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  5. JASON M. GALLINA, M.D., P.C.

JASON M. GALLINA, M.D., P.C.

Company Details

Name: JASON M. GALLINA, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 11 Apr 2008 (17 years ago)
Entity Number: 3657511
ZIP code: 10017
County: New York
Place of Formation: New York
Address: 820 2ND AVE, 7TH FLOOR SUITE 7A, NEW YORK, NY, United States, 10017

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
JASON M. GALLINA, M.D., P.C. DEFINED BENEFIT PLAN 2022 262787455 2023-10-12 JASON M. GALLINA, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2126164130
Plan sponsor’s address 135 MADISON AVE., 5TH FLOOR, NEW YORK, NY, 10016
JASON M. GALLINA, M.D., P.C. DEFINED BENEFIT PLAN 2021 262787455 2022-10-10 JASON M. GALLINA, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2126164130
Plan sponsor’s address 135 MADISON AVE., 5TH FLOOR, NEW YORK, NY, 10016
JASON M. GALLINA, M.D., P.C. DEFINED BENEFIT PLAN 2020 262787455 2021-12-31 JASON M. GALLINA, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2126164130
Plan sponsor’s address 820 SECOND AVENUE, STE. 7A, NEW YORK, NY, 10017
JASON M. GALLINA, M.D., P.C. DEFINED BENEFIT PLAN 2019 262787455 2020-10-15 JASON M. GALLINA, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2126164130
Plan sponsor’s address 820 SECOND AVENUE, STE. 7A, NEW YORK, NY, 10017

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing WILLIAM WALLER
JASON M. GALLINA, M.D., P.C. DEFINED BENEFIT PLAN 2018 262787455 2019-10-15 JASON M. GALLINA, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2126164130
Plan sponsor’s address 820 SECOND AVENUE, STE. 7A, NEW YORK, NY, 10017

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing WILLIAM WALLER
JASON M. GALLINA, M.D., P.C. DEFINED BENEFIT PLAN 2017 262787455 2018-10-15 JASON M. GALLINA, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2126164130
Plan sponsor’s address 820 SECOND AVENUE, STE. 7A, NEW YORK, NY, 10017

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing WILLIAM WALLER
JASON M. GALLINA, M.D., P.C. DEFINED BENEFIT PLAN 2016 262787455 2017-10-16 JASON M. GALLINA, M.D., P.C. 5
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2126164130
Plan sponsor’s address 820 SECOND AVENUE, STE. 7A, NEW YORK, NY, 10017

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing WILLIAM WALLER
JASON M. GALLINA, M.D., P.C. DEFINED BENEFIT PLAN 2016 262787455 2017-10-16 JASON M. GALLINA, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2126164130
Plan sponsor’s address 820 SECOND AVENUE, STE. 7A, NEW YORK, NY, 10017

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing WILLIAM WALLER
JASON M. GALLINA, M.D., P.C. DEFINED BENEFIT PLAN 2014 262787455 2015-10-14 JASON M. GALLINA, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2126164130
Plan sponsor’s address 820 SECOND AVENUE, STE. 7A, NEW YORK, NY, 10017

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing WILLIAM WALLER
JASON M. GALLINA, M.D., P.C. DEFINED BENEFIT PLAN 2013 262787455 2014-09-28 JASON M. GALLINA, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2126164130
Plan sponsor’s address 820 SECOND AVENUE, STE. 7A, NEW YORK, NY, 10017

Signature of
Role Plan administrator
Date 2014-09-28
Name of individual signing JASON M. GALLINA

DOS Process Agent

Name Role Address
JASON GALLINA DOS Process Agent 820 2ND AVE, 7TH FLOOR SUITE 7A, NEW YORK, NY, United States, 10017

Chief Executive Officer

Name Role Address
JASON GALLINA MD Chief Executive Officer 820 2ND AVE, 7TH FLOOR SUITE 7A, NEW YORK, NY, United States, 10017

History

Start date End date Type Value
2024-12-27 2025-01-06 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-11-15 2024-12-27 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-03-01 2024-11-15 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-01-10 2024-03-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2010-04-23 2017-04-28 Address 154 W 14TH ST, 4TH FL, NEW YORK, NY, 10011, USA (Type of address: Principal Executive Office)
2010-04-23 2017-04-28 Address 154 W 14TH ST, 4TH FL, NEW YORK, NY, 10011, USA (Type of address: Chief Executive Officer)
2010-04-23 2017-04-28 Address 154 W 14TH ST, 4TH FL, NEW YORK, NY, 10011, USA (Type of address: Service of Process)
2008-04-11 2010-04-23 Address 154 WEST 14TH STREET, NEW YORK, NY, 10011, USA (Type of address: Service of Process)
2008-04-11 2024-01-10 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
170428002029 2017-04-28 BIENNIAL STATEMENT 2016-04-01
100423002204 2010-04-23 BIENNIAL STATEMENT 2010-04-01
080411000625 2008-04-11 CERTIFICATE OF INCORPORATION 2008-04-11

Related by officers

JASON GALLINA

FIRST FRIENDS NETWORK

Related by address

820 2ND AVE, 7TH FLOOR SUITE 7A, NEW YORK, NY, United States, 10017

FIRST FRIENDS NETWORK

Date of last update: 17 Jan 2025

Sources: New York Secretary of State

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