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  5. WILLIAM PURTILL M.D., P.C.

WILLIAM PURTILL M.D., P.C.

Company Details

Name: WILLIAM PURTILL M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Jul 2006 (19 years ago)
Entity Number: 3384505
ZIP code: 11530
County: Queens
Place of Formation: New York
Address: 990 STEWART AVENUE, SUITE L32, GARDEN CITY, NY, United States, 11530

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
WILLIAM PURTILL, M.D., P.C. 401K PROFIT SHARING PLAN 2022 562591796 2023-07-28 WILLIAM PURTILL, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5164660485
Plan sponsor’s address 990 STEWART AVENUE #132, GARDEN CITY, NY, 11530

Signature of
Role Plan administrator
Date 2023-07-28
Name of individual signing WILLIAM PURTILL, MD
Role Employer/plan sponsor
Date 2023-07-28
Name of individual signing WILLIAM PURTILL, MD
WILLIAM PURTILL, M.D., P.C. 401K PROFIT SHARING PLAN 2021 562591796 2022-10-16 WILLIAM PURTILL, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5164660485
Plan sponsor’s address 990 STEWART AVENUE #132, GARDEN CITY, NY, 11530

Signature of
Role Plan administrator
Date 2022-10-16
Name of individual signing WILLIAM PURTILL, MD
Role Employer/plan sponsor
Date 2022-10-16
Name of individual signing WILLIAM PURTILL, MD
WILLIAM PURTILL, M.D., P.C. 401K PROFIT SHARING PLAN 2020 562591796 2021-12-19 WILLIAM PURTILL, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5164660485
Plan sponsor’s address 990 STEWART AVENUE #132, GARDEN CITY, NY, 11530

Signature of
Role Plan administrator
Date 2021-12-19
Name of individual signing WILLIAM PURTILL, MD
Role Employer/plan sponsor
Date 2021-12-19
Name of individual signing WILLIAM PURTILL, MD
WILLIAM PURTILL, M.D., P.C. 401K PROFIT SHARING PLAN 2019 562591796 2020-10-17 WILLIAM PURTILL, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5164660485
Plan sponsor’s address 990 STEWART AVENUE #132, GARDEN CITY, NY, 11530

Signature of
Role Plan administrator
Date 2020-10-17
Name of individual signing WILLIAM PURTILL, MD
Role Employer/plan sponsor
Date 2020-10-17
Name of individual signing WILLIAM PURTILL, MD
WILLIAM PURTILL, M.D., P.C. 401K PROFIT SHARING PLAN 2017 562591796 2018-10-13 WILLIAM PURTILL, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5164660485
Plan sponsor’s address 990 STEWART AVENUE #132, GARDEN CITY, NY, 11530

Signature of
Role Plan administrator
Date 2018-10-13
Name of individual signing WILLIAM PURTILL MD
Role Employer/plan sponsor
Date 2018-10-13
Name of individual signing WILLIAM PURTILL MD
WILLIAM PURTILL, M.D., P.C. 401K PROFIT SHARING PLAN 2016 562591796 2017-10-17 WILLIAM PURTILL, M.D., P.C. 3
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5164660485
Plan sponsor’s address 990 STEWART AVENUE #132, GARDEN CITY, NY, 11530

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing WILLIAM PURTILL MD
Role Employer/plan sponsor
Date 2017-10-16
Name of individual signing WILLIAM PURTILL MD
WILLIAM PURTILL, M.D., P.C. 401K PROFIT SHARING PLAN 2015 562591796 2016-10-21 WILLIAM PURTILL, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5164660485
Plan sponsor’s address 990 STEWART AVENUE #132, GARDEN CITY, NY, 11530

Signature of
Role Plan administrator
Date 2016-10-21
Name of individual signing WILLIAM PURTILL MD
Role Employer/plan sponsor
Date 2016-10-21
Name of individual signing WILLIAM PURTILL MD
WILLIAM PURTILL, M.D., P.C. 401K PROFIT SHARING PLAN 2014 562591796 2015-10-05 WILLIAM PURTILL, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5164660485
Plan sponsor’s address 990 STEWART AVENUE #132, GARDEN CITY, NY, 11530

Signature of
Role Plan administrator
Date 2015-10-05
Name of individual signing WILLIAM PURTILL MD
Role Employer/plan sponsor
Date 2015-10-05
Name of individual signing WILLIAM PURTILL MD
WILLIAM PURTILL, M.D., P.C. 401K PROFIT SHARING PLAN 2013 562591796 2014-07-28 WILLIAM PURTILL, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5164660485
Plan sponsor’s address 560 NORTHERN BLVD #209, GREAT NECK, NY, 110215302

Signature of
Role Plan administrator
Date 2014-07-28
Name of individual signing WILLIAM PURTILL MD
WILLIAM PURTILL, M.D., P.C. 401K PROFIT SHARING PLAN 2012 562591796 2013-10-15 WILLIAM PURTILL, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5164660485
Plan sponsor’s address 560 NORTHERN BLVD #209, GREAT NECK, NY, 110215302

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing WILLIAM PURTILL MD

DOS Process Agent

Name Role Address
WILLIAM PURTILL M.D., P.C. DOS Process Agent 990 STEWART AVENUE, SUITE L32, GARDEN CITY, NY, United States, 11530

Chief Executive Officer

Name Role Address
WILLIAM PURTILL Chief Executive Officer 990 STEWART AVENUE, SUITE L32, GARDEN CITY, NY, United States, 11530

History

Start date End date Type Value
2010-08-04 2012-10-04 Address 1 OVERLOOK DRIVE, PORT WASHINGTON, NY, 11050, USA (Type of address: Chief Executive Officer)
2010-08-04 2012-10-04 Address 1 OVERLOOK DRIVE, PORT WASHINGTON, NY, 11050, USA (Type of address: Principal Executive Office)
2010-08-04 2012-10-04 Address 1 OVERLOOK DRIVE, PORT WASHINGTON, NY, 11050, USA (Type of address: Service of Process)
2008-07-18 2010-08-04 Address 1 OVERLOOK DR, PORT WASHINGTON, NY, 11050, USA (Type of address: Chief Executive Officer)
2008-07-18 2010-08-04 Address 1 OVERLOOK DR, PORT WASHINGTON, NY, 11050, USA (Type of address: Principal Executive Office)
2006-07-05 2010-08-04 Address 1 OVERLOOK DRIVE, PORT WASHINGTON, NY, 11050, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
220210001310 2022-02-10 BIENNIAL STATEMENT 2022-02-10
160727006285 2016-07-27 BIENNIAL STATEMENT 2016-07-01
140714006258 2014-07-14 BIENNIAL STATEMENT 2014-07-01
121004006798 2012-10-04 BIENNIAL STATEMENT 2012-07-01
100804002117 2010-08-04 BIENNIAL STATEMENT 2010-07-01
080718003587 2008-07-18 BIENNIAL STATEMENT 2008-07-01
061222000608 2006-12-22 CERTIFICATE OF AMENDMENT 2006-12-22
060705000433 2006-07-05 CERTIFICATE OF INCORPORATION 2006-07-05

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 18 Jan 2025

Sources: New York Secretary of State

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