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  5. GARDEN STATE PAIN MANAGEMENT, P.A.

GARDEN STATE PAIN MANAGEMENT, P.A.

Company Details

Name: GARDEN STATE PAIN MANAGEMENT, P.A.
Jurisdiction: New York
Legal type: FOREIGN PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 07 Apr 2011 (14 years ago)
Entity Number: 4078282
ZIP code: 10514
County: Westchester
Place of Formation: New Jersey
Address: 480 BEDFORD ROAD, SUITE 4202, CHAPPAQUA, NY, United States, 10514
Principal Address: 80 RIVERSIDE BLVD, APT 11L, NEW YORK, NY, United States, 10069

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GARDEN STATE PAIN MANAGEMENT, P.A. 401(K) PLAN 2022 320041247 2024-07-15 GARDEN STATE PAIN MANAGEMENT, P.A. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 5162221220
Plan sponsor’s address 585 STEWART AVENUE, SUITE 414, GARDEN CITY, NY, 11530
GARDEN STATE PAIN MANAGEMENT, P.A. 401(K) PLAN 2021 320041247 2023-07-11 GARDEN STATE PAIN MANAGEMENT, P.A. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 5162221220
Plan sponsor’s address 585 STEWART AVENUE, SUITE 414, LIZZUL ORGERA WEIHS, GARDEN CITY, NY, 11530
GARDEN STATE PAIN MANAGEMENT, P.A. 401(K) PLAN 2020 320041247 2022-07-12 GARDEN STATE PAIN MANAGEMENT, P.A. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 5162221220
Plan sponsor’s address 585 STEWART AVENUE, SUITE 414, GARDEN CITY, NY, 11530
GARDEN STATE PAIN MANAGEMENT, P.A. 401(K) PLAN 2019 320041247 2021-06-17 GARDEN STATE PAIN MANAGEMENT, P.A. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 9146668866
Plan sponsor’s address 480 BEDFORD ROAD- SUITE 4202, CHAPPAQUA, NY, 10514

Signature of
Role Plan administrator
Date 2021-06-17
Name of individual signing TODD KOPPEL
GARDEN STATE PAIN MANAGEMENT, P.A. 401(K) PLAN 2018 320041247 2020-07-14 GARDEN STATE PAIN MANAGEMENT, P.A. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 9146668866
Plan sponsor’s address 480 BEDFORD ROAD- SUITE 4202, CHAPPAQUA, NY, 10514

Signature of
Role Plan administrator
Date 2020-07-14
Name of individual signing TODD KOPPEL
GARDEN STATE PAIN MANAGEMENT, P.A. 401K PLAN 2017 320041247 2019-07-15 GARDEN STATE PAIN MANAGEMENT, P.A. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 9146668866
Plan sponsor’s address 118 NO BEDFORD ROAD, STE 200, MT KISCO, NY, 10549

Signature of
Role Plan administrator
Date 2019-07-15
Name of individual signing TODD S KOPPEL, MD
GARDEN STATE PAIN MANAGEMENT, P.A. PENSION PLAN 2016 320041247 2018-04-25 GARDEN STATE PAIN MANAGEMENT, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 9146668866
Plan sponsor’s address 118 NO BEDFORD ROAD, STE 200, MT KISCO, NY, 10549

Signature of
Role Plan administrator
Date 2018-04-25
Name of individual signing TODD S KOPPEL, MD
GARDEN STATE PAIN MANAGEMENT, P.A. 401K PLAN 2016 320041247 2018-07-11 GARDEN STATE PAIN MANAGEMENT, P.A. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 9146668866
Plan sponsor’s address 118 NO BEDFORD ROAD, STE 200, MT KISCO, NY, 10549

Signature of
Role Plan administrator
Date 2018-07-11
Name of individual signing TODD S KOPPEL, MD
GARDEN STATE PAIN MANAGEMENT, P.A. 401K PLAN 2015 320041247 2017-07-06 GARDEN STATE PAIN MANAGEMENT, P.A. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 9146668866
Plan sponsor’s address 118 NO BEDFORD ROAD, STE 200, MT KISCO, NY, 10549

Signature of
Role Plan administrator
Date 2017-07-06
Name of individual signing TODD S KOPPEL, MD
GARDEN STATE PAIN MANAGEMENT, P.A. PENSION PLAN 2015 320041247 2017-05-11 GARDEN STATE PAIN MANAGEMENT, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 9146668866
Plan sponsor’s address 118 NO BEDFORD ROAD, STE 200, MT KISCO, NY, 10549

Signature of
Role Plan administrator
Date 2017-05-11
Name of individual signing TODD S KOPPEL, MD

DOS Process Agent

Name Role Address
GARDEN STATE PAIN MANAGEMENT, P.A. DOS Process Agent 480 BEDFORD ROAD, SUITE 4202, CHAPPAQUA, NY, United States, 10514

Chief Executive Officer

Name Role Address
TODD KOPPEL, MD Chief Executive Officer 480 BEDFORD ROAD, SUITE 4202, CHAPPAQUA, NY, United States, 10541

History

Start date End date Type Value
2013-04-15 2021-04-06 Address 118 NORTH BEDFORD ROAD, SUITE 200, MOUNT KISCO, NY, 10549, USA (Type of address: Chief Executive Officer)
2011-04-07 2021-04-06 Address 118 NORTH BEDFORD RD. STE 200, MOUNT KISCO, NY, 10549, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210406060873 2021-04-06 BIENNIAL STATEMENT 2021-04-01
190425060070 2019-04-25 BIENNIAL STATEMENT 2019-04-01
170411006118 2017-04-11 BIENNIAL STATEMENT 2017-04-01
150421006212 2015-04-21 BIENNIAL STATEMENT 2015-04-01
130415006592 2013-04-15 BIENNIAL STATEMENT 2013-04-01
110407000089 2011-04-07 APPLICATION OF AUTHORITY 2011-04-07

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: New York Secretary of State

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