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  5. GLENN D. ARVAN, M.D., P.C.

GLENN D. ARVAN, M.D., P.C.

Company Details

Name: GLENN D. ARVAN, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Sep 1979 (45 years ago)
Entity Number: 579645
ZIP code: 11702
County: Suffolk
Place of Formation: New York
Address: 661 DEER PARK AVE, SUITE 120, BABYLON, NY, United States, 11702
Principal Address: 400 WEST MAIN ST, SUITE 120, BABYLON, NY, United States, 11702

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
GLENN D. ARVAN, M.D. P.C. DEFINED BENEFIT PLAN 2018 112508004 2019-10-14 GLENN D. ARVAN, M.D. P.C. 17
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6316610202
Plan sponsor’s mailing address 400 W MAIN ST STE 120, BABYLON, NY, 117023009
Plan sponsor’s address 400 W MAIN ST STE 120, BABYLON, NY, 117023009

Number of participants as of the end of the plan year
Active participants 3
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 14
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
GLENN D, ARVAN, M.D., P.C. DEFINED BENEFIT PLAN 2016 112504008 2017-10-13 GLENN D, ARVAN, M.D., P.C. 17
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6316610202
Plan sponsor’s address 400 W. MAIN STREET, BABYLON, NY, 11702
GLENN D. ARVAN, M.D., P.C. DEFINED BENEFIT PLAN 2015 112508004 2016-10-14 GLENN D. ARVAN, M.D., P.C. 17
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6136610202
Plan sponsor’s address 400 WEST MAIN ST, SUITE 120, BABYLON, NY, 117021214
GLENN D, ARVAN, M.D., P.C. DEFINED BENEFIT PLAN 2015 112504008 2017-10-13 GLENN D, ARVAN, M.D., P.C. 17
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6316610202
Plan sponsor’s address 400 W. MAIN STREET, BABYLON, NY, 11702
GLENN D, ARVAN, M.D., P.C. DEFINED BENEFIT PLAN 2014 112504008 2017-10-13 GLENN D, ARVAN, M.D., P.C. 17
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6316610202
Plan sponsor’s address 400 W. MAIN STREET, BABYLON, NY, 11702
GLENN D. ARVAN, M.D., P.C. DEFINED BENEFIT PLAN 2014 112508004 2015-10-12 GLENN D. ARVAN, M.D., P.C. 17
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6136610202
Plan sponsor’s address 400 WEST MAIN ST, SUITE 120, BABYLON, NY, 117021214

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing GLENN D ARVAN
GLENN D. ARVAN, M.D., P.C. DEFINED BENEFIT PLAN 2013 112508004 2014-10-05 GLENN D. ARVAN, M.D., P.C. 17
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6136610202
Plan sponsor’s address 661 DEER PARK AVENUE, BABYLON, NY, 11702
GLENN D. ARVAN, M.D., P.C. DEFINED BENEFIT PLAN 2012 112508004 2013-09-26 GLENN D. ARVAN, M.D., P.C. 17
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6136610202
Plan sponsor’s address 661 DEER PARK AVENUE, BABYLON, NY, 11702

Signature of
Role Plan administrator
Date 2013-09-26
Name of individual signing GLENN D. ARVAN
Role Employer/plan sponsor
Date 2013-09-26
Name of individual signing GLENN D. ARVAN
GLENN D. ARVAN, M.D., P.C. DEFINED BENEFIT PLAN 2011 112508004 2012-09-18 GLENN D. ARVAN, M.D., P.C. 17
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6136610202
Plan sponsor’s address 661 DEER PARK AVENUE, BABYLON, NY, 11702

Plan administrator’s name and address
Administrator’s EIN 112508004
Plan administrator’s name GLENN D. ARVAN, M.D., P.C.
Plan administrator’s address 661 DEER PARK AVENUE, BABYLON, NY, 11702
Administrator’s telephone number 6136610202

Signature of
Role Plan administrator
Date 2012-09-18
Name of individual signing GLENN D. ARVAN
Role Employer/plan sponsor
Date 2012-09-18
Name of individual signing GLENN D. ARVAN
GLENN D. ARVAN, M.D., P.C. DEFINED BENEFIT PLAN 2010 112508004 2011-10-12 GLENN D. ARVAN, M.D., P.C. 17
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6316610202
Plan sponsor’s address 661 DEER PARK AVENUE, BABYLON, NY, 11702

Plan administrator’s name and address
Administrator’s EIN 112508004
Plan administrator’s name GLENN D. ARVAN, M.D., P.C.
Plan administrator’s address 661 DEER PARK AVENUE, BABYLON, NY, 11702
Administrator’s telephone number 6316610202

Signature of
Role Plan administrator
Date 2011-10-12
Name of individual signing GLENN D. ARVAN
Role Employer/plan sponsor
Date 2011-10-12
Name of individual signing GLENN D. ARVAN

Chief Executive Officer

Name Role Address
GLENN D ARVAN, MD Chief Executive Officer 400 WEST MAIN STE, SUITE 120, BABYLON, NY, United States, 11702

DOS Process Agent

Name Role Address
GLENN D ARVAN, MD DOS Process Agent 661 DEER PARK AVE, SUITE 120, BABYLON, NY, United States, 11702

History

Start date End date Type Value
2010-07-13 2013-11-06 Address 661 DEER PARK AVE, BABYLON, NY, 11702, USA (Type of address: Chief Executive Officer)
2010-07-13 2013-11-06 Address 661 DEER PARK AVE, BABYLON, NY, 11702, USA (Type of address: Principal Executive Office)
2010-07-13 2013-11-06 Address 661 DEER PARK AVE, BABYLON, NY, 11702, USA (Type of address: Service of Process)
1979-09-06 2010-07-13 Address 4 SUN HOLLOW COURT, DEER PARK, NY, 11729, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
20191120035 2019-11-20 ASSUMED NAME CORP INITIAL FILING 2019-11-20
131106002105 2013-11-06 BIENNIAL STATEMENT 2013-09-01
111024002067 2011-10-24 BIENNIAL STATEMENT 2011-09-01
100713003069 2010-07-13 BIENNIAL STATEMENT 2009-09-01
A603888-4 1979-09-06 CERTIFICATE OF INCORPORATION 1979-09-06

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 21 Dec 2024

Sources: New York Secretary of State

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