DOUGLAS R. PHILLIPS, M.D., P.C.

Company Details

Name:	DOUGLAS R. PHILLIPS, M.D., P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	28 Sep 1993 (32 years ago)
Entity Number:	1760048
ZIP code:	11710
County:	Nassau
Place of Formation:	New York
Address:	2428 MERRICK RD, BELLMORE, NY, United States, 11710

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Name	Role	Address
DOUGLAS R PHILLIPS	DOS Process Agent	2428 MERRICK RD, BELLMORE, NY, United States, 11710

Name	Role	Address
DOUGLAS R PHILLIPS MD	Chief Executive Officer	2428 MERRICK RD, BELLMORE, NY, United States, 11710

Start date	End date	Type	Value
2001-09-13	2011-10-14	Address	123 MAPLE AVE, CEDARHURST, NY, 11516, USA (Type of address: Principal Executive Office)
2001-09-13	2011-10-14	Address	123 MAPLE AVE, CEDARHURST, NY, 11516, USA (Type of address: Chief Executive Officer)
1997-09-22	2001-09-13	Address	123 MAPLE AVENUE, CEDARHURST, NY, 11516, USA (Type of address: Principal Executive Office)
1997-09-22	2011-10-14	Address	123 MAPLE AVENUE, CEDARHURST, NY, 11516, USA (Type of address: Service of Process)
1997-09-22	2001-09-13	Address	123 MAPLE AVENUE, CEDARHURST, NY, 11516, USA (Type of address: Chief Executive Officer)
1995-10-04	1997-09-22	Address	123 MAPLE AVE, CEDARHURST, NY, 11516, USA (Type of address: Principal Executive Office)
1995-10-04	1997-09-22	Address	123 MAPLE AVE, CEDARHURST, NY, 11516, USA (Type of address: Service of Process)
1995-10-04	1997-09-22	Address	123 MAPLE AVE, CEDARHURST, NY, 11516, USA (Type of address: Chief Executive Officer)
1993-09-28	1995-10-04	Address	1621 JAMES STREET, MERRICK, NY, 11566, USA (Type of address: Service of Process)

Filing Number	Date Filed	Type	Effective Date
190903060782	2019-09-03	BIENNIAL STATEMENT	2019-09-01
150917006075	2015-09-17	BIENNIAL STATEMENT	2015-09-01
130923006039	2013-09-23	BIENNIAL STATEMENT	2013-09-01
111014002923	2011-10-14	BIENNIAL STATEMENT	2011-09-01
090917002391	2009-09-17	BIENNIAL STATEMENT	2009-09-01
070910002794	2007-09-10	BIENNIAL STATEMENT	2007-09-01
051102002466	2005-11-02	BIENNIAL STATEMENT	2005-09-01
030917002066	2003-09-17	BIENNIAL STATEMENT	2003-09-01
010913002563	2001-09-13	BIENNIAL STATEMENT	2001-09-01
990930002357	1999-09-30	BIENNIAL STATEMENT	1999-09-01
970922002126	1997-09-22	BIENNIAL STATEMENT	1997-09-01
951004002258	1995-10-04	BIENNIAL STATEMENT	1995-09-01
930928000282	1993-09-28	CERTIFICATE OF INCORPORATION	1993-09-28

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

8921428500

2021-03-10

0235

PPS

2428 Merrick Rd, Bellmore, NY, 11710-5745

Loan Status Date	2022-07-02
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	24000
Loan Approval Amount (current)	24000
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	60701
Servicing Lender Name	Fulton Bank, National Association
Servicing Lender Address	One Penn Sq, LANCASTER, PA, 17602-2853
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	Bellmore, NASSAU, NY, 11710-5745
Project Congressional District	NY-04
Number of Employees	2
NAICS code	621111
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	112477
Originating Lender Name	Fulton Bank National Association
Originating Lender Address	Philadelphia, PA
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	24288.66
Forgiveness Paid Date	2022-06-07

Date of last update: 15 Mar 2025