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  5. WAIHO LUM MD, PLLC

WAIHO LUM MD, PLLC

Company Details

Name: WAIHO LUM MD, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 07 May 2007 (18 years ago)
Entity Number: 3513205
ZIP code: 11375
County: Queens
Place of Formation: New York
Address: 112-01 75TH AVE APT 1, FOREST HILLS, NY, United States, 11375

Contact Details

Phone +1 718-268-6808

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WAIHO LUM MD, PLLC PROFIT SHARING PLAN 2023 260149776 2024-07-31 WAIHO LUM MD, PLLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621493
Sponsor’s telephone number 9174154777
Plan sponsor’s address 112-01 75TH AVENUE, FOREST HILLS, NY, 11375

Signature of
Role Plan administrator
Date 2024-07-31
Name of individual signing JOYCE CHEN
WAIHO LUM MD, PLLC PROFIT SHARING PLAN 2022 260149776 2023-06-19 WAIHO LUM MD, PLLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621493
Sponsor’s telephone number 9174154777
Plan sponsor’s address 112-01 75TH AVENUE, FOREST HILLS, NY, 11375

Signature of
Role Plan administrator
Date 2023-06-19
Name of individual signing JOYCE CHEN
WAIHO LUM MD, PLLC PROFIT SHARING PLAN 2021 260149776 2022-07-05 WAIHO LUM MD, PLLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621493
Sponsor’s telephone number 9174154777
Plan sponsor’s address 112-01 75TH AVENUE, FOREST HILLS, NY, 11375

Signature of
Role Plan administrator
Date 2022-07-05
Name of individual signing YICHEN CHEN
Role Employer/plan sponsor
Date 2022-07-05
Name of individual signing YICHEN CHEN
WAIHO LUM MD, PLLC PROFIT SHARING PLAN 2018 260149776 2019-09-25 WAIHO LUM MD, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 9174154777
Plan sponsor’s DBA name FOREST URGENT CARE
Plan sponsor’s address 112-01 75TH AVENUE, FOREST HILLS, NY, 11375

Signature of
Role Plan administrator
Date 2019-09-09
Name of individual signing WAIHO LUM
Role Employer/plan sponsor
Date 2019-09-09
Name of individual signing WAIHO LUM
WAIHO LUM MD, PLLC PROFIT SHARING PLAN 2018 260149776 2019-06-19 WAIHO LUM MD, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 9174154777
Plan sponsor’s DBA name FOREST URGENT CARE
Plan sponsor’s address 112-01 75TH AVENUE, FOREST HILLS, NY, 11375

Signature of
Role Plan administrator
Date 2019-06-19
Name of individual signing YICHEN CHEN
Role Employer/plan sponsor
Date 2019-06-19
Name of individual signing WAIHO LUM
WAIHO LUM MD, PLLC PROFIT SHARING PLAN 2017 260149776 2018-06-04 WAIHO LUM MD, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 9174154777
Plan sponsor’s DBA name FOREST URGENT CARE
Plan sponsor’s address 112-01 75TH AVENUE, FOREST HILLS, NY, 11375

Signature of
Role Plan administrator
Date 2018-06-04
Name of individual signing YICHEN CHEN
Role Employer/plan sponsor
Date 2018-06-04
Name of individual signing WAIHO LUM
WAIHO LUM MD, PLLC PROFIT SHARING PLAN 2016 260149776 2017-06-26 WAIHO LUM MD, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 9174154777
Plan sponsor’s DBA name FOREST URGENT CARE
Plan sponsor’s address 112-01 75TH AVENUE, FOREST HILLS, NY, 11375

Signature of
Role Plan administrator
Date 2017-06-20
Name of individual signing WAIHO LUM

DOS Process Agent

Name Role Address
WAIHO LUM MD, PLLC DOS Process Agent 112-01 75TH AVE APT 1, FOREST HILLS, NY, United States, 11375

History

Start date End date Type Value
2013-08-21 2023-05-03 Address 112-01 75TH AVE, FOREST HILLS, NY, 11375, USA (Type of address: Service of Process)
2007-05-07 2013-08-21 Address 108-10 72ND AVE STE 3A, FOREST HILLS, NY, 11375, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230503000714 2023-05-03 BIENNIAL STATEMENT 2023-05-01
211112001128 2021-11-12 BIENNIAL STATEMENT 2021-11-12
130821006236 2013-08-21 BIENNIAL STATEMENT 2013-05-01
110505002431 2011-05-05 BIENNIAL STATEMENT 2011-05-01
090427003072 2009-04-27 BIENNIAL STATEMENT 2009-05-01
070507000090 2007-05-07 ARTICLES OF ORGANIZATION 2007-05-07

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 17 Jan 2025

Sources: New York Secretary of State

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