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MEDHAT F. SAMI, M.D., P.C.

Company Details

Name: MEDHAT F. SAMI, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 04 Nov 1977 (47 years ago)
Date of dissolution: 20 Nov 2014
Entity Number: 454167
ZIP code: 10022
County: Queens
Place of Formation: New York
Address: 575 MADISON AVE., NEW YORK, NY, United States, 10022

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
MEDHAT F. SAMI, M.D., P.C. PROFIT SHARING PLAN 2013 112439086 2014-08-19 MEDHAT F. SAMI, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 5169224760
Plan sponsor’s address 35 FOXHUNT CRESCENT, SYOSSET, NY, 11791

Signature of

Role Plan administrator
Date 2014-08-19
Name of individual signing VIVIANE SAMI
MEDHAT F. SAMI, M.D., P.C. PROFIT SHARING PLAN 2012 112439086 2013-08-23 MEDHAT F. SAMI, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 5169224760
Plan sponsor’s address 35 FOXHUNT CRESCENT, SYOSSET, NY, 11791

Signature of

Role Plan administrator
Date 2013-08-23
Name of individual signing VIVIANE SAMI
MEDHAT F. SAMI, M.D., P.C. PROFIT SHARING PLAN 2011 112439086 2012-09-14 MEDHAT F. SAMI, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 7182780440
Plan sponsor’s address 35 FOXHUNT CRESCENT, SYOSSET, NY, 11791

Plan administrator’s name and address

Administrator’s EIN 112439086
Plan administrator’s name MEDHAT F. SAMI, M.D., P.C.
Plan administrator’s address 35 FOXHUNT CRESCENT, SYOSSET, NY, 11791
Administrator’s telephone number 7182780440

Signature of

Role Plan administrator
Date 2012-09-14
Name of individual signing MEDHAT SAMI
MEDHAT F. SAMI, M.D., P.C. PROFIT SHARING PLAN 2010 112439086 2011-09-22 MEDHAT F. SAMI, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 7182780440
Plan sponsor’s address 35 FOXHUNT CRESCENT, SYOSSET, NY, 11791

Plan administrator’s name and address

Administrator’s EIN 112439086
Plan administrator’s name MEDHAT F. SAMI, M.D., P.C.
Plan administrator’s address 35 FOXHUNT CRESCENT, SYOSSET, NY, 11791
Administrator’s telephone number 7182780440

Signature of

Role Plan administrator
Date 2011-09-22
Name of individual signing MEDHAT SAMI
MEDHAT F. SAMI, M.D., P.C. PROFIT SHARING PLAN 2009 112439086 2010-12-10 MEDHAT F. SAMI, M.D., P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 7182780440
Plan sponsor’s address 35 FOXHUNT CRESCENT, SYOSSET, NY, 11791

Plan administrator’s name and address

Administrator’s EIN 112439086
Plan administrator’s name MEDHAT F. SAMI, M.D., P.C.
Plan administrator’s address 35 FOXHUNT CRESCENT, SYOSSET, NY, 11791
Administrator’s telephone number 7182780440

Signature of

Role Plan administrator
Date 2010-10-13
Name of individual signing ELIZABETH CAPONITI
MEDHAT F. SAMI, M.D., P.C. PROFIT SHARING PLAN 2009 112439086 2010-10-14 MEDHAT F. SAMI, M.D., P.C. 9
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 7182780440
Plan sponsor’s address 35 FOXHUNT CRESCENT, SYOSSET, NY, 11791

Plan administrator’s name and address

Administrator’s EIN 112439086
Plan administrator’s name MEDHAT F. SAMI, M.D., P.C.
Plan administrator’s address 35 FOXHUNT CRESCENT, SYOSSET, NY, 11791
Administrator’s telephone number 7182780440

Signature of

Role Plan administrator
Date 2010-10-13
Name of individual signing ELIZABETH CAPONITI
MEDHAT F. SAMI, M.D., P.C. PROFIT SHARING PLAN 2009 112439086 2010-10-14 MEDHAT F. SAMI, M.D., P.C. 9
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 7182780440
Plan sponsor’s address 35 FOXHUNT CRESCENT, SYOSSET, NY, 11791

Plan administrator’s name and address

Administrator’s EIN 112439086
Plan administrator’s name MEDHAT F. SAMI, M.D., P.C.
Plan administrator’s address 35 FOXHUNT CRESCENT, SYOSSET, NY, 11791
Administrator’s telephone number 7182780440

Signature of

Role Plan administrator
Date 2010-10-13
Name of individual signing ELIZABETH CAPONITI

DOS Process Agent

Name Role Address
%RITTER & RITTER DOS Process Agent 575 MADISON AVE., NEW YORK, NY, United States, 10022

History

Start date End date Type Value
1980-05-27 1982-08-16 Name MEDHAT F. SAMI AND KHALEEQ U. ARSHED, PHYSICIANS, P.C.
1977-11-04 1980-05-27 Name MEDHAT F. SAMI, PHYSICIAN, P.C.

Filings

Filing Number Date Filed Type Effective Date
20160425016 2016-04-25 ASSUMED NAME LLC INITIAL FILING 2016-04-25
141120000126 2014-11-20 CERTIFICATE OF DISSOLUTION 2014-11-20
A894785-4 1982-08-16 CERTIFICATE OF AMENDMENT 1982-08-16
A671214-3 1980-05-27 CERTIFICATE OF AMENDMENT 1980-05-27
A441146-6 1977-11-04 CERTIFICATE OF INCORPORATION 1977-11-04

Date of last update: 07 Jan 2025

Sources: New York Secretary of State