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  5. NATALYA GOLTYAPINA MEDICAL, P.C.

NATALYA GOLTYAPINA MEDICAL, P.C.

Company Details

Name: NATALYA GOLTYAPINA MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 Jan 2012 (13 years ago)
Entity Number: 4191037
ZIP code: 11209
County: Kings
Place of Formation: New York
Address: 20 93RD STREET, STE 6A, BROOKLYN, NY, United States, 11209
Principal Address: 20 93RD STREET, BROOKLYN, NY, United States, 11209

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
NATALYA GOLTYAPINA MEDICAL 401(K) PLAN 2023 454331341 2024-05-03 NATALYA GOLTYAPINA MEDICAL, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621111
Plan sponsor’s address 20 93RD STREET, 6A, NEW YORK, NY, 11209

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2024-05-03
Name of individual signing QIAN LIU
NATALYA GOLTYAPINA MEDICAL 401(K) PLAN 2022 454331341 2023-05-26 NATALYA GOLTYAPINA MEDICAL, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621111
Plan sponsor’s address 20 93RD STREET, 6A, NEW YORK, NY, 11209

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2023-05-26
Name of individual signing CHRISTINE RIMER
NATALYA GOLTYAPINA MEDICAL 401(K) PLAN 2021 454331341 2022-05-19 NATALYA GOLTYAPINA MEDICAL, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621111
Plan sponsor’s address 20 93RD STREET, 6A, NEW YORK, NY, 11209

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2022-05-19
Name of individual signing CHRISTINE RIMER
NATALYA GOLTYAPINA MEDICAL 401(K) PLAN 2020 454331341 2021-07-16 NATALYA GOLTYAPINA MEDICAL, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621111
Plan sponsor’s address 20 93RD STREET, 6A, NEW YORK, NY, 11209

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2021-07-15
Name of individual signing CAROL HO
NATALYA GOLTYAPINA MEDICAL 401(K) PLAN 2019 454331341 2020-07-03 NATALYA GOLTYAPINA MEDICAL, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621111
Plan sponsor’s address 20 93RD STREET, 6A, NEW YORK, NY, 11209

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2020-07-02
Name of individual signing CAROL HO
NATALYA GOLTYAPINA MEDICAL 401(K) PLAN 2018 454331341 2019-10-10 NATALYA GOLTYAPINA MEDICAL, P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621111
Plan sponsor’s address 20 93RD STREET, 6A, NEW YORK, NY, 11209

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing CAROL HO
NATALYA GOLTYAPINA MEDICAL 401(K) PLAN 2017 454331341 2018-07-30 NATALYA GOLTYAPINA MEDICAL, P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-10-01
Business code 621111
Plan sponsor’s address 20 93RD STREET, 6A, NEW YORK, NY, 11209

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2018-07-30
Name of individual signing CAROL HO

DOS Process Agent

Name Role Address
NATALYA GOLTYAPINA DOS Process Agent 20 93RD STREET, STE 6A, BROOKLYN, NY, United States, 11209

Chief Executive Officer

Name Role Address
NATALYA GOLTYAPINA Chief Executive Officer 20 93RD STREET STE 6A, BROOKLYN, NY, United States, 11209

Filings

Filing Number Date Filed Type Effective Date
220105003721 2022-01-05 BIENNIAL STATEMENT 2022-01-05
200309060770 2020-03-09 BIENNIAL STATEMENT 2020-01-01
120120000152 2012-01-20 CERTIFICATE OF INCORPORATION 2012-01-20

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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