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  5. PRIME CARE MEDICAL SUPPLIES, INC.

PRIME CARE MEDICAL SUPPLIES, INC.

Company Details

Name: PRIME CARE MEDICAL SUPPLIES, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Inactive
Date of registration: 30 Apr 1982 (43 years ago)
Date of dissolution: 22 Nov 2019
Entity Number: 767179
ZIP code: 11742
County: Queens
Place of Formation: New York
Address: 25 CORPORATE DR, HOLTSVILLE, NY, United States, 11742

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
0YTB5 Active Non-Manufacturer 1994-01-31 2024-03-04 No data No data

Contact Information
POC PETER AMICO
Phone +1 631-447-0093
Fax +1 631-447-0148
Address 25 CORPORATE DR, HOLTSVILLE, NY, 11742 2006, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRIME CARE MEDICAL SUPPLIES, INC. 401(K) PROFIT SHARING PLAN 2018 112604359 2019-08-08 PRIME CARE MEDICAL SUPPLIES, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 453990
Sponsor’s telephone number 6314470093
Plan sponsor’s address 20 CORPORATE DRIVE, HOLTSVILLE, NY, 11742

Signature of
Role Plan administrator
Date 2019-08-08
Name of individual signing PETER AMICO
PRIME CARE MEDICAL SUPPLIES, INC. 401(K) PROFIT SHARING PLAN 2017 112604359 2018-09-05 PRIME CARE MEDICAL SUPPLIES, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 453990
Sponsor’s telephone number 6314470093
Plan sponsor’s address 20 CORPORATE DRIVE, HOLTSVILLE, NY, 11742

Signature of
Role Plan administrator
Date 2018-09-05
Name of individual signing PETER AMICO
PRIME CARE MEDICAL SUPPLIES, INC. 401(K) PROFIT SHARING PLAN 2014 112604359 2015-04-20 PRIME CARE MEDICAL SUPPLIES, INC. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 453990
Sponsor’s telephone number 6314470093
Plan sponsor’s address 20 CORPORATE DRIVE, HOLTSAVILLE, NY, 11742

Signature of
Role Plan administrator
Date 2015-04-20
Name of individual signing PETER AMICO
PRIME CARE MEDICAL SUPPLIES, INC. 401(K) PROFIT SHARING PLAN 2013 112604359 2014-04-23 PRIME CARE MEDICAL SUPPLIES, INC. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 453990
Sponsor’s telephone number 6314470093
Plan sponsor’s address 20 CORPORATE DRIVE, HOLTSAVILLE, NY, 11742

Signature of
Role Plan administrator
Date 2014-04-23
Name of individual signing PETER AMICO
PRIME CARE MEDICAL SUPPLIES, INC. 401(K) PROFIT SHARING PLAN 2012 112604359 2013-04-04 PRIME CARE MEDICAL SUPPLIES, INC. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 453990
Sponsor’s telephone number 6314470093
Plan sponsor’s address 20 CORPORATE DRIVE, HOLTSAVILLE, NY, 11742

Signature of
Role Plan administrator
Date 2013-04-04
Name of individual signing MUHAMMAD P. SOOMRO
PRIME CARE MEDICAL SUPPLIES, INC. 401(K) PROFIT SHARING PLAN 2011 112604359 2012-04-26 PRIME CARE MEDICAL SUPPLIES, INC. 45
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 453990
Sponsor’s telephone number 6314470093
Plan sponsor’s address 20 CORPORATE DRIVE, HOLTSAVILLE, NY, 11742

Plan administrator’s name and address
Administrator’s EIN 112604359
Plan administrator’s name PRIME CARE MEDICAL SUPPLIES, INC.
Plan administrator’s address 20 CORPORATE DRIVE, HOLTSAVILLE, NY, 11742
Administrator’s telephone number 6314470093

Signature of
Role Plan administrator
Date 2012-04-25
Name of individual signing PETER AMICO
PRIME CARE MEDICAL SUPPLIES, INC. 401(K) PROFIT SHARING PLAN 2010 112604359 2011-04-11 PRIME CARE MEDICAL SUPPLIES, INC. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 453990
Sponsor’s telephone number 6314470093
Plan sponsor’s address 20 CORPORATE DRIVE, HOLTSAVILLE, NY, 11742

Plan administrator’s name and address
Administrator’s EIN 112604359
Plan administrator’s name PRIME CARE MEDICAL SUPPLIES, INC.
Plan administrator’s address 20 CORPORATE DRIVE, HOLTSAVILLE, NY, 11742
Administrator’s telephone number 6314470093

Signature of
Role Plan administrator
Date 2011-04-11
Name of individual signing PETER AMICO
PRIME CARE MEDICAL SUPPLIES, INC. 401(K) PROFIT SHARING PLAN 2009 112604359 2010-10-10 PRIME CARE MEDICAL SUPPLIES, INC. 43
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 453990
Sponsor’s telephone number 6314470093
Plan sponsor’s address 20 CORPORATE DRIVE, HOLTSAVILLE, NY, 11742

Plan administrator’s name and address
Administrator’s EIN 112604359
Plan administrator’s name PRIME CARE MEDICAL SUPPLIES, INC.
Plan administrator’s address 20 CORPORATE DRIVE, HOLTSAVILLE, NY, 11742
Administrator’s telephone number 6314470093

Signature of
Role Plan administrator
Date 2010-10-10
Name of individual signing PETER AMICO
Role Employer/plan sponsor
Date 2010-10-10
Name of individual signing PETER AMICO
PRIME CARE MEDICAL SUPPLIES, INC. 401(K) PROFIT SHARING PLAN 2009 112604359 2010-10-10 PRIME CARE MEDICAL SUPPLIES, INC. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 453990
Sponsor’s telephone number 6314470093
Plan sponsor’s address 20 CORPORATE DRIVE, HOLTSAVILLE, NY, 11742

Plan administrator’s name and address
Administrator’s EIN 112604359
Plan administrator’s name PRIME CARE MEDICAL SUPPLIES, INC.
Plan administrator’s address 20 CORPORATE DRIVE, HOLTSAVILLE, NY, 11742
Administrator’s telephone number 6314470093

Signature of
Role Plan administrator
Date 2010-10-10
Name of individual signing PETER AMICO
Role Employer/plan sponsor
Date 2010-10-10
Name of individual signing PETER AMICO

DOS Process Agent

Name Role Address
PETER AMICO DOS Process Agent 25 CORPORATE DR, HOLTSVILLE, NY, United States, 11742

Chief Executive Officer

Name Role Address
PETER AMICO Chief Executive Officer 25 CORPORATE DR, HOLTSVILLE, NY, United States, 11742

History

Start date End date Type Value
2000-05-31 2002-04-17 Address 30-68 WHITESTONE EXPWY, FLUSHING, NY, 11354, USA (Type of address: Service of Process)
1995-05-08 2002-04-17 Address 30-68 WHITESTONE EXPWY, FLUSHING, NY, 11354, USA (Type of address: Chief Executive Officer)
1995-05-08 2002-04-17 Address 30-68 WHITESTONE EXPWY, FLUSHING, NY, 11354, USA (Type of address: Principal Executive Office)
1982-04-30 2023-06-02 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1982-04-30 2000-05-31 Address 30-25 34TH ST., ASTORIA, NY, 11103, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
191122000846 2019-11-22 CERTIFICATE OF DISSOLUTION 2019-11-22
160406006289 2016-04-06 BIENNIAL STATEMENT 2016-04-01
140804006751 2014-08-04 BIENNIAL STATEMENT 2014-04-01
120718002575 2012-07-18 BIENNIAL STATEMENT 2012-04-01
100513002826 2010-05-13 BIENNIAL STATEMENT 2010-04-01
080521002608 2008-05-21 BIENNIAL STATEMENT 2008-04-01
060424003004 2006-04-24 BIENNIAL STATEMENT 2006-04-01
040420002164 2004-04-20 BIENNIAL STATEMENT 2004-04-01
020417002508 2002-04-17 BIENNIAL STATEMENT 2002-04-01
000531002751 2000-05-31 BIENNIAL STATEMENT 2000-04-01

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DCA AWARD VA243P0916 2010-07-01 2010-09-30 2014-09-30
Unique Award Key CONT_AWD_VA243P0916_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title TELEHEALTH EQUIPMENT SUPPORT SERVICES
NAICS Code 621999: ALL OTHER MISCELLANEOUS AMBULATORY HEALTH CARE SERVICES
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details
Recipient PRIME CARE MEDICAL SUPPLIES, INC.
UEI SNANMY7H7488
Legacy DUNS 017333006
Recipient Address UNITED STATES, 25 CORPORATE DR, HOLTSVILLE, 117422006
PO AWARD VA632C00277 2010-04-01 2010-06-30 2010-06-30
Unique Award Key CONT_AWD_VA632C00277_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title TELEHEALTH EQUIPMENT SUPPORT SERVICES
NAICS Code 621999: ALL OTHER MISCELLANEOUS AMBULATORY HEALTH CARE SERVICES
Product and Service Codes Q999: OTHER MEDICAL SERVICES

Recipient Details
Recipient PRIME CARE MEDICAL SUPPLIES, INC.
UEI SNANMY7H7488
Legacy DUNS 017333006
Recipient Address UNITED STATES, 25 CORPORATE DR, HOLTSVILLE, 117422006

Related by officers

PETER AMICO

LIFELINE NUTRITIONAL CORP. PRIME CARE ENTERPRISES, INC. PRIME CARE EQUIPMENT MANAGEMENT CORP. PRIME CARE MEDICAL PRODUCTS, INC. MEDALLION HEALTH MANAGEMENT, INC.

Related by address

25 CORPORATE DR, HOLTSVILLE, NY, United States, 11742

PRIME CARE ENTERPRISES, INC. BREATHING AIDS HEALTH CARE PRODUCTS CORP. ALLIED MEDCO, INC. PRIME CARE MEDICAL PRODUCTS, INC.

Date of last update: 20 Dec 2024

Sources: New York Secretary of State

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