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RONALD A. BALKIN, M.D., P.C.

Company Details

Name: RONALD A. BALKIN, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Aug 1981 (43 years ago)
Entity Number: 715701
ZIP code: 11042
County: Nassau
Place of Formation: New York
Address: 3003 NEW HYDE PARK RD, STE 311, NEW HYDE PARK, NY, United States, 11042

Contact Details

Phone +1 516-327-0500

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
RONALD A. BALKIN, M.D., P.C. RETIREMENT TRUST 2013 112575697 2014-04-21 RONALD A. BALKIN, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1986-08-01
Business code 621320
Sponsor’s telephone number 5163270500
Plan sponsor’s address 3003 NEW HYDE PARK ROAD- SUITE 311, NEW HYDE PARK, NY, 11042

Signature of

Role Plan administrator
Date 2014-04-21
Name of individual signing RONALD A. BALKIN
RONALD A. BALKIN, M.D., P.C. RETIREMENT TRUST 2012 112575697 2013-10-03 RONALD A. BALKIN, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1986-08-01
Business code 621320
Sponsor’s telephone number 5163270500
Plan sponsor’s address 3003 NEW HYDE PARK ROAD- SUITE 311, NEW HYDE PARK, NY, 11042

Signature of

Role Plan administrator
Date 2013-10-03
Name of individual signing RONALD A. BALKIN
RONALD A. BALKIN, M.D., P.C. RETIREMENT TRUST 2011 112575697 2012-10-03 RONALD A. BALKIN, M.D., P.C. 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1986-08-01
Business code 621320
Sponsor’s telephone number 5163270500
Plan sponsor’s address 3003 NEW HYDE PARK ROAD- SUITE 311, NEW HYDE PARK, NY, 11042

Plan administrator’s name and address

Administrator’s EIN 112575697
Plan administrator’s name RONALD A. BALKIN, M.D., P.C.
Plan administrator’s address 3003 NEW HYDE PARK ROAD- SUITE 311, NEW HYDE PARK, NY, 11042
Administrator’s telephone number 5163270500

Signature of

Role Plan administrator
Date 2012-10-03
Name of individual signing RONALD A. BALKIN
RONALD A. BALKIN, M.D., P.C. RETIREMENT TRUST 2010 112575697 2011-05-19 RONALD A. BALKIN, M.D., P.C. 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1986-08-01
Business code 621320
Sponsor’s telephone number 5163270500
Plan sponsor’s address 3003 NEW HYDE PARK ROAD- SUITE 311, NEW HYDE PARK, NY, 11042

Plan administrator’s name and address

Administrator’s EIN 112575697
Plan administrator’s name RONALD A. BALKIN, M.D., P.C.
Plan administrator’s address 3003 NEW HYDE PARK ROAD- SUITE 311, NEW HYDE PARK, NY, 11042
Administrator’s telephone number 5163270500

Signature of

Role Plan administrator
Date 2011-05-19
Name of individual signing RONALD A. BALKIN
RONALD A. BALKIN, M.D., P.C. RETIREMENT TRUST 2009 112575697 2010-08-28 RONALD A. BALKIN, M.D., P.C. 11
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1986-08-01
Business code 621320
Sponsor’s telephone number 5163270500
Plan sponsor’s address 3003 NEW HYDE PARK ROAD- SUITE 311, NEW HYDE PARK, NY, 11042

Plan administrator’s name and address

Administrator’s EIN 112575697
Plan administrator’s name RONALD A. BALKIN, M.D., P.C.
Plan administrator’s address 3003 NEW HYDE PARK ROAD- SUITE 311, NEW HYDE PARK, NY, 11042
Administrator’s telephone number 5163270500

Signature of

Role Plan administrator
Date 2010-08-28
Name of individual signing RONALD A. BALKIN, M.D.

Chief Executive Officer

Name Role Address
RONALD A. BALKIN, M.D. Chief Executive Officer 3003 NEW HYDE PARK ROAD, SUITE 311, NEW HYDE PARK, NY, United States, 11042

DOS Process Agent

Name Role Address
RONALD A. BALKIN, M.D., P.C. DOS Process Agent 3003 NEW HYDE PARK RD, STE 311, NEW HYDE PARK, NY, United States, 11042

History

Start date End date Type Value
2003-08-04 2013-08-19 Address 3003 NEW HYDE PARK RD, NEW HYDE PARK, NY, 11042, USA (Type of address: Service of Process)
1993-10-13 2003-08-04 Address 18 LAKE ROAD, LAKE SUCCESS, NY, 11020, USA (Type of address: Principal Executive Office)
1993-07-28 1993-10-13 Address 18 LAKE ROAD, LAKE SUCCESS, NY, 11020, USA (Type of address: Chief Executive Officer)
1993-07-28 1993-10-13 Address 18 LAKE ROAD, LAKE SUCCESS, NY, 11020, USA (Type of address: Principal Executive Office)
1993-07-28 2003-08-04 Address 18 LAKE ROAD, LAKE SUCCESS, NY, 11020, USA (Type of address: Service of Process)
1981-08-10 1993-07-28 Address 820 HEMPSTEAD TPKE., FRANKLIN SQUARE, NY, 11010, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130819006072 2013-08-19 BIENNIAL STATEMENT 2013-08-01
110830002602 2011-08-30 BIENNIAL STATEMENT 2011-08-01
090824002811 2009-08-24 BIENNIAL STATEMENT 2009-08-01
070821002353 2007-08-21 BIENNIAL STATEMENT 2007-08-01
051021002377 2005-10-21 BIENNIAL STATEMENT 2005-08-01
030804002433 2003-08-04 BIENNIAL STATEMENT 2003-08-01
011002002697 2001-10-02 BIENNIAL STATEMENT 2001-08-01
990914002119 1999-09-14 BIENNIAL STATEMENT 1999-08-01
970829002002 1997-08-29 BIENNIAL STATEMENT 1997-08-01
931013002024 1993-10-13 BIENNIAL STATEMENT 1993-08-01

Date of last update: 07 Jan 2025

Sources: New York Secretary of State