| Name: | A KLEIN LCSW PSYCHOTHERAPY, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 26 Feb 2019 (6 years ago) |
| Entity Number: | 5501824 |
| ZIP code: | 12561 |
| County: | New York |
| Place of Formation: | New York |
| Address: | 8 Bridge Creek Road, New Paltz, NY, United States, 12561 |
| Principal Address: | 225 Broadway, Suite 1570, New York, NY, United States, 10007 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A KLEIN LCSW PSYCHOTHERAPY 401(K) PLAN | 2023 | 833785473 | 2024-05-17 | A KLEIN LCSW PSYCHOTHERAPY, P.C. | 16 | |||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||
| 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 | 2024-05-17 |
| Name of individual signing | QIAN LIU |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621420 |
| Sponsor’s telephone number | 9176287710 |
| Plan sponsor’s address | 225 BROADWAY, SUITE 1570, NEW YORK, NY, 10007 |
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 | 2023-05-27 |
| Name of individual signing | CHRISTINE RIMER |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621420 |
| Sponsor’s telephone number | 9176287710 |
| Plan sponsor’s address | 225 BROADWAY, SUITE 1570, NEW YORK, NY, 10007 |
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 | 2022-06-01 |
| Name of individual signing | CHRISTINE RIMER |
| Name | Role | Address |
|---|---|---|
| A KLEIN LCSW PSYCHOTHERAPY, P.C. | DOS Process Agent | 8 Bridge Creek Road, New Paltz, NY, United States, 12561 |
| Name | Role | Address |
|---|---|---|
| AVI KLEIN | Chief Executive Officer | 225 BROADWAY, SUITE 1570, NEW YORK, NY, United States, 10007 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2025-02-04 | 2025-02-04 | Address | 225 BROADWAY, SUITE 1570, NEW YORK, NY, 10007, USA (Type of address: Chief Executive Officer) |
| 2020-10-14 | 2025-02-04 | Address | 225 BROADWAY, SUITE #1570, NEW YORK, NY, 10007, USA (Type of address: Service of Process) |
| 2019-02-26 | 2020-10-14 | Address | 2 WEST 16TH STREET,, # GFC, NEW YORK, NY, 10011, USA (Type of address: Service of Process) |
| 2019-02-26 | 2025-02-04 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 250204000713 | 2025-02-04 | BIENNIAL STATEMENT | 2025-02-04 |
| 230206003942 | 2023-02-06 | BIENNIAL STATEMENT | 2023-02-01 |
| 211213000289 | 2021-12-13 | BIENNIAL STATEMENT | 2021-12-13 |
| 201014000057 | 2020-10-14 | CERTIFICATE OF CHANGE | 2020-10-14 |
| 190226000464 | 2019-02-26 | CERTIFICATE OF INCORPORATION | 2019-02-26 |
Date of last update: 23 Mar 2025
Sources: New York Secretary of State
