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  5. PRIME CARE MEDICAL OF LONG ISLAND, P.C.

PRIME CARE MEDICAL OF LONG ISLAND, P.C.

Company Details

Name: PRIME CARE MEDICAL OF LONG ISLAND, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 24 Feb 2006 (19 years ago)
Entity Number: 3325448
ZIP code: 11042
County: Suffolk
Place of Formation: New York
Address: 2000 Marcus Avenue, New Hyde Park, NY, United States, 11042

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
PRIME CARE MEDICAL OF LONG ISLAND 401(K) PROFIT SHARING PLAN 2018 204398486 2019-03-15 PRIME CARE MEDICAL OF LONG ISLAND, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6315486152
Plan sponsor’s address 240 WEST MONTAUK HIGHWAY, HAMPTON BAYS, NY, 11946

Signature of
Role Plan administrator
Date 2019-03-15
Name of individual signing MONICA CHESTNUT RAULS
PRIME CARE MEDICAL OF LONG ISLAND 401(K) PROFIT SHARING PLAN 2017 204398486 2018-07-30 PRIME CARE MEDICAL OF LONG ISLAND, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6315486152
Plan sponsor’s address 240 WEST MONTAUK HIGHWAY, HAMPTON BAYS, NY, 11946

Signature of
Role Plan administrator
Date 2018-07-30
Name of individual signing MONICA CHESTNUT RAULS
PRIME CARE MEDICAL OF LONG ISLAND 401(K) PROFIT SHARING PLAN 2016 204398486 2017-10-13 PRIME CARE MEDICAL OF LONG ISLAND, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6315486152
Plan sponsor’s address 240 WEST MONTAUK HIGHWAY, HAMPTON BAYS, NY, 11946

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing MONICA CHESTNUT RAULS
PRIME CARE MEDICAL OF LONG ISLAND 401(K) PROFIT SHARING PLAN 2015 204398486 2016-07-18 PRIME CARE MEDICAL OF LONG ISLAND, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6315486152
Plan sponsor’s address 240 WEST MONTAUK HIGHWAY, HAMPTON BAYS, NY, 11946

Signature of
Role Plan administrator
Date 2016-07-18
Name of individual signing MONICA CHESTNUT RAULS
PRIME CARE MEDICAL OF LONG ISLAND 401(K) PROFIT SHARING PLAN 2014 204398486 2015-10-08 PRIME CARE MEDICAL OF LONG ISLAND, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6315486152
Plan sponsor’s address 240 WEST MONTAUK HIGHWAY, HAMPTON BAYS, NY, 11946

Signature of
Role Plan administrator
Date 2015-10-08
Name of individual signing MONICA CHESTNUT RAULS
PRIME CARE MEDICAL OF LONG ISLAND 401(K) PROFIT SHARING PLAN 2013 204398486 2014-10-14 PRIME CARE MEDICAL OF LONG ISLAND, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6315486152
Plan sponsor’s address 240 WEST MONTAUK HIGHWAY, HAMPTON BAYS, NY, 11946

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing MONICA CHESTNUT RAULS
PRIME CARE MEDICAL OF LONG ISLAND 401(K) PROFIT SHARING PLAN 2012 204398486 2013-10-15 PRIME CARE MEDICAL OF LONG ISLAND, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6315486152
Plan sponsor’s address 240 WEST MONTAUK HIGHWAY, HAMPTON BAYS, NY, 11946

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing MONICA CHESTNUT RAULS

DOS Process Agent

Name Role Address
OFFICE OF LEGAL AFFAIRS - GENERAL COUNSEL DOS Process Agent 2000 Marcus Avenue, New Hyde Park, NY, United States, 11042

Chief Executive Officer

Name Role Address
MICHAEL J. DOWLING Chief Executive Officer 2000 MARCUS AVENUE, NEW HYDE PARK, NY, United States, 11042

History

Start date End date Type Value
2023-01-17 2023-01-17 Address 1300 ROANOKE AVENUE, RIVERHEAD, NY, 11901, USA (Type of address: Chief Executive Officer)
2023-01-17 2023-01-17 Address 2000 MARCUS AVENUE, NEW HYDE PARK, NY, 11042, USA (Type of address: Chief Executive Officer)
2010-04-06 2023-01-17 Address 1300 ROANOKE AVENUE, RIVERHEAD, NY, 11901, USA (Type of address: Service of Process)
2010-04-06 2023-01-17 Address 1300 ROANOKE AVENUE, RIVERHEAD, NY, 11901, USA (Type of address: Chief Executive Officer)
2008-06-03 2010-04-06 Address 1300 ROANOKE AVE, RIVERHEAD, NY, 11901, USA (Type of address: Principal Executive Office)
2008-06-03 2010-04-06 Address 1300 ROANOKE AVE, RIVERHEAD, NY, 11901, USA (Type of address: Chief Executive Officer)
2006-02-24 2010-04-06 Address 1300 ROANOKE AVENUE, RIVERHEAD, NY, 11901, USA (Type of address: Service of Process)
2006-02-24 2023-01-17 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
230117000472 2023-01-17 CERTIFICATE OF AMENDMENT 2023-01-17
211006002040 2021-10-06 BIENNIAL STATEMENT 2021-10-06
140416002209 2014-04-16 BIENNIAL STATEMENT 2014-02-01
120509002005 2012-05-09 BIENNIAL STATEMENT 2012-02-01
100406002515 2010-04-06 BIENNIAL STATEMENT 2010-02-01
080603002778 2008-06-03 BIENNIAL STATEMENT 2008-02-01
060224000723 2006-02-24 CERTIFICATE OF INCORPORATION 2006-02-24

Related by officers

OFFICE OF LEGAL AFFAIRS - GENERAL COUNSEL

NORTH SHORE-LIJ RADIOLOGY SERVICES, P.C. STATEN ISLAND NEONATOLOGY, P.C. SUITE 130 PLASTIC SURGERY, P.C. PECONIC BAY PRIMARY MEDICAL CARE, P.C. PHYSICIANS OF UNIVERSITY HOSPITAL, P.C. PECONIC BAY MEDICAL SERVICES, P.C. PHELPS MEDICAL SERVICES, P.C.

MICHAEL J. DOWLING

NORTH SHORE-LIJ MEDICAL, P.C. CARNEGIE CARDIOVASCULAR, P.C. COMMUNITY DRIVE SURGERY, P.C. LENOX HILL INTERVENTIONAL CARDIAC & VASCULAR SERVICES, P.C. BLACK HALL ORAL MAXILLOFACIAL SURGERY, P.C. MEDICAL SERVICES OF RIVERHEAD, P.C. LAKEVILLE SURGERY, P.C. TRUE NORTH WORKFORCE SAFETY CONSULTING, INC. TRUE NORTH MEDICAL OF SOUTH NASSAU, P.C. TRUE NORTH MEDICAL OF LENOX HILL, P.C.

Related by address

2000 Marcus Avenue, New Hyde Park, NY, United States, 11042

BLACK HALL ORAL MAXILLOFACIAL SURGERY, P.C. BRIGHTWATERS GYNECOLOGY, P.C. LAKEVILLE SURGERY, P.C. MARCUS AVENUE MEDICAL, P.C. MARCUS AVENUE OB/GYN, P.C. MEDICAL CARE OF QUEENS, P.C. MEDICAL SERVICES OF BELLMORE, P.C. MEDICAL SERVICES OF LENOX HILL, P.C. MEDICAL SERVICES OF MANHASSET, P.C. MEDICAL SERVICES OF NASSAU, P.C.

Date of last update: 31 Dec 2024

Sources: New York Secretary of State

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