOR
VILLAGE PARK MEDICAL, P.C. INCENTIVE SAVINGS TRUST 2020 132702178 2021-06-22 VILLAGE PARK MEDICAL, P.C.. 16
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2124758833
Plan sponsor’s address 31 WASHINGTON SQUARE WEST, NEW YORK, NY, 10011

Signature of

Role Plan administrator
Date 2021-06-22
Name of individual signing DR. DENNIS KARTER
VILLAGE PARK MEDICAL, P.C. INCENTIVE SAVINGS TRUST 2019 132702178 2020-10-15 VILLAGE PARK MEDICAL, P.C.. 13
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2124758833
Plan sponsor’s address 31 WASHINGTON SQUARE WEST, NEW YORK, NY, 10011

Signature of

Role Plan administrator
Date 2020-10-15
Name of individual signing DR. DENNIS KARTER
VILLAGE PARK MEDICAL, P.C. INCENTIVE SAVINGS TRUST 2018 132702178 2019-07-09 VILLAGE PARK MEDICAL, P.C.. 11
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2124758833
Plan sponsor’s address 31 WASHINGTON SQUARE WEST, NEW YORK, NY, 10011

Signature of

Role Plan administrator
Date 2019-07-09
Name of individual signing DR. DENNIS KARTER
VILLAGE PARK MEDICAL, P.C. INCENTIVE SAVINGS TRUST 2017 132702178 2018-06-28 VILLAGE PARK MEDICAL, P.C.. 11
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2124758833
Plan sponsor’s address 31 WASHINGTON SQUARE WEST, NEW YORK, NY, 10011

Signature of

Role Plan administrator
Date 2018-06-28
Name of individual signing DR. DENNIS KARTER
VILLAGE PARK MEDICAL, P.C. INCENTIVE SAVINGS TRUST 2016 132702178 2017-07-12 VILLAGE PARK MEDICAL, P.C.. 11
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2124758833
Plan sponsor’s address 31 WASHINGTON SQUARE WEST, NEW YORK, NY, 10011

Signature of

Role Plan administrator
Date 2017-07-12
Name of individual signing DR. DENNIS KARTER
VILLAGE PARK MEDICAL, P.C. INCENTIVE SAVINGS TRUST 2015 132702178 2016-09-28 VILLAGE PARK MEDICAL, P.C.. 10
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2124758833
Plan sponsor’s address 31 WASHINGTON SQUARE WEST, NEW YORK, NY, 10011

Signature of

Role Plan administrator
Date 2016-09-28
Name of individual signing DR. DENNIS KARTER
VILLAGE PARK MEDICAL, P.C. INCENTIVE SAVINGS TRUST 2014 132702178 2015-09-16 VILLAGE PARK MEDICAL, P.C.. 10
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2124758833
Plan sponsor’s address 31 WASHINGTON SQUARE WEST, NEW YORK, NY, 10011

Signature of

Role Plan administrator
Date 2015-09-16
Name of individual signing DR. DENNIS KARTER

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 31 WASHINGTON SQUARE WEST, NEW YORK, NY, United States, 10011

Chief Executive Officer

Name Role Address
WILLIAM MANDELL, MD Chief Executive Officer 31 WASHINGTON SQUARE WEST, NEW YORK, NY, United States, 10011

History

Start date End date Type Value
2001-07-20 2002-01-04 Address 145 E 19TH ST, NEW YORK, NY, 10003, USA (Type of address: Service of Process)
2001-07-20 2002-01-04 Address 145 E 19TH ST, NEW YORK, NY, 10003, USA (Type of address: Chief Executive Officer)
2001-07-20 2002-01-04 Address 145 E 19TH ST, NEW YORK, NY, 10003, USA (Type of address: Principal Executive Office)
1999-10-27 2001-06-08 Name MANDELL, KARTER, GILBERT, M.D.'S, P.C.
1994-05-02 1999-10-27 Name KISLAK, MANDELL, KARTER, M.D.'S, P.C.
1990-06-28 1994-05-02 Name JAY WARD KISLAK, M.D. AND WILLIAM MANDELL, M.D., PROFESSIONA
1972-01-07 2001-07-20 Address 3 WASHINGTON SQ. VILLAGE, NEW YORK, NY, 10012, USA (Type of address: Service of Process)
1972-01-07 1990-06-28 Name JAY WARD KISLAK, M. D., P. C.

Filings

Filing Number Date Filed Type Effective Date
141224002034 2014-12-24 BIENNIAL STATEMENT 2014-01-01
120214002362 2012-02-14 BIENNIAL STATEMENT 2012-01-01
100121002420 2010-01-21 BIENNIAL STATEMENT 2010-01-01
080207002976 2008-02-07 BIENNIAL STATEMENT 2008-01-01
060210003051 2006-02-10 BIENNIAL STATEMENT 2006-01-01
040225002226 2004-02-25 BIENNIAL STATEMENT 2004-01-01
C340728-2 2003-12-17 ASSUMED NAME CORP INITIAL FILING 2003-12-17
020104002044 2002-01-04 BIENNIAL STATEMENT 2002-01-01
010720002151 2001-07-20 BIENNIAL STATEMENT 2000-01-01
010608000194 2001-06-08 CERTIFICATE OF AMENDMENT 2001-06-08

Date of last update: 25 Jan 2025

Sources: New York Secretary of State