| Name: | MASSAPEQUA INTERNAL MEDICINE ASSOCIATES, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 08 Jul 1976 (49 years ago) |
| Entity Number: | 404463 |
| ZIP code: | 11783 |
| County: | Nassau |
| Place of Formation: | New York |
| Address: | ATTN STEVEN GALLER, 850 HICKSVILLE RD STE 104, SEAFORD, NY, United States, 11783 |
| Principal Address: | 75 GRAND AVE, MASSAPEQUA, NY, United States, 11758 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MASSAPEQUA INTERNAL MEDICINE ASSOCIATES, P.C. 401(K) PLAN | 2010 | 112401746 | 2011-05-19 | MASSAPEQUA INTERNAL MEDICINE ASSOCIATES, P.C. | 55 | |||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 112401746 |
| Plan administrator’s name | MASSAPEQUA INTERNAL MEDICINE ASSOCIATES, P.C. |
| Plan administrator’s address | 850 HICKSVILLE ROAD, SEAFORD, NY, 11783 |
| Administrator’s telephone number | 5167980141 |
Signature of
| Role | Plan administrator |
| Date | 2011-05-19 |
| Name of individual signing | STEVEN GALLER |
| File | View Page |
| Three-digit plan number (PN) | 005 |
| Effective date of plan | 2008-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5167980141 |
| Plan sponsor’s address | 850 HICKSVILLE ROAD, SEAFORD, NY, 11783 |
Plan administrator’s name and address
| Administrator’s EIN | 112401746 |
| Plan administrator’s name | MASSAPEQUA INTERNAL MEDICINE ASSOCIATES, P.C. |
| Plan administrator’s address | 850 HICKSVILLE ROAD, SEAFORD, NY, 11783 |
| Administrator’s telephone number | 5167980141 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-25 |
| Name of individual signing | STEVEN GALLER |
| File | View Page |
| Three-digit plan number (PN) | 004 |
| Effective date of plan | 1983-07-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5167980141 |
| Plan sponsor’s address | 850 HICKSVILLE ROAD, SEAFORD, NY, 11783 |
Plan administrator’s name and address
| Administrator’s EIN | 112401746 |
| Plan administrator’s name | MASSAPEQUA INTERNAL MEDICINE ASSOCIATES, P.C. |
| Plan administrator’s address | 850 HICKSVILLE ROAD, SEAFORD, NY, 11783 |
| Administrator’s telephone number | 5167980141 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-25 |
| Name of individual signing | STEVEN GALLER |
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | ATTN STEVEN GALLER, 850 HICKSVILLE RD STE 104, SEAFORD, NY, United States, 11783 |
| Name | Role | Address |
|---|---|---|
| STEVEN GALLER | Chief Executive Officer | 75 GRAND AVE, MASSAPEQUA, NY, United States, 11758 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 1998-08-19 | 2010-10-04 | Address | 75 GRAND AVE, MASSAPEQUA, NY, 11758, USA (Type of address: Service of Process) |
| 1993-04-06 | 1998-08-19 | Address | 75 GRAND AVENUE, MASSAPEQUA, NY, 11758, USA (Type of address: Chief Executive Officer) |
| 1993-04-06 | 1998-08-19 | Address | 75 GRAND AVENUE, MASSAPEQUA, NY, 11758, USA (Type of address: Principal Executive Office) |
| 1976-07-08 | 1998-08-19 | Address | 381 SUNRISE HIGHWAY, LYNBROOK, NY, 11563, USA (Type of address: Service of Process) |
| 1976-07-08 | 2024-09-19 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 101004000427 | 2010-10-04 | CERTIFICATE OF CHANGE | 2010-10-04 |
| 20080409058 | 2008-04-09 | ASSUMED NAME CORP INITIAL FILING | 2008-04-09 |
| 021017002021 | 2002-10-17 | BIENNIAL STATEMENT | 2002-07-01 |
| 980819002314 | 1998-08-19 | BIENNIAL STATEMENT | 1998-07-01 |
| 950523002600 | 1995-05-23 | BIENNIAL STATEMENT | 1993-07-01 |
| 930406002078 | 1993-04-06 | BIENNIAL STATEMENT | 1992-07-01 |
| A435393-4 | 1977-10-13 | CERTIFICATE OF AMENDMENT | 1977-10-13 |
| A327407-4 | 1976-07-08 | CERTIFICATE OF INCORPORATION | 1976-07-08 |
Date of last update: 07 Jan 2025
Sources: New York Secretary of State
