LAWRENCE JACOBSON, PH.D, PSYCHOLOGIST, P.C.

Company Details

Name:	LAWRENCE JACOBSON, PH.D, PSYCHOLOGIST, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	22 Mar 1993 (32 years ago)
Entity Number:	1711957
ZIP code:	10003
County:	New York
Place of Formation:	New York
Address:	30 E 20TH ST. SUITE 5F, NEW YORK, NY, United States, 10003
Principal Address:	30 EAST 20TH ST, SUITE 5F, NEW YORK, NY, United States, 10003

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Name	Role	Address
TOM C. KLEIN, C.P.A.	Agent	450 SEVENTH AVENUE, SUITE 1600, NEW YORK, NY, 10123

Name	Role	Address
LAWRENCE JACOBSON, PH.D, PSYCHOLOGIST, P.C.	DOS Process Agent	30 E 20TH ST. SUITE 5F, NEW YORK, NY, United States, 10003

Name	Role	Address
LAWRENCE JACOBSON, PH.D.	Chief Executive Officer	30 EAST 20TH ST, SUITE 5F, NEW YORK, NY, United States, 10003

Start date	End date	Type	Value
2014-12-17	2021-03-09	Address	30 E 20TH ST. SUITE 5F, NEW YORK, NY, 10003, USA (Type of address: Service of Process)
2009-03-19	2017-03-03	Address	412 6TH AVE, SUITE 708, NEW YORK, NY, 10011, USA (Type of address: Principal Executive Office)
2009-03-19	2014-12-17	Address	412 6TH AVE, SUITE 708, NEW YORK, NY, 10011, USA (Type of address: Service of Process)
2009-03-19	2017-03-03	Address	412 6TH AVE, SUITE 708, NEW YORK, NY, 10011, USA (Type of address: Chief Executive Officer)
2001-12-17	2012-01-27	Name	LAWRENCE JACOBSON, PH.D., P.C.
1994-04-11	2009-03-19	Address	14 EAST 4TH STREET, SUITE 608, NEW YORK, NY, 10012, USA (Type of address: Principal Executive Office)
1994-04-11	2009-03-19	Address	14 EAST 4TH STREET, SUITE 608, NEW YORK, NY, 10012, USA (Type of address: Chief Executive Officer)
1993-03-22	2009-03-19	Address	14 EAST 4TH STREET, SUITE 608, NEW YORK, NY, 10012, USA (Type of address: Service of Process)
1993-03-22	2001-12-17	Name	JACOBSON & WAXENBERG, PSYCHOLOGISTS, P.C.

Filing Number	Date Filed	Type	Effective Date
210309060559	2021-03-09	BIENNIAL STATEMENT	2021-03-01
190315060281	2019-03-15	BIENNIAL STATEMENT	2019-03-01
170303006612	2017-03-03	BIENNIAL STATEMENT	2017-03-01
141217000257	2014-12-17	CERTIFICATE OF CHANGE	2014-12-17
130306007268	2013-03-06	BIENNIAL STATEMENT	2013-03-01
120127000017	2012-01-27	CERTIFICATE OF AMENDMENT	2012-01-27
090319002614	2009-03-19	BIENNIAL STATEMENT	2009-03-01
070321002116	2007-03-21	BIENNIAL STATEMENT	2007-03-01
050504002553	2005-05-04	BIENNIAL STATEMENT	2005-03-01
030318002039	2003-03-18	BIENNIAL STATEMENT	2003-03-01
011217000158	2001-12-17	CERTIFICATE OF AMENDMENT	2001-12-17
010327002359	2001-03-27	BIENNIAL STATEMENT	2001-03-01
990312002404	1999-03-12	BIENNIAL STATEMENT	1999-03-01
970228002076	1997-02-28	BIENNIAL STATEMENT	1997-03-01
951107002337	1995-11-07	BIENNIAL STATEMENT	1995-03-01
940411002003	1994-04-11	BIENNIAL STATEMENT	1994-03-01
930322000024	1993-03-22	CERTIFICATE OF INCORPORATION	1993-03-22

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

7546078309

2021-01-28

0202

PPS

115 Henry St Ste 1F, Brooklyn, NY, 11201-2512

Loan Status Date	2021-11-18
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	9500
Loan Approval Amount (current)	9500
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	49274
Servicing Lender Name	Citibank, N.A.
Servicing Lender Address	5800 S. Corporate Place, Sioux Falls, SD, 57108
Rural or Urban Indicator	U
Hubzone	Y
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	Brooklyn, KINGS, NY, 11201-2512
Project Congressional District	NY-10
Number of Employees	1
NAICS code	621330
Borrower Race	White
Borrower Ethnicity	Not Hispanic or Latino
Business Type	Corporation
Originating Lender ID	49274
Originating Lender Name	Citibank, N.A.
Originating Lender Address	Sioux Falls, SD
Gender	Male Owned
Veteran	Non-Veteran
Forgiveness Amount	9564.12
Forgiveness Paid Date	2021-10-06

7002877700

2020-05-01

0202

PPP

30 E 20th St Suite 5F, New York, NY, 10003

Loan Status Date	2021-07-16
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	9500
Loan Approval Amount (current)	9500
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	49274
Servicing Lender Name	Citibank, N.A.
Servicing Lender Address	5800 S. Corporate Place, Sioux Falls, SD, 57108
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	New York, NEW YORK, NY, 10003-0001
Project Congressional District	NY-10
Number of Employees	1
NAICS code	621330
Borrower Race	White
Borrower Ethnicity	Not Hispanic or Latino
Business Type	Corporation
Originating Lender ID	49274
Originating Lender Name	Citibank, N.A.
Originating Lender Address	Sioux Falls, SD
Gender	Female Owned
Veteran	Unanswered
Forgiveness Amount	9604.24
Forgiveness Paid Date	2021-06-10

Date of last update: 15 Mar 2025