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  5. MID-SUFFOLK MEDICAL CARE, P.C.

MID-SUFFOLK MEDICAL CARE, P.C.

Company Details

Name: MID-SUFFOLK MEDICAL CARE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 22 Aug 2007 (18 years ago)
Entity Number: 3559321
ZIP code: 11725
County: Suffolk
Place of Formation: New York
Principal Address: 6277 JERICHO TURNPIKE, COMMACK, NY, United States, 11725
Address: 6277 Jericho Turnpike, Commack, NY, United States, 11725

Contact Details

Phone +1 631-462-6644

Phone +1 631-467-3621

Phone +1 631-361-3363

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
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN 2023 260797131 2024-04-18 MID-SUFFOLK MEDICAL CARE P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6314626644
Plan sponsor’s address 6277 JERICHO TURNPIKE, COMMACK, NY, 11725

Signature of
Role Plan administrator
Date 2024-04-18
Name of individual signing KELLY ROXBY
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN 2022 260797131 2023-09-07 MID-SUFFOLK MEDICAL CARE P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6314626644
Plan sponsor’s address 6277 JERICHO TURNPIKE, COMMACK, NY, 11725

Signature of
Role Plan administrator
Date 2023-09-07
Name of individual signing KELLY ROXBY
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN 2021 260797131 2022-09-28 MID-SUFFOLK MEDICAL CARE P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6314626644
Plan sponsor’s address 6277 JERICHO TURNPIKE, COMMACK, NY, 11725

Signature of
Role Plan administrator
Date 2022-09-28
Name of individual signing KELLY ROXBY
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN 2020 260797131 2021-10-05 MID-SUFFOLK MEDICAL CARE P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6314626644
Plan sponsor’s address 6277 JERICHO TURNPIKE, COMMACK, NY, 11725

Signature of
Role Plan administrator
Date 2021-10-05
Name of individual signing KELLY ROXBY
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN 2019 260797131 2021-06-17 MID-SUFFOLK MEDICAL CARE P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6314626644
Plan sponsor’s address 6277 JERICHO TURNPIKE, COMMACK, NY, 11725

Signature of
Role Plan administrator
Date 2021-06-17
Name of individual signing KELLY ROXBY
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN 2018 260797131 2019-10-11 MID-SUFFOLK MEDICAL CARE P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6314626644
Plan sponsor’s address 6277 JERICHO TURNPIKE, COMMACK, NY, 11725

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing KELLY ROXBY
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN 2017 260797131 2018-10-12 MID-SUFFOLK MEDICAL CARE P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6314626644
Plan sponsor’s address 6277 JERICHO TURNPIKE, COMMACK, NY, 11725

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing KELLY ROXBY
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN 2016 260797131 2017-10-13 MID-SUFFOLK MEDICAL CARE P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6314626644
Plan sponsor’s address 6277 JERICHO TURNPIKE, COMMACK, NY, 11725

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing KELLY ROXBY
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN 2015 260797131 2016-10-11 MID-SUFFOLK MEDICAL CARE P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6314626644
Plan sponsor’s address 6277 JERICHO TURNPIKE, COMMACK, NY, 11725

Signature of
Role Plan administrator
Date 2016-10-11
Name of individual signing KELLY ROXBY
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN 2014 260797131 2015-06-18 MID-SUFFOLK MEDICAL CARE P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6314626644
Plan sponsor’s address 6277 JERICHO TURNPIKE, COMMACK, NY, 11725

Signature of
Role Plan administrator
Date 2015-06-12
Name of individual signing KELLY ROXBY

Chief Executive Officer

Name Role Address
MOHAMMED R. AZAZ Chief Executive Officer 6277 JERICHO TURNPIKE, COMMACK, NY, United States, 11725

DOS Process Agent

Name Role Address
MOHAMMED R. AZAZ DOS Process Agent 6277 Jericho Turnpike, Commack, NY, United States, 11725

History

Start date End date Type Value
2025-03-24 2025-03-24 Address 10 NICOLA LANE, NESCONSET, NY, 11767, USA (Type of address: Chief Executive Officer)
2019-06-06 2025-03-24 Address 10 NICOLA LANE, NESCONSET, NY, 11767, USA (Type of address: Service of Process)
2019-06-06 2025-03-24 Address 10 NICOLA LANE, NESCONSET, NY, 11767, USA (Type of address: Chief Executive Officer)
2009-09-16 2019-06-06 Address 10 NICOLA LN, NESCONSET, NY, 11767, USA (Type of address: Chief Executive Officer)
2009-09-16 2019-06-06 Address 10 NICOLA LN, NESCONSET, NY, 11767, USA (Type of address: Principal Executive Office)
2009-09-16 2019-06-06 Address 6277 JERICHO TURNPIKE, COMMACK, NY, 11725, USA (Type of address: Service of Process)
2007-08-22 2025-03-24 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2007-08-22 2009-09-16 Address 10 NICOLA LANE, NESCONSET, NY, 11767, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250324003443 2025-03-24 BIENNIAL STATEMENT 2025-03-24
190606002022 2019-06-06 BIENNIAL STATEMENT 2017-08-01
110826002296 2011-08-26 BIENNIAL STATEMENT 2011-08-01
090916002372 2009-09-16 BIENNIAL STATEMENT 2009-08-01
070822000629 2007-08-22 CERTIFICATE OF INCORPORATION 2007-08-22

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
3488535004 Small Business Administration 59.041 - 504 CERTIFIED DEVELOPMENT LOANS No data No data TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Recipient MID-SUFFOLK MEDICAL CARE P.C.
Recipient Name Raw MID-SUFFOLK MEDICAL CARE P.C.
Recipient DUNS 109012591
Recipient Address 6277 JERICHO TURNPIKE., COMMACK, SUFFOLK, NEW YORK, 11725-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 9480.00
Face Value of Direct Loan 443000.00
Link View Page
3187315004 Small Business Administration 59.012 - 7(A) LOAN GUARANTEES No data No data TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Recipient MID-SUFFOLK MEDICAL CARE P.C.
Recipient Name Raw MID-SUFFOLK MEDICAL CARE, P.C.
Recipient DUNS 795847024
Recipient Address 3505 VETERANS HIGHWAY, RONKONKOMA, SUFFOLK, NEW YORK, 11779-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 300000.00
Link View Page
3059636008 Small Business Administration 59.012 - 7(A) LOAN GUARANTEES No data No data TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Recipient MID-SUFFOLK MEDICAL CARE P.C.
Recipient Name Raw COUNTY MEDICAL CARE PC
Recipient DUNS 109012591
Recipient Address 6277 JERICHO TURNPIKE, COMMACK, SUFFOLK, NEW YORK, 11725-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 50000.00
Link View Page

Related by officers

No related officers

Related by address

6277 JERICHO TURNPIKE, COMMACK, NY, United States, 11725

50 E. CHESTNUT LLC ISLAND MEDICAL REALTY, LLC NORTH SHORE CHILD PSYCHIATRY, P.C. OSTRUM CONSULTANTS, INC. COLORADO SHELL, INC. YOU OUGHT TO BE IN PICTURES, INC. ALL PROFESSIONAL EXTERMINATORS, INC. COMMACK SERVICE CENTER INC. M.V.P. ELECTRICAL CONTRACTORS, INC.

6277 Jericho Turnpike, Commack, NY, United States, 11725

AZAZ PROPERTIES, LLC

Date of last update: 28 Mar 2025

Sources: New York Secretary of State

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