| Name: | MID ISLAND PSYCHOLOGY ASSOCIATES, PLLC |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY |
| Status: | Active |
| Date of registration: | 29 Jun 2017 (8 years ago) |
| Entity Number: | 5163109 |
| ZIP code: | 11542 |
| County: | Nassau |
| Place of Formation: | New York |
| Address: | 15 BRANDING IRON LANE, GLEN COVE, NY, United States, 11542 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MID ISLAND PSYCHOLOGY ASSOCIATES, PLLC 401(K) PLAN | 2023 | 822119697 | 2024-10-02 | MID ISLAND PSYCHOLOGY ASSOCIATES, PLLC | 7 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-10-02 |
| Name of individual signing | ALLISON BRECHER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621330 |
| Sponsor’s telephone number | 5167196383 |
| Plan sponsor’s address | 500 N. BROADWAY SUITE 215, JERICHO, NY, 11753 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-12 |
| Name of individual signing | ALLISON BRECHER |
| Name | Role | Address |
|---|---|---|
| CHRISTINE M. NEWMAN | DOS Process Agent | 15 BRANDING IRON LANE, GLEN COVE, NY, United States, 11542 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 170922000006 | 2017-09-22 | CERTIFICATE OF PUBLICATION | 2017-09-22 |
| 170629000626 | 2017-06-29 | ARTICLES OF ORGANIZATION | 2017-06-29 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9782267301 | 2020-05-02 | 0235 | PPP | 500 N BROADWAY STE 215, JERICHO, NY, 11753-2111 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 24 Mar 2025
Sources: New York Secretary of State
