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EXCLUSIVE AMBULETTE SERVICE, INC.

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Company Details

Name: EXCLUSIVE AMBULETTE SERVICE, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 11 Jan 1993 (33 years ago)
Entity Number: 1693220
ZIP code: 11691
County: Richmond
Place of Formation: New York
Address: 440 B. 21 STREET, FAR ROCKAWAY, NY, United States, 11691

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
SUSAN EDELMAN DOS Process Agent 440 B. 21 STREET, FAR ROCKAWAY, NY, United States, 11691

Chief Executive Officer

Name Role Address
SUSAN EDELMAN Chief Executive Officer 440 B. 21 STREET, FAR ROCKAWAY, NY, United States, 11691

Unique Entity ID

CAGE Code:
5S3H0
UEI Expiration Date:
2016-11-12

Business Information

Activation Date:
2015-11-13
Initial Registration Date:
2009-10-26

Commercial and government entity program

CAGE number:
5S3H0
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-03-03
CAGE Expiration:
2021-11-15

Contact Information

POC:
WARREN SCOTT

National Provider Identifier

NPI Number:
1639272297

Authorized Person:

Name:
MR. MICHAEL A. EDELMAN
Role:
VICE PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
343900000X - Non-emergency Medical Transport (VAN)
Is Primary:
Yes

Contacts:

Fax:
7183376544

History

Start date End date Type Value
2024-10-04 2024-11-06 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-05-20 2024-10-04 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-05-09 2024-05-20 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-01-23 2024-05-09 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-11-07 2024-01-23 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
190103060469 2019-01-03 BIENNIAL STATEMENT 2019-01-01
150202006972 2015-02-02 BIENNIAL STATEMENT 2015-01-01
110203003083 2011-02-03 BIENNIAL STATEMENT 2011-01-01
090112002727 2009-01-12 BIENNIAL STATEMENT 2009-01-01
070312002867 2007-03-12 BIENNIAL STATEMENT 2007-01-01

USAspending Awards / Contracts

Procurement Instrument Identifier:
VA24313P0373
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
720000.00
Base And Exercised Options Value:
720000.00
Base And All Options Value:
720000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2013-04-01
Description:
NYHHS AMBULETTE SERVICE IGF::OT::IGF
Naics Code:
485991: SPECIAL NEEDS TRANSPORTATION
Product Or Service Code:
V225: TRANSPORTATION/TRAVEL/RELOCATION- TRAVEL/LODGING/RECRUITMENT: AMBULANCE
Procurement Instrument Identifier:
VA24312C0139
Award Or Idv Flag:
AWARD
Award Type:
DCA
Action Obligation:
718000.00
Base And Exercised Options Value:
718000.00
Base And All Options Value:
718000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2012-04-01
Description:
AMBULETTE SERVICES - 6 MONTHS
Naics Code:
621910: AMBULANCE SERVICES
Product Or Service Code:
V225: TRANSPORTATION/TRAVEL/RELOCATION- TRAVEL/LODGING/RECRUITMENT: AMBULANCE
Procurement Instrument Identifier:
VA243P1131
Award Or Idv Flag:
AWARD
Award Type:
DCA
Action Obligation:
234000.00
Base And Exercised Options Value:
234000.00
Base And All Options Value:
234000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2011-04-01
Description:
INTERIM CONTRACT FOR AMBULETTE SERVICES FOR NY HARBOR 4/1/11 - 9/30/11
Naics Code:
485991: SPECIAL NEEDS TRANSPORTATION
Product Or Service Code:
V225: AMBULANCE SERVICE

USAspending Awards / Financial Assistance

Date:
2021-03-13
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
392640.84
Total Face Value Of Loan:
392640.84
Date:
2020-04-28
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
170000.00
Total Face Value Of Loan:
170000.00

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$170,000
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$170,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$172,100.55
Servicing Lender:
Signature Bank
Use of Proceeds:
Payroll: $170,000
Jobs Reported:
120
Initial Approval Amount:
$392,640.84
Date Approved:
2021-03-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$392,640.84
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$396,825.42
Servicing Lender:
Signature Bank
Use of Proceeds:
Payroll: $392,637.84
Utilities: $1

Motor Carrier Census

Carrier Operation:
Intrastate Non-Hazmat
Add Date:
2019-10-31
Operation Classification:
Priv. Pass. (Business)
power Units:
15
Drivers:
17
Inspections:
0
FMCSA Link:

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Date of last update: 15 Mar 2025

Sources: New York Secretary of State