| Name: | ALFRED J. COSSARI, M.D., P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 29 Apr 1980 (45 years ago) |
| Entity Number: | 624333 |
| ZIP code: | 11776 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | 3 MEDICAL DRIVE, PORT JEFFERSON STA, NY, United States, 11776 |
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 | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALFRED J. COSSARI, M.D., P.C. PROFIT SHARING PLAN | 2010 | 112539341 | 2011-03-16 | ALFRED J. COSSARI, M.D., P.C. | 14 | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 112539341 |
| Plan administrator’s name | ALFRED J. COSSARI, M.D., P.C. |
| Plan administrator’s address | 311 BARNUM AVENUE, PORT JEFFERSON, NY, 11777 |
| Administrator’s telephone number | 6319286400 |
Number of participants as of the end of the plan year
| Active participants | 13 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 13 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2011-02-21 |
| Name of individual signing | ALFRED COSSARI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1981-04-01 |
| Business code | 621320 |
| Sponsor’s telephone number | 6319286400 |
| Plan sponsor’s mailing address | 311 BARNUM AVENUE, PORT JEFFERSON, NY, 11777 |
| Plan sponsor’s address | 311 BARNUM AVENUE, PORT JEFFERSON, NY, 11777 |
Plan administrator’s name and address
| Administrator’s EIN | 112539341 |
| Plan administrator’s name | ALFRED J. COSSARI, M.D., P.C. |
| Plan administrator’s address | 311 BARNUM AVENUE, PORT JEFFERSON, NY, 11777 |
| Administrator’s telephone number | 6319286400 |
Number of participants as of the end of the plan year
| Active participants | 11 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 1 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 12 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-19 |
| Name of individual signing | ALFRED COSSARI |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ALFRED J COSSARI | DOS Process Agent | 3 MEDICAL DRIVE, PORT JEFFERSON STA, NY, United States, 11776 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 1986-08-08 | 1995-04-28 | Name | CHILDREN'S EYE CARE OF LONG ISLAND, P.C. |
| 1985-05-29 | 1986-08-08 | Name | ALFRED J. COSSARI, M.D., P.C. |
| 1980-04-29 | 1985-05-29 | Name | ALFRED J. COSSARI, P.C. |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 950428000111 | 1995-04-28 | CERTIFICATE OF AMENDMENT | 1995-04-28 |
| B388810-4 | 1986-08-08 | CERTIFICATE OF AMENDMENT | 1986-08-08 |
| B231427-4 | 1985-05-29 | CERTIFICATE OF AMENDMENT | 1985-05-29 |
| A664271-4 | 1980-04-29 | CERTIFICATE OF INCORPORATION | 1980-04-29 |
Date of last update: 07 Jan 2025
Sources: New York Secretary of State
