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  5. ISLAND MEDICAL GROUP, P.C.

ISLAND MEDICAL GROUP, P.C.

Company Details

Name: ISLAND MEDICAL GROUP, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 07 Jun 1976 (49 years ago)
Date of dissolution: 24 Jun 1981
Entity Number: 401725
ZIP code: 11791
County: Nassau
Place of Formation: New York
Address: 175 JERICHO TPKE., SYOSSET, NY, United States, 11791

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
ISLAND MEDICAL GROUP, P.C. PROFIT SHARING TRUST 2012 112343270 2013-04-08 ISLAND MEDICAL GROUP, P.C. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5167317770
Plan sponsor’s address 4045 HEMPSTEAD TURNPIKE STE. 300, BETHPAGE, NY, 11714

Signature of
Role Plan administrator
Date 2013-04-07
Name of individual signing STEVEN BOURLA
ISLAND MEDICAL GROUP, P.C. RETIREMENT TRUST 2012 112343270 2013-04-08 ISLAND MEDICAL GROUP, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-01-01
Business code 621111
Sponsor’s telephone number 5167317770
Plan sponsor’s address 4045 HEMPSTEAD TURNPIKE STE. 300, BETHPAGE, NY, 11714

Signature of
Role Plan administrator
Date 2013-04-07
Name of individual signing STEVEN BOURLA
ISLAND MEDICAL GROUP, P.C. PROFIT SHARING TRUST 2011 112343270 2012-04-10 ISLAND MEDICAL GROUP, P.C. 29
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5167317770
Plan sponsor’s address 4045 HEMPSTEAD TURNPIKE STE. 300, BETHPAGE, NY, 11714

Plan administrator’s name and address
Administrator’s EIN 112343270
Plan administrator’s name ISLAND MEDICAL GROUP, P.C.
Plan administrator’s address 4045 HEMPSTEAD TURNPIKE STE. 300, BETHPAGE, NY, 11714
Administrator’s telephone number 5167317770

Signature of
Role Plan administrator
Date 2012-04-10
Name of individual signing STEVEN BOURLA
ISLAND MEDICAL GROUP, P.C. RETIREMENT TRUST 2011 112343270 2012-04-10 ISLAND MEDICAL GROUP, P.C. 48
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-01-01
Business code 621111
Sponsor’s telephone number 5167317770
Plan sponsor’s address 4045 HEMPSTEAD TURNPIKE STE. 300, BETHPAGE, NY, 11714

Plan administrator’s name and address
Administrator’s EIN 112343270
Plan administrator’s name ISLAND MEDICAL GROUP, P.C.
Plan administrator’s address 4045 HEMPSTEAD TURNPIKE STE. 300, BETHPAGE, NY, 11714
Administrator’s telephone number 5167317770

Signature of
Role Plan administrator
Date 2012-04-10
Name of individual signing STEVEN BOURLA
ISLAND MEDICAL GROUP, P.C. RETIREMENT TRUST 2010 112343270 2011-06-15 ISLAND MEDICAL GROUP, P.C. 56
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-01-01
Business code 621111
Sponsor’s telephone number 5167317770
Plan sponsor’s address 4045 HEMPSTEAD TURNPIKE STE. 300, BETHPAGE, NY, 11714

Plan administrator’s name and address
Administrator’s EIN 112343270
Plan administrator’s name ISLAND MEDICAL GROUP, P.C.
Plan administrator’s address 4045 HEMPSTEAD TURNPIKE STE. 300, BETHPAGE, NY, 11714
Administrator’s telephone number 5167317770

Signature of
Role Plan administrator
Date 2011-06-15
Name of individual signing STEVEN BOURLA
ISLAND MEDICAL GROUP, P.C. PROFIT SHARING TRUST 2010 112343270 2011-06-15 ISLAND MEDICAL GROUP, P.C. 31
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5167317770
Plan sponsor’s address 4045 HEMPSTEAD TURNPIKE STE. 300, BETHPAGE, NY, 11714

Plan administrator’s name and address
Administrator’s EIN 112343270
Plan administrator’s name ISLAND MEDICAL GROUP, P.C.
Plan administrator’s address 4045 HEMPSTEAD TURNPIKE STE. 300, BETHPAGE, NY, 11714
Administrator’s telephone number 5167317770

Signature of
Role Plan administrator
Date 2011-06-15
Name of individual signing STEVEN BOURLA
ISLAND MEDICAL GROUP, P.C. RETIREMENT TRUST 2009 112343270 2010-09-15 ISLAND MEDICAL GROUP, P.C. 56
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-01-01
Business code 621111
Sponsor’s telephone number 5167317770
Plan sponsor’s address 4045 HEMPSTEAD TURNPIKE STE. 300, BETHPAGE, NY, 11714

Plan administrator’s name and address
Administrator’s EIN 112343270
Plan administrator’s name ISLAND MEDICAL GROUP, P.C.
Plan administrator’s address 4045 HEMPSTEAD TURNPIKE STE. 300, BETHPAGE, NY, 11714
Administrator’s telephone number 5167317770

Signature of
Role Plan administrator
Date 2010-09-14
Name of individual signing STEVEN BOURLA
ISLAND MEDICAL GROUP, P.C. PROFIT SHARING TRUST 2009 112343270 2010-09-15 ISLAND MEDICAL GROUP, P.C. 32
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 5167317770
Plan sponsor’s address 4045 HEMPSTEAD TURNPIKE STE. 300, BETHPAGE, NY, 11714

Plan administrator’s name and address
Administrator’s EIN 112343270
Plan administrator’s name ISLAND MEDICAL GROUP, P.C.
Plan administrator’s address 4045 HEMPSTEAD TURNPIKE STE. 300, BETHPAGE, NY, 11714
Administrator’s telephone number 5167317770

Signature of
Role Plan administrator
Date 2010-09-14
Name of individual signing STEVEN BOURLA

DOS Process Agent

Name Role Address
ISLAND MEDICAL GROUP, P.C. DOS Process Agent 175 JERICHO TPKE., SYOSSET, NY, United States, 11791

Filings

Filing Number Date Filed Type Effective Date
20080225040 2008-02-25 ASSUMED NAME LLC INITIAL FILING 2008-02-25
DP-23892 1981-06-24 DISSOLUTION BY PROCLAMATION 1981-06-24
A319903-9 1976-06-07 CERTIFICATE OF INCORPORATION 1976-06-07

Related by officers

No related officers

Related by address

175 JERICHO TPKE., SYOSSET, NY, United States, 11791

LLOYD R. STEIN, P. T. AND MARTIN E. GOLDSTEIN, P. T., P. C. ALEXANDER B. RIMALOVSKI, M. D., P. C. RICHARD S. BAYER, M.D., P.C. BEHAVIORAL CONSULTANTS, INC. SYOSSET PLAZA PHARMACY, INC.

Date of last update: 21 Dec 2024

Sources: New York Secretary of State

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