0001144204-11-029420.txt : 20110516 0001144204-11-029420.hdr.sgml : 20110516 20110516094735 ACCESSION NUMBER: 0001144204-11-029420 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 504(b)(1) (not (i), (ii) or (iii)) FILED AS OF DATE: 20110516 DATE AS OF CHANGE: 20110516 EFFECTIVENESS DATE: 20110516 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Queens County IPA, Inc. CENTRAL INDEX KEY: 0001520749 IRS NUMBER: 450645840 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-159859 FILM NUMBER: 11843785 BUSINESS ADDRESS: STREET 1: 112-25 QUEENS BLVD. STREET 2: 4TH FLOOR CITY: FOREST HILLS STATE: NY ZIP: 11375 BUSINESS PHONE: 7182687300 MAIL ADDRESS: STREET 1: 112-25 QUEENS BLVD. STREET 2: 4TH FLOOR CITY: FOREST HILLS STATE: NY ZIP: 11375 D 1 primary_doc.xml X0704 D LIVE 0001520749 Queens County IPA, Inc. 112-25 QUEENS BLVD. 4TH FLOOR FOREST HILLS NY NEW YORK 11375 718-268-7300 NEW YORK None None Corporation true 2010 James Edward Satterfield 86-90 188th Street Hollis NY NEW YORK 11423 Director Executive Officer Jay D. Tartell 39 Arleigh Road Great Neck NY NEW YORK 11021 Director Paul Scott Aaronson 430 East 56th Street Apt. 8-B New York NY NEW YORK 10022 Director Executive Officer Michael Richter 92-15 63rd Drive Rego Park NY NEW YORK 11374 Director Executive Officer Cornelius J. Foley 20 Tain Drive Great Neck NY NEW YORK 11040 Director Louis Joseph Auguste 2035 Lakeville Road Suite 206 New Hyde Park NY NEW YORK 11040 Director Hospitals and Physicians $1 - $1,000,000 04 false 2011-02-08 false true false 2500 100000 50000 50000 true 20 20 0 0 0 false Queens County IPA, Inc. /s/ James E. Satterfield President 2011-05-13