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  5. JERRY UDUEVBO, M.D., P.C.

JERRY UDUEVBO, M.D., P.C.

Company Details

Name: JERRY UDUEVBO, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 22 Aug 2008 (16 years ago)
Entity Number: 3712494
ZIP code: 11226
County: Kings
Place of Formation: New York
Address: 2503 CHURCH AVE, BROOKLYN, NY, United States, 11226

Contact Details

Phone +1 718-427-6160

Shares Details

Shares issued 1

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JERRY UDUEVBO, M.D., P.C. 401K PROFIT SHARING PLAN 2023 263559347 2024-10-11 JERRY UDUEVBO, M.D., P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7189287575
Plan sponsor’s address 2503 CHURCH AVENUE, BROOKLYN, NY, 11226

Signature of
Role Plan administrator
Date 2024-10-11
Name of individual signing JERRY UDEVBO, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-11
Name of individual signing JERRY UDEVBO, M.D.
Valid signature Filed with authorized/valid electronic signature
JERRY UDUEVBO, M.D., P.C. DEFINED BENEFIT PLAN 2023 263559347 2024-10-11 JERRY UDUEVBO, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7189287575
Plan sponsor’s address 2503 CHURCH AVENUE, BROOKLYN, NY, 11226

Signature of
Role Plan administrator
Date 2024-10-11
Name of individual signing JERRY UDEVBO, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-11
Name of individual signing JERRY UDEVBO, M.D.
Valid signature Filed with authorized/valid electronic signature
JERRY UDUEVBO, M.D., P.C. DEFINED BENEFIT PLAN 2022 263559347 2023-10-06 JERRY UDUEVBO, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7189287575
Plan sponsor’s address 2503 CHURCH AVENUE, BROOKLYN, NY, 11226

Signature of
Role Plan administrator
Date 2023-10-06
Name of individual signing JERRY UDEVBO, M.D.
Role Employer/plan sponsor
Date 2023-10-06
Name of individual signing JERRY UDEVBO, M.D.
JERRY UDUEVBO, M.D., P.C. 401K PROFIT SHARING PLAN 2022 263559347 2023-10-06 JERRY UDUEVBO, M.D., P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7189287575
Plan sponsor’s address 2503 CHURCH AVENUE, BROOKLYN, NY, 11226

Signature of
Role Plan administrator
Date 2023-10-06
Name of individual signing JERRY UDEVBO, M.D.
Role Employer/plan sponsor
Date 2023-10-06
Name of individual signing JERRY UDEVBO, M.D.
JERRY UDUEVBO, M.D., P.C. DEFINED BENEFIT PLAN 2021 263559347 2022-10-13 JERRY UDUEVBO, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7189287575
Plan sponsor’s address 2503 CHURCH AVENUE, BROOKLYN, NY, 11226

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing JERRY UDUEVBO
Role Employer/plan sponsor
Date 2022-10-13
Name of individual signing JERRY UDUEVBO
JERRY UDUEVBO, M.D., P.C. 401K PROFIT SHARING PLAN 2021 263559347 2022-10-13 JERRY UDUEVBO, M.D., P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7189287575
Plan sponsor’s address 2503 CHURCH AVENUE, BROOKLYN, NY, 11226

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing JERRY UDUEVBO
Role Employer/plan sponsor
Date 2022-10-13
Name of individual signing JERRY UDUEVBO
JERRY UDUEVBO, M.D., P.C. 401K PROFIT SHARING PLAN 2020 263559347 2021-10-11 JERRY UDUEVBO, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7189287575
Plan sponsor’s address 2503 CHURCH AVENUE, BROOKLYN, NY, 11226

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing JERRY UDUEVBO
Role Employer/plan sponsor
Date 2021-10-11
Name of individual signing JERRY UDUEVBO
JERRY UDUEVBO, M.D., P.C. DEFINED BENEFIT PLAN 2020 263559347 2021-10-11 JERRY UDUEVBO, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7189287575
Plan sponsor’s address 2503 CHURCH AVENUE, BROOKLYN, NY, 11226

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing JERRY UDUEVBO
Role Employer/plan sponsor
Date 2021-10-11
Name of individual signing JERRY UDUEVBO
JERRY UDUEVBO, M.D., P.C. DEFINED BENEFIT PLAN 2019 263559347 2020-09-02 JERRY UDUEVBO, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7189287575
Plan sponsor’s address 2503 CHURCH AVENUE, BROOKLYN, NY, 11226

Signature of
Role Plan administrator
Date 2020-09-02
Name of individual signing JERRY UDEVBO
Role Employer/plan sponsor
Date 2020-09-02
Name of individual signing JERRY UDEVBO
JERRY UDUEVBO, M.D., P.C. 401K PROFIT SHARING PLAN 2019 263559347 2020-09-02 JERRY UDUEVBO, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7189287575
Plan sponsor’s address 2503 CHURCH AVENUE, BROOKLYN, NY, 11226

Signature of
Role Plan administrator
Date 2020-09-02
Name of individual signing JERRY UDEVBO
Role Employer/plan sponsor
Date 2020-09-02
Name of individual signing JERRY UDEVBO

Chief Executive Officer

Name Role Address
JERRY UDUEVBO, M.D. Chief Executive Officer 2503 CHURCH AVE, BROOKLYN, NY, United States, 11226

DOS Process Agent

Name Role Address
JERRY UDUEVBO, M.D., P.C. DOS Process Agent 2503 CHURCH AVE, BROOKLYN, NY, United States, 11226

History

Start date End date Type Value
2023-07-13 2023-07-13 Address 2503 CHURCH AVE, BROOKLYN, NY, 11226, USA (Type of address: Chief Executive Officer)
2020-08-03 2023-07-13 Address 4 WINDHAM CT, GLEN HEAD, NY, 11545, USA (Type of address: Service of Process)
2012-08-24 2020-08-03 Address 2503 CHURCH AVENUE, BROOKLYN, NY, 11226, USA (Type of address: Service of Process)
2010-10-15 2023-07-13 Address 2503 CHURCH AVE, BROOKLYN, NY, 11226, USA (Type of address: Chief Executive Officer)
2008-08-22 2023-07-13 Shares Share type: NO PAR VALUE, Number of shares: 1, Par value: 0
2008-08-22 2012-08-24 Address 1452 EAST 100TH STREET, BROOKLYN, NY, 11236, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230713001254 2023-07-13 BIENNIAL STATEMENT 2022-08-01
200803060077 2020-08-03 BIENNIAL STATEMENT 2020-08-01
140801006025 2014-08-01 BIENNIAL STATEMENT 2014-08-01
120824006001 2012-08-24 BIENNIAL STATEMENT 2012-08-01
120124000697 2012-01-24 ANNULMENT OF DISSOLUTION 2012-01-24
DP-2068368 2011-10-26 DISSOLUTION BY PROCLAMATION 2011-10-26
101015002459 2010-10-15 BIENNIAL STATEMENT 2010-08-01
080822000818 2008-08-22 CERTIFICATE OF INCORPORATION 2008-08-22

Related by officers

No related officers

Related by address

2503 CHURCH AVE, BROOKLYN, NY, United States, 11226

2503 CHURCH AVENUE, INC.

Date of last update: 17 Jan 2025

Sources: New York Secretary of State

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