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STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION

Company Details

Name: STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 25 Feb 1981 (44 years ago)
Entity Number: 681649
ZIP code: 11794
County: Suffolk
Place of Formation: New York
Address: HEALTH SCIENCES CTR L5 RM 048, STONY BROOK UNIVERSITY, STONY BROOK, NY, United States, 11794

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
STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION 401(K) PLAN 2010 112558775 2011-07-22 STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION 55
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-02-15
Business code 621111
Sponsor’s telephone number 6314442448
Plan sponsor’s mailing address SUNY/MEDICINE/FINANCE Z 8164, STONY BROOK, NY, 11794
Plan sponsor’s address SUNY/MEDICINE/FINANCE Z 8164, STONY BROOK, NY, 11794

Plan administrator’s name and address

Administrator’s EIN 112558775
Plan administrator’s name STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION
Plan administrator’s address SUNY/MEDICINE/FINANCE Z 8164, STONY BROOK, NY, 11794
Administrator’s telephone number 6314442448

Number of participants as of the end of the plan year

Active participants 0
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 0
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 2011-06-07
Name of individual signing MARGARET PARKER
Valid signature Filed with authorized/valid electronic signature
STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION RETIREMENT PLAN 2010 112558775 2011-07-22 STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-02-15
Business code 621111
Sponsor’s telephone number 6314442448
Plan sponsor’s mailing address SUNY/MEDICINE/FINANCE Z 8164, STONY BROOK, NY, 11794
Plan sponsor’s address SUNY/MEDICINE/FINANCE Z 8164, STONY BROOK, NY, 11794

Plan administrator’s name and address

Administrator’s EIN 112558775
Plan administrator’s name STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION
Plan administrator’s address SUNY/MEDICINE/FINANCE Z 8164, STONY BROOK, NY, 11794
Administrator’s telephone number 6314442448

Number of participants as of the end of the plan year

Active participants 0
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 0
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 2011-06-07
Name of individual signing MARGARET PARKER
Valid signature Filed with authorized/valid electronic signature
STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION 401(K) PLAN 2009 112558775 2011-04-05 STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION 112
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-02-15
Business code 621111
Sponsor’s telephone number 6314442448
Plan sponsor’s mailing address SUNY/MEDICINE/FINANCE Z 8164, STONY BROOK, NY, 11794
Plan sponsor’s address SUNY/MEDICINE/FINANCE Z 8164, STONY BROOK, NY, 11794

Plan administrator’s name and address

Administrator’s EIN 112558775
Plan administrator’s name STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION
Plan administrator’s address SUNY/MEDICINE/FINANCE Z 8164, STONY BROOK, NY, 11794
Administrator’s telephone number 6314442448

Number of participants as of the end of the plan year

Active participants 48
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 7
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 40
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 2011-04-05
Name of individual signing MARGARET PARKER
Valid signature Filed with authorized/valid electronic signature
STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION RETIREMENT PLAN 2009 112558775 2011-04-05 STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION 125
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-02-15
Business code 621111
Sponsor’s telephone number 6314442448
Plan sponsor’s mailing address SUNY/MEDICINE/FINANCE Z 8164, STONY BROOK, NY, 11794
Plan sponsor’s address SUNY/MEDICINE/FINANCE Z 8164, STONY BROOK, NY, 11794

Plan administrator’s name and address

Administrator’s EIN 112558775
Plan administrator’s name STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION
Plan administrator’s address SUNY/MEDICINE/FINANCE Z 8164, STONY BROOK, NY, 11794
Administrator’s telephone number 6314442448

Number of participants as of the end of the plan year

Active participants 48
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 17
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 65
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 2011-04-05
Name of individual signing MARGARET PARKER
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
STONY BROOK INTERNISTS, UFPC / CLINICAL PRACTICE MGMT PLAN DOS Process Agent HEALTH SCIENCES CTR L5 RM 048, STONY BROOK UNIVERSITY, STONY BROOK, NY, United States, 11794

History

Start date End date Type Value
2024-06-27 2024-12-07 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-06-15 2024-06-27 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-06-14 2023-06-15 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2022-09-24 2023-06-14 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1994-03-16 2006-06-23 Address HSC T-16, ROOM 020, STONY BROOK, NY, 11794, USA (Type of address: Service of Process)
1981-02-25 2022-09-24 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1981-02-25 1994-03-16 Address STONY BROOK,, T 16 ROOM 080, STONY BROOK, NY, 11794, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
060623000760 2006-06-23 CERTIFICATE OF REINCORPORATION 2006-06-23
050524002310 2005-05-24 BIENNIAL STATEMENT 2005-02-01
030318002835 2003-03-18 BIENNIAL STATEMENT 2003-02-01
010403002345 2001-04-03 BIENNIAL STATEMENT 2001-02-01
990308002418 1999-03-08 BIENNIAL STATEMENT 1999-02-01
970402002269 1997-04-02 BIENNIAL STATEMENT 1997-02-01
940316002794 1994-03-16 BIENNIAL STATEMENT 1994-02-01
A742136-6 1981-02-25 CERTIFICATE OF INCORPORATION 1981-02-25

Date of last update: 17 Mar 2025

Sources: New York Secretary of State