PECONIC FAMILY MEDICINE P.C.

Company Details

Name:	PECONIC FAMILY MEDICINE P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	15 Dec 1993 (31 years ago)
Entity Number:	1779923
ZIP code:	11959
County:	Suffolk
Place of Formation:	New York
Address:	PO BOX 1555, 33 MONTAUK HWY, QUOQUE, NY, United States, 11959
Principal Address:	PO BOX 1555, 33 MONTAUK HWY, QUOGUE, NY, United States, 11959

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Name	Role	Address
LEWIS ANREDER	Chief Executive Officer	PO BOX 1555, 33 MONTAUK HWY, QUOQUE, NY, United States, 11954

Name	Role	Address
THE CORPORATION	DOS Process Agent	PO BOX 1555, 33 MONTAUK HWY, QUOQUE, NY, United States, 11959

Start date	End date	Type	Value
1996-05-24	2000-02-10	Address	106 OCEAN VIEW PKWY, SOUTHAMPTON, NY, 11968, USA (Type of address: Chief Executive Officer)
1996-05-24	2000-02-10	Address	33 MONTAUK HWY, QUOGUE, NY, 11959, USA (Type of address: Principal Executive Office)
1994-02-18	1997-03-13	Name	LEWIS ANREDER, M.D.,P.C.
1993-12-15	1994-02-18	Name	LEWIS ANDREDER, M.D., P.C.
1993-12-15	2000-02-10	Address	106 OCEAN VIEW PARKWAY, SOUTHAMPTON, NY, 11968, USA (Type of address: Service of Process)

Filing Number	Date Filed	Type	Effective Date
140117002030	2014-01-17	BIENNIAL STATEMENT	2013-12-01
120124002370	2012-01-24	BIENNIAL STATEMENT	2011-12-01
100105002334	2010-01-05	BIENNIAL STATEMENT	2009-12-01
080125002851	2008-01-25	BIENNIAL STATEMENT	2007-12-01
060130003149	2006-01-30	BIENNIAL STATEMENT	2005-12-01
031216002136	2003-12-16	BIENNIAL STATEMENT	2003-12-01
000210002857	2000-02-10	BIENNIAL STATEMENT	1999-12-01
970313000252	1997-03-13	CERTIFICATE OF AMENDMENT	1997-03-13
960524002109	1996-05-24	BIENNIAL STATEMENT	1995-12-01
940218000295	1994-02-18	CERTIFICATE OF AMENDMENT	1994-02-18
931215000207	1993-12-15	CERTIFICATE OF INCORPORATION	1993-12-15

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

6073717200

2020-04-27

0235

PPP

33 Montauk Highway, QUOGUE, NY, 11959-0001

Loan Status Date	2021-11-20
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	101200
Loan Approval Amount (current)	101200
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	46104
Servicing Lender Name	Dime Community Bank
Servicing Lender Address	2200 Montauk Hwy, BRIDGEHAMPTON, NY, 11932
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	QUOGUE, SUFFOLK, NY, 11959-0001
Project Congressional District	NY-01
Number of Employees	9
NAICS code	621111
Borrower Race	White
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	46104
Originating Lender Name	Dime Community Bank
Originating Lender Address	BRIDGEHAMPTON, NY
Gender	Male Owned
Veteran	Non-Veteran
Forgiveness Amount	102304.77
Forgiveness Paid Date	2021-06-02

Date of last update: 15 Mar 2025