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  5. ANTHONY CAPIZZI M.D. P.C.

ANTHONY CAPIZZI M.D. P.C.

Company Details

Name: ANTHONY CAPIZZI M.D. P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Aug 1988 (37 years ago)
Entity Number: 1282626
ZIP code: 11788
County: Suffolk
Place of Formation: New York
Address: 325 NESCONSET HIGHWAY, HAUPPAUGE, NY, United States, 11788
Principal Address: 786 Montauk Highway, West Islip, NY, United States, 11795

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
CAPIZZI & LEE RETIREMENT PLAN 2012 112626651 2013-10-10 ANTHONY CAPIZZI, M.D., P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6316693700
Plan sponsor’s address 786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795

Signature of
Role Plan administrator
Date 2013-10-10
Name of individual signing ANTHONY CAPIZZI
CAPIZZI, LEE & DURANTE 401(K) PLAN 2012 112626651 2013-10-10 ANTHONY CAPIZZI, M.D., P.C. 13
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6316693700
Plan sponsor’s address 786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795

Signature of
Role Plan administrator
Date 2013-10-10
Name of individual signing ANTHONY CAPIZZI
CAPIZZI & LEE RETIREMENT PLAN 2011 112626651 2012-10-10 ANTHONY CAPIZZI, M.D., P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6316693700
Plan sponsor’s address 786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795

Plan administrator’s name and address
Administrator’s EIN 112626651
Plan administrator’s name ANTHONY CAPIZZI, M.D., P.C.
Plan administrator’s address 786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795
Administrator’s telephone number 6316693700

Signature of
Role Plan administrator
Date 2012-10-09
Name of individual signing ANTHONY CAPIZZI
CAPIZZI, LEE & DURANTE 401(K) PLAN 2011 112626651 2012-10-10 ANTHONY CAPIZZI, M.D., P.C. 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6316693700
Plan sponsor’s address 786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795

Plan administrator’s name and address
Administrator’s EIN 112626651
Plan administrator’s name ANTHONY CAPIZZI, M.D., P.C.
Plan administrator’s address 786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795
Administrator’s telephone number 6316693700

Signature of
Role Plan administrator
Date 2012-10-09
Name of individual signing ANTHONY CAPIZZI
CAPIZZI, LEE & DURANTE 401(K) PLAN 2010 112626651 2011-10-12 ANTHONY CAPIZZI, M.D., P.C. 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6316693700
Plan sponsor’s address 786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795

Plan administrator’s name and address
Administrator’s EIN 112626651
Plan administrator’s name ANTHONY CAPIZZI, M.D., P.C.
Plan administrator’s address 786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795
Administrator’s telephone number 6316693700

Signature of
Role Plan administrator
Date 2011-10-11
Name of individual signing ANTHONY CAPIZZI
CAPIZZI & LEE RETIREMENT PLAN 2010 112626651 2011-10-12 ANTHONY CAPIZZI, M.D., P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6316693700
Plan sponsor’s address 786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795

Plan administrator’s name and address
Administrator’s EIN 112626651
Plan administrator’s name ANTHONY CAPIZZI, M.D., P.C.
Plan administrator’s address 786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795
Administrator’s telephone number 6316693700

Signature of
Role Plan administrator
Date 2011-10-11
Name of individual signing ANTHONY CAPIZZI
CAPIZZI LEE & DURANTE RETIREMENT PLAN 2009 112626651 2010-10-14 ANTHONY CAPIZZI, M.D., P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6316693700
Plan sponsor’s address 786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795

Plan administrator’s name and address
Administrator’s EIN 112626651
Plan administrator’s name ANTHONY CAPIZZI, M.D., P.C.
Plan administrator’s address 786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795
Administrator’s telephone number 6316693700

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing ANTHONY CAPIZZI
CAPIZZI, LEE & DURANTE 401(K) PLAN 2009 112626651 2010-10-14 ANTHONY CAPIZZI, M.D., P.C. 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6316693700
Plan sponsor’s address 786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795

Plan administrator’s name and address
Administrator’s EIN 112626651
Plan administrator’s name ANTHONY CAPIZZI, M.D., P.C.
Plan administrator’s address 786 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795
Administrator’s telephone number 6316693700

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing ANTHONY CAPIZZI

DOS Process Agent

Name Role Address
PETER B. GIERER, ESQ. DOS Process Agent 325 NESCONSET HIGHWAY, HAUPPAUGE, NY, United States, 11788

Chief Executive Officer

Name Role Address
ANTHONY CAPIZZI M.D. Chief Executive Officer 786 MONTAUK HIGHWAY, WEST ISLIP, NY, United States, 11795

Filings

Filing Number Date Filed Type Effective Date
211029000823 2021-10-29 BIENNIAL STATEMENT 2021-10-29
130906000340 2013-09-06 CERTIFICATE OF AMENDMENT 2013-09-06
B670804-4 1988-08-05 CERTIFICATE OF INCORPORATION 1988-08-05

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1868427709 2020-05-01 0235 PPP 786 MONTAUK HWY, W ISLIP, NY, 11795
Loan Status Date 2021-09-29
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 124375
Loan Approval Amount (current) 124375
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address W ISLIP, SUFFOLK, NY, 11795-0001
Project Congressional District NY-02
Number of Employees 1
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 125996.78
Forgiveness Paid Date 2021-08-24

Related by officers

PETER B. GIERER, ESQ.

ALL IN THE FAMILY CARDS & GIFTS, INC. BODY SOLUTIONS OF COMMACK, LLC BODY SOLUTIONS OF WESTBURY, LLC CORNERSTONE ISLIP, LLC DEE LG, INC. DUKE 112 RESTAURANT CORP. JAG MANAGEMENT, LLC FUTURE TRANSPORT INC. CABBAGE PATCH FARMS, INC. BOBBY'S CUSTOM HOMES LTD.

Related by address

325 NESCONSET HIGHWAY, HAUPPAUGE, NY, United States, 11788

BANE RESTAURANT CORP. DIRTBUSTERS INDUSTRIES, INC. DELTA BROKERAGE, INC. SIMPLY NATURAL SOLUTIONS LLC TOWNE HOUSE VILLAGE APTS., L.L.C. SULLIVAN & DERTINGER CORP. NETWORK ELECTRONICS, INC. MARY BOLTON, LTD. J. A. VAN DER WOLF LANDSCAPING, INC.

Date of last update: 16 Mar 2025

Sources: New York Secretary of State

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