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EDWARD A. GLUCK, M.D. P.C.

Company Details

Name: EDWARD A. GLUCK, M.D. P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 26 Apr 2012 (13 years ago)
Entity Number: 4236706
ZIP code: 11375
County: Queens
Place of Formation: New York
Address: 112-03 QUEENS BLVD STE 206, FOREST HILLS, NY, United States, 11375
Principal Address: 112-03 QUEENS BLVD., FOREST HILLS, NY, United States, 11375

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
EDWARD A. GLUCK, M.D., P.C. RETIREMENT TRUST 2021 112578780 2022-11-28 EDWARD A. GLUCK, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-10-14
Business code 621111
Sponsor’s telephone number 7182633737
Plan sponsor’s address 8 REGENT DR, LAWRENCE, NY, 115591432

Signature of

Role Plan administrator
Date 2022-11-24
Name of individual signing EDWARD GLUCK
Role Employer/plan sponsor
Date 2022-11-24
Name of individual signing EDWARD GLUCK
EDWARD A. GLUCK, M.D., P.C. RETIREMENT TRUST 2020 112578780 2022-01-11 EDWARD A. GLUCK, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-10-14
Business code 621111
Sponsor’s telephone number 7182633737
Plan sponsor’s address 11203 QUEENS BLVD, FLUSHING, NY, 113757473

Signature of

Role Plan administrator
Date 2022-01-10
Name of individual signing EDWARD GLUCK
EDWARD A. GLUCK, M.D., P.C. RETIREMENT TRUST 2019 112578780 2021-02-01 EDWARD A. GLUCK, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-10-14
Business code 621111
Sponsor’s telephone number 7182633737
Plan sponsor’s address 11203 QUEENS BLVD, FLUSHING, NY, 113757473

Signature of

Role Plan administrator
Date 2021-02-01
Name of individual signing EDWARD A. GLUCK
Role Employer/plan sponsor
Date 2021-02-01
Name of individual signing EDWARD A. GLUCK
EDWARD A. GLUCK, M.D., P.C. RETIREMENT TRUST 2018 112578780 2020-02-03 EDWARD A. GLUCK, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-10-14
Business code 621111
Sponsor’s telephone number 7182633737
Plan sponsor’s address 11203 QUEENS BLVD., FLUSHING, NY, 113755554

Signature of

Role Plan administrator
Date 2020-02-02
Name of individual signing EDWARD GLUCK
Role Employer/plan sponsor
Date 2020-02-02
Name of individual signing EDWARD GLUCK
EDWARD A. GLUCK, M.D., P.C. RETIREMENT TRUST 2017 112578780 2019-01-28 EDWARD A. GLUCK, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-10-14
Business code 621111
Sponsor’s telephone number 7182633737
Plan sponsor’s address 11203 QUEENS BLVD., FLUSHING, NY, 113755554

Signature of

Role Plan administrator
Date 2019-01-28
Name of individual signing EDWARD GLUCK
Role Employer/plan sponsor
Date 2019-01-28
Name of individual signing EDWARD GLUCK
EDWARD A. GLUCK, M.D., P.C. RETIREMENT TRUST 2016 112578780 2018-04-12 EDWARD A. GLUCK, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-10-14
Business code 621111
Sponsor’s telephone number 7182633737
Plan sponsor’s address 11203 QUEENS BLVD., FLUSHING, NY, 113755554

Signature of

Role Plan administrator
Date 2018-04-12
Name of individual signing EDWARD GLUCK
Role Employer/plan sponsor
Date 2018-04-12
Name of individual signing EDWARD GLUCK
EDWARD A. GLUCK, M.D., P.C. RETIREMENT TRUST 2015 112578780 2017-02-16 EDWARD A. GLUCK, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-10-14
Business code 621111
Sponsor’s telephone number 7182633737
Plan sponsor’s address 11203 QUEENS BLVD., FLUSHING, NY, 113755554

Signature of

Role Plan administrator
Date 2017-02-15
Name of individual signing EDWARD GLUCK
Role Employer/plan sponsor
Date 2017-02-15
Name of individual signing EDWARD GLUCK
EDWARD A. GLUCK, M.D., P.C. RETIREMENT TRUST 2014 112578780 2016-01-11 EDWARD A. GLUCK, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-10-14
Business code 621111
Sponsor’s telephone number 7182633737
Plan sponsor’s address 11203 QUEENS BLVD., FLUSHING, NY, 113755554

Signature of

Role Plan administrator
Date 2016-01-11
Name of individual signing EDWARD GLUCK
EDWARD A. GLUCK, M.D., P.C. RETIREMENT TRUST 2013 112578780 2015-01-15 EDWARD A. GLUCK, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-10-14
Business code 621111
Sponsor’s telephone number 7182633737
Plan sponsor’s address 11203 QUEENS BLVD., FLUSHING, NY, 113755554

Signature of

Role Plan administrator
Date 2015-01-15
Name of individual signing EDWARD GLUCK
EDWARD A. GLUCK, M.D., P.C. RETIREMENT TRUST 2012 112578780 2014-01-28 EDWARD A. GLUCK, M.D.,P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-10-14
Business code 621111
Sponsor’s telephone number 7182633737
Plan sponsor’s address 11203 QUEENS BLVD., FLUSHING, NY, 113755554

Signature of

Role Plan administrator
Date 2014-01-28
Name of individual signing EDWARD GLUCK

Chief Executive Officer

Name Role Address
EDWARD A. GLUCK Chief Executive Officer 112-03 QUEENS BLVD., FOREST HILLS, NY, United States, 11375

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 112-03 QUEENS BLVD STE 206, FOREST HILLS, NY, United States, 11375

Filings

Filing Number Date Filed Type Effective Date
200413060530 2020-04-13 BIENNIAL STATEMENT 2020-04-01
180412006113 2018-04-12 BIENNIAL STATEMENT 2018-04-01
160415006072 2016-04-15 BIENNIAL STATEMENT 2016-04-01
140408006339 2014-04-08 BIENNIAL STATEMENT 2014-04-01
120426000428 2012-04-26 CERTIFICATE OF INCORPORATION 2012-04-26

Date of last update: 16 Jan 2025

Sources: New York Secretary of State