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  5. MEETING HOUSE LANE MEDICAL PRACTICE, P.C.

MEETING HOUSE LANE MEDICAL PRACTICE, P.C.

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Company Details

Name: MEETING HOUSE LANE MEDICAL PRACTICE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 30 Mar 2007 (18 years ago)
Entity Number: 3497630
ZIP code: 11968
County: Suffolk
Place of Formation: New York
Address: ATTN: PRESIDENT, 240 MEETING HOUSE LANE, SOUTHAMPTON, NY, United States, 11968

Contact Details

Phone +1 631-267-5373

Phone +1 631-329-5900

Phone +1 631-537-3765

Phone +1 631-728-0505

Phone +1 631-725-2112

Phone +1 631-283-2100

Phone +1 631-283-4048

Phone +1 631-283-8008

Phone +1 631-726-8400

Phone +1 631-283-0090

Phone +1 631-926-6073

Phone +1 631-537-1892

Phone +1 631-726-8717

Phone +1 631-329-6500

Phone +1 631-283-5555

Phone +1 631-723-0022

Phone +1 631-728-9391

Phone +1 631-594-3910

Phone +1 631-444-2663

Phone +1 631-405-3325

Phone +1 631-288-7746

Phone +1 631-287-8600

Phone +1 631-638-7400

Phone +1 631-668-3705

Shares Details

Shares issued 200

Share Par Value 1

Type PAR VALUE

DOS Process Agent

Name Role Address
C/O SOUTHAMPTON HOSPITAL DOS Process Agent ATTN: PRESIDENT, 240 MEETING HOUSE LANE, SOUTHAMPTON, NY, United States, 11968

Unique Entity ID

Unique Entity ID:
HRJCTMG1LJB7
CAGE Code:
811E2
UEI Expiration Date:
2026-05-20

Business Information

Activation Date:
2025-05-22
Initial Registration Date:
2018-01-09

Commercial and government entity program

CAGE number:
811E2
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2025-05-22
SAM Expiration:
2026-05-20

Contact Information

POC:
MICHELLE MULLIN

National Provider Identifier

NPI Number:
1902088495
Link:
View on NPI website

Authorized Person:

Name:
DR. FREDRICK I WEINBAUM
Role:
PRESIDENT
Phone:
6317268332

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Phone:
+1 631-283-2430
Fax:
6312837496

Form 5500 Series

Employer Identification Number (EIN):
208853938
Plan Year:
2016
Number Of Participants:
119
Sponsors Telephone Number:
6312832100
File:
View File
Plan Year:
2015
Number Of Participants:
99
Sponsors Telephone Number:
6312832100
File:
View File
Plan Year:
2014
Number Of Participants:
88
Sponsors Telephone Number:
6312832100
File:
View File
Plan Year:
2013
Number Of Participants:
73
Sponsors Telephone Number:
6312832100
File:
View File
Plan Year:
2012
Number Of Participants:
52
Sponsors Telephone Number:
6312832100
File:
View File

History

Start date End date Type Value
2024-04-18 2024-08-14 Shares Share type: PAR VALUE, Number of shares: 200, Par value: 1
2022-01-11 2024-04-18 Shares Share type: PAR VALUE, Number of shares: 200, Par value: 1
2007-03-30 2022-01-11 Shares Share type: PAR VALUE, Number of shares: 200, Par value: 1

Filings

Filing Number Date Filed Type Effective Date
170802000718 2017-08-02 CERTIFICATE OF AMENDMENT 2017-08-02
070330000802 2007-03-30 CERTIFICATE OF INCORPORATION 2007-03-30

Tax Exempt

Employer Identification Number (EIN) :
20-8853938
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
2012-10
Deductibility:
Type of organization and use of contribution: A supporting organization, unspecified type. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Link:
Download file

Paycheck Protection Program

Jobs Reported:
165
Initial Approval Amount:
$2,067,000
Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$2,067,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$2,090,558.14
Servicing Lender:
Manufacturers and Traders Trust Company
Use of Proceeds:
Payroll: $2,067,000

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State

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