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  5. BELARAY DERMATOLOGY P.C.

BELARAY DERMATOLOGY P.C.

Company Details

Name: BELARAY DERMATOLOGY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 11 Jul 2007 (18 years ago)
Entity Number: 3541622
ZIP code: 11801
County: Nassau
Place of Formation: New York
Address: 358 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, United States, 11801

Contact Details

Phone +1 631-864-6647

Phone +1 516-822-7546

Shares Details

Shares issued 1500

Share Par Value 1

Type PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BELARAY DERMATOLOGY, P.C. CASH BALANCE PLAN 2023 260517895 2024-05-01 BELARAY DERMATOLOGY, P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621399
Sponsor’s telephone number 5168227546
Plan sponsor’s address 358 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, 11801

Signature of
Role Plan administrator
Date 2024-05-01
Name of individual signing AMY SLEAR
BELARAY DERMATOLOGY, P.C. RETIREMENT PLAN 2023 260517895 2024-05-01 BELARAY DERMATOLOGY, P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 5168227546
Plan sponsor’s address 358 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, 11801

Plan administrator’s name and address
Administrator’s EIN 260517895
Plan administrator’s name BELARAY DERMATOLOGY, P.C.
Plan administrator’s address 358 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, 11801
Administrator’s telephone number 5168227546

Signature of
Role Plan administrator
Date 2024-05-01
Name of individual signing AMY SLEAR
BELARAY DERMATOLOGY, P.C. CASH BALANCE PLAN 2022 260517895 2023-05-31 BELARAY DERMATOLOGY, P.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621399
Sponsor’s telephone number 5168227546
Plan sponsor’s address 358 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, 11801

Signature of
Role Plan administrator
Date 2023-05-31
Name of individual signing AMY SLEAR
BELARAY DERMATOLOGY, P.C. RETIREMENT PLAN 2022 260517895 2023-05-31 BELARAY DERMATOLOGY, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 5168227546
Plan sponsor’s address 358 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, 11801

Plan administrator’s name and address
Administrator’s EIN 260517895
Plan administrator’s name BELARAY DERMATOLOGY, P.C.
Plan administrator’s address 358 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, 11801
Administrator’s telephone number 5168227546

Signature of
Role Plan administrator
Date 2023-05-31
Name of individual signing AMY SLEAR
BELARAY DERMATOLOGY, P.C. RETIREMENT PLAN 2021 260517895 2022-05-26 BELARAY DERMATOLOGY, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 5168227546
Plan sponsor’s address 358 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, 11801

Plan administrator’s name and address
Administrator’s EIN 260517895
Plan administrator’s name BELARAY DERMATOLOGY, P.C.
Plan administrator’s address 358 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, 11801
Administrator’s telephone number 5168227546

Signature of
Role Plan administrator
Date 2022-05-26
Name of individual signing AMY SLEAR
BELARAY DERMATOLOGY, P.C. CASH BALANCE PLAN 2021 260517895 2022-05-26 BELARAY DERMATOLOGY, P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621399
Sponsor’s telephone number 5168227546
Plan sponsor’s address 358 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, 11801

Signature of
Role Plan administrator
Date 2022-05-26
Name of individual signing AMY SLEAR
BELARAY DERMATOLOGY, P.C. RETIREMENT PLAN 2020 260517895 2021-03-22 BELARAY DERMATOLOGY, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 5168227546
Plan sponsor’s address 358 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, 11801

Plan administrator’s name and address
Administrator’s EIN 260517895
Plan administrator’s name BELARAY DERMATOLOGY, P.C.
Plan administrator’s address 358 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, 11801
Administrator’s telephone number 5168227546

Signature of
Role Plan administrator
Date 2021-03-22
Name of individual signing AMY SLEAR
BELARAY DERMATOLOGY, P.C. RETIREMENT PLAN 2019 260517895 2020-03-19 BELARAY DERMATOLOGY, P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 5168227546
Plan sponsor’s address 358 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, 11801

Plan administrator’s name and address
Administrator’s EIN 260517895
Plan administrator’s name BELARAY DERMATOLOGY, P.C.
Plan administrator’s address 358 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, 11801
Administrator’s telephone number 5168227546

Signature of
Role Plan administrator
Date 2020-03-19
Name of individual signing AMY SLEAR
BELARAY DERMATOLOGY, P.C. RETIREMENT PLAN 2018 260517895 2019-04-24 BELARAY DERMATOLOGY, P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 5168227546
Plan sponsor’s address 358 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, 11801

Plan administrator’s name and address
Administrator’s EIN 260517895
Plan administrator’s name BELARAY DERMATOLOGY, P.C.
Plan administrator’s address 358 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, 11801
Administrator’s telephone number 5168227546

Signature of
Role Plan administrator
Date 2019-04-24
Name of individual signing AMY SLEAR
BELARAY DERMATOLOGY, P.C. RETIREMENT PLAN 2017 260517895 2018-03-27 BELARAY DERMATOLOGY, P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 5168227546
Plan sponsor’s address 358 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, 11801

Plan administrator’s name and address
Administrator’s EIN 260517895
Plan administrator’s name BELARAY DERMATOLOGY, P.C.
Plan administrator’s address 358 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, 11801
Administrator’s telephone number 5168227546

Signature of
Role Plan administrator
Date 2018-03-27
Name of individual signing AMY SLEAR

DOS Process Agent

Name Role Address
BELARAY DERMATOLOGY DOS Process Agent 358 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, United States, 11801

Chief Executive Officer

Name Role Address
AMY SLEAR Chief Executive Officer 358 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, United States, 11801

History

Start date End date Type Value
2023-07-02 2023-07-02 Address 358 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, 11801, USA (Type of address: Chief Executive Officer)
2019-11-19 2023-07-02 Address 358 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, 11801, USA (Type of address: Service of Process)
2013-07-31 2019-11-19 Address 358 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, 11801, USA (Type of address: Principal Executive Office)
2013-07-31 2019-11-19 Address 358 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, 11801, USA (Type of address: Service of Process)
2013-07-31 2023-07-02 Address 358 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, 11801, USA (Type of address: Chief Executive Officer)
2009-07-07 2013-07-31 Address 2 PATTON PLACE, PLAINVIEW, NY, 11803, USA (Type of address: Principal Executive Office)
2009-07-07 2013-07-31 Address 2 PATTON PLACE, PLAINVIEW, NY, 11803, USA (Type of address: Chief Executive Officer)
2007-07-11 2013-07-31 Address 79 HILLSIDE LANE, NEW HYDE PARK, NY, 11040, USA (Type of address: Service of Process)
2007-07-11 2023-07-02 Shares Share type: PAR VALUE, Number of shares: 1500, Par value: 1

Filings

Filing Number Date Filed Type Effective Date
230702000260 2023-07-02 BIENNIAL STATEMENT 2023-07-01
220810002269 2022-08-10 BIENNIAL STATEMENT 2021-07-01
191119002063 2019-11-19 BIENNIAL STATEMENT 2019-07-01
130731006221 2013-07-31 BIENNIAL STATEMENT 2013-07-01
110721002485 2011-07-21 BIENNIAL STATEMENT 2011-07-01
090707002733 2009-07-07 BIENNIAL STATEMENT 2009-07-01
070711000343 2007-07-11 CERTIFICATE OF INCORPORATION 2007-07-11

Related by officers

No related officers

Related by address

358 SOUTH OYSTER BAY ROAD, HICKSVILLE, NY, United States, 11801

ROBERT Z. GOLDSTEIN, M.D. & FREDRIC J. MINTZ, M.D., LLP

Date of last update: 31 Dec 2024

Sources: New York Secretary of State

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