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  5. WILLIAM B. HEAD, JR., M.D., P.C.

WILLIAM B. HEAD, JR., M.D., P.C.

Company Details

Name: WILLIAM B. HEAD, JR., M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 13 Jun 1986 (39 years ago)
Entity Number: 1090519
ZIP code: 10017
County: Richmond
Place of Formation: New York
Address: 475 FIFTH AVE., NEW YORK, NY, United States, 10017

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
DR. WILLIAM HEAD 401(K) PROFIT SHARING PLAN 2023 112812192 2024-04-18 WILLIAM B. HEAD, JR., M.D., P.C. 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-20
Business code 621111
Sponsor’s telephone number 7184485554
Plan sponsor’s address 1100 CLOVE ROAD, SUITE LC, STATEN ISLAND, NY, 10301

Signature of
Role Plan administrator
Date 2024-04-18
Name of individual signing WILLIAM B. HEAD JR
DR. WILLIAM HEAD 401(K) PROFIT SHARING PLAN 2022 112812192 2023-06-26 WILLIAM B. HEAD, JR., M.D., P.C. 16
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-20
Business code 621111
Sponsor’s telephone number 7184485554
Plan sponsor’s address 1100 CLOVE ROAD, SUITE LC, STATEN ISLAND, NY, 10301

Signature of
Role Plan administrator
Date 2023-06-26
Name of individual signing WILLIAM B. HEAD JR
Role Employer/plan sponsor
Date 2023-06-26
Name of individual signing WILLIAM B. HEAD JR
DR. WILLIAM HEAD 401(K) PROFIT SHARING PLAN 2021 112812192 2022-05-02 WILLIAM B. HEAD, JR., M.D., P.C. 17
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-20
Business code 621111
Sponsor’s telephone number 7184485554
Plan sponsor’s address 1100 CLOVE ROAD, SUITE LC, STATEN ISLAND, NY, 10301

Signature of
Role Plan administrator
Date 2022-05-02
Name of individual signing DEBORAH CRESCI
Role Employer/plan sponsor
Date 2022-05-02
Name of individual signing WILLIAM B. HEAD JR
DR. WILLIAM HEAD 401(K) PROFIT SHARING PLAN 2020 112812192 2021-04-29 WILLIAM B. HEAD, JR., M.D., P.C. 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-20
Business code 621111
Sponsor’s telephone number 7184485554
Plan sponsor’s address 1100 CLOVE ROAD, SUITE LC, STATEN ISLAND, NY, 10301

Signature of
Role Plan administrator
Date 2021-04-29
Name of individual signing WILLIAM HEAD JR.
DR. WILLIAM HEAD 401(K) PROFIT SHARING PLAN 2019 112812192 2020-06-11 WILLIAM B. HEAD, JR., M.D., P.C. 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-20
Business code 621111
Sponsor’s telephone number 7184485554
Plan sponsor’s address 1100 CLOVE ROAD, SUITE LC, STATEN ISLAND, NY, 10301

Signature of
Role Plan administrator
Date 2020-06-11
Name of individual signing DEBORAH CRESCI
DR. WILLIAM HEAD 401(K) PROFIT SHARING PLAN 2018 112812192 2019-04-29 WILLIAM B. HEAD, JR., M.D., P.C. 16
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-20
Business code 621111
Sponsor’s telephone number 7184485554
Plan sponsor’s address 1100 CLOVE ROAD, SUITE LC, STATEN ISLAND, NY, 10301

Signature of
Role Plan administrator
Date 2019-04-29
Name of individual signing WILLIAM B. HEAD JR
Role Employer/plan sponsor
Date 2019-04-29
Name of individual signing WILLIAM B. HEAD JR
DR. WILLIAM HEAD 401(K) PROFIT SHARING PLAN 2017 112812192 2018-05-08 WILLIAM B. HEAD, JR., M.D., P.C. 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-20
Business code 621111
Sponsor’s telephone number 7184485554
Plan sponsor’s address 1100 CLOVE ROAD, SUITE LC, STATEN ISLAND, NY, 10301

Signature of
Role Plan administrator
Date 2018-05-08
Name of individual signing WILLIAM HEAD
Role Employer/plan sponsor
Date 2018-05-08
Name of individual signing WILLIAM HEAD
DR. WILLIAM HEAD 401(K) PROFIT SHARING PLAN 2016 112812192 2017-04-27 WILLIAM B. HEAD, JR., M.D., P.C. 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-20
Business code 621111
Sponsor’s telephone number 7184485554
Plan sponsor’s address 1100 CLOVE ROAD, SUITE LC, STATEN ISLAND, NY, 10301

Signature of
Role Plan administrator
Date 2017-04-27
Name of individual signing WILLIAM B. HEAD JR. M.D.
Role Employer/plan sponsor
Date 2017-04-27
Name of individual signing WILLIAM B. HEAD JR. M.D.
DR. WILLIAM HEAD 401(K) PROFIT SHARING PLAN 2015 112812192 2016-05-09 WILLIAM B. HEAD, JR., M.D., P.C. 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-20
Business code 621111
Sponsor’s telephone number 7184485554
Plan sponsor’s address 1100 CLOVE ROAD, SUITE LC, STATEN ISLAND, NY, 10301

Signature of
Role Plan administrator
Date 2016-05-09
Name of individual signing WILLIAM HEAD
Role Employer/plan sponsor
Date 2016-05-09
Name of individual signing WILLIAM HEAD
DR. WILLIAM HEAD 401(K) PROFIT SHARING PLAN 2014 112812192 2015-06-15 WILLIAM B. HEAD, JR., M.D., P.C. 16
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-20
Business code 621111
Sponsor’s telephone number 7184485554
Plan sponsor’s address 1100 CLOVE ROAD, SUITE LC, STATEN ISLAND, NY, 10301

Signature of
Role Plan administrator
Date 2015-06-15
Name of individual signing WILLIAM HEAD

DOS Process Agent

Name Role Address
ROBERT L. BEERMAN, ESQ. DOS Process Agent 475 FIFTH AVE., NEW YORK, NY, United States, 10017

Filings

Filing Number Date Filed Type Effective Date
B370045-5 1986-06-13 CERTIFICATE OF INCORPORATION 1986-06-13

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3090238704 2021-03-30 0202 PPS 1100 Clove Rd Apt Ld, Staten Island, NY, 10301-3632
Loan Status Date 2021-11-05
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 134277.5
Loan Approval Amount (current) 134277.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 89027
Servicing Lender Name Northfield Bank
Servicing Lender Address 581 Main Street, Suite 810, Woodbridge, NJ, 07095
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Staten Island, RICHMOND, NY, 10301-3632
Project Congressional District NY-11
Number of Employees 17
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 89027
Originating Lender Name Northfield Bank
Originating Lender Address Woodbridge, NJ
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 135020.62
Forgiveness Paid Date 2021-10-29
1471997206 2020-04-15 0202 PPP 1100 CLOVE RD, STATEN ISLAND, NY, 10301-3648
Loan Status Date 2021-06-08
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 141140
Loan Approval Amount (current) 141140
Undisbursed Amount 0
Franchise Name -
Lender Location ID 89027
Servicing Lender Name Northfield Bank
Servicing Lender Address 581 Main Street, Suite 810, Woodbridge, NJ, 07095
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address STATEN ISLAND, RICHMOND, NY, 10301-3648
Project Congressional District NY-11
Number of Employees 20
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 122496
Originating Lender Name Northfield Bank
Originating Lender Address NEW YORK CITY, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 142636.47
Forgiveness Paid Date 2021-05-13

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ROBERT L. BEERMAN, ESQ.

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Related by address

475 FIFTH AVE., NEW YORK, NY, United States, 10017

AMERICAN FRIENDS OF MEMORA, INC. AMERICAN HAIR LTD. AREF GIFTS LTD. AUSTIN-WESTERN COMPANY AXTEL REALTY CORP. BRIAN SMITH INC. CAPITAL GAINS REALTY CORP. CARSON, MURPHY & CO., INC. CESCO CONTAINER MFG. CORP. CHARLES W. GAMBLE AND ASSOCIATES, INC.

Date of last update: 16 Mar 2025

Sources: New York Secretary of State

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