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COMMUNITY PEDIATRICIAN, PLLC

Company Details

Name: COMMUNITY PEDIATRICIAN, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 26 Feb 2013 (12 years ago)
Entity Number: 4365317
ZIP code: 11375
County: Queens
Place of Formation: New York
Address: 105-25 67TH Road - Apt 3B, FOREST HILLS, NY, United States, 11375

Contact Details

Phone +1 718-205-6160

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COMMUNITY PEDIATRICIAN, PLLC DEFINED BENEFIT PLAN 2023 462140710 2024-09-25 COMMUNITY PEDIATRICIAN, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7182056160
Plan sponsor’s address 5314 ROOSEVELT AVENUE, 2ND FLOOR, WOODSIDE, NY, 11377
COMMUNITY PEDIATRICIAN PLLC 401K 2023 462140710 2024-07-21 COMMUNITY PEDIATRICIAN PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-10-01
Business code 621111
Sponsor’s telephone number 7184900278
Plan sponsor’s address 10525 67TH RD, APT 3B, FOREST HILLS, NY, 11375

Signature of

Role Plan administrator
Date 2024-07-21
Name of individual signing ANCA BARBULESCU
COMMUNITY PEDIATRICIAN, PLLC DEFINED BENEFIT PLAN 2022 462140710 2023-04-10 COMMUNITY PEDIATRICIAN, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7182056160
Plan sponsor’s address 5314 ROOSEVELT AVENUE, 2ND FLOOR, WOODSIDE, NY, 11377

Signature of

Role Plan administrator
Date 2023-04-10
Name of individual signing ANCA BARBULESCU
COMMUNITY PEDIATRICIAN, PLLC DEFINED BENEFIT PLAN 2021 462140710 2022-05-02 COMMUNITY PEDIATRICIAN, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7182056160
Plan sponsor’s address 5314 ROOSEVELT AVENUE, 2ND FLOOR, WOODSIDE, NY, 11377

Signature of

Role Plan administrator
Date 2022-05-02
Name of individual signing ANCA BARBULESCU
COMMUNITY PEDIATRICIAN, PLLC DEFINED BENEFIT PLAN 2020 462140710 2021-07-28 COMMUNITY PEDIATRICIAN, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7182056160
Plan sponsor’s address 5314 ROOSEVELT AVENUE, 2ND FLOOR, WOODSIDE, NY, 11377

Signature of

Role Plan administrator
Date 2021-07-28
Name of individual signing ANCA BARBULESCU
COMMUNITY PEDIATRICIAN, PLLC DEFINED BENEFIT PLAN 2019 462140710 2020-04-16 COMMUNITY PEDIATRICIAN, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7182056160
Plan sponsor’s address 5314 ROOSEVELT AVENUE, 2ND FLOOR, WOODSIDE, NY, 11377

Signature of

Role Plan administrator
Date 2020-04-16
Name of individual signing ANCA BARBULESCU
COMMUNITY PEDIATRICIAN, PLLC DEFINED BENEFIT PLAN 2018 462140710 2019-04-06 COMMUNITY PEDIATRICIAN, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7182056160
Plan sponsor’s address 5314 ROOSEVELT AVENUE, 2ND FLOOR, WOODSIDE, NY, 11377

Signature of

Role Plan administrator
Date 2019-04-06
Name of individual signing ANCA BARBULESCU
COMMUNITY PEDIATRICIAN, PLLC DEFINED BENEFIT PLAN 2017 462140710 2018-03-25 COMMUNITY PEDIATRICIAN, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7182056160
Plan sponsor’s address 5314 ROOSEVELT AVENUE, 2ND FLOOR, WOODSIDE, NY, 11377

Signature of

Role Plan administrator
Date 2018-03-25
Name of individual signing ANCA BARBULESCU
COMMUNITY PEDIATRICIAN, PLLC DEFINED BENEFIT PLAN 2016 462140710 2017-05-29 COMMUNITY PEDIATRICIAN, PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7182056160
Plan sponsor’s address 5314 ROOSEVELT AVENUE, 2ND FLOOR, WOODSIDE, NY, 11377

Signature of

Role Plan administrator
Date 2017-05-29
Name of individual signing ANCA BARBULESCU

DOS Process Agent

Name Role Address
ANCA BARBULESCU DOS Process Agent 105-25 67TH Road - Apt 3B, FOREST HILLS, NY, United States, 11375

History

Start date End date Type Value
2017-02-03 2024-07-13 Address 105-25 67TH RD., APT. 3B, FOREST HILLS, NY, 11375, USA (Type of address: Service of Process)
2013-02-26 2017-02-03 Address 105-25 67TH RD., APT. 3B, FOREST HILLS, NY, 11375, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240713000110 2024-07-13 BIENNIAL STATEMENT 2024-07-13
170203006197 2017-02-03 BIENNIAL STATEMENT 2017-02-01
150518006175 2015-05-18 BIENNIAL STATEMENT 2015-02-01
130711000781 2013-07-11 CERTIFICATE OF PUBLICATION 2013-07-11
130226000140 2013-02-26 ARTICLES OF ORGANIZATION 2013-02-26

Date of last update: 15 Jan 2025

Sources: New York Secretary of State