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  5. VILLAGE FAMILY PRACTICE, P.C.

VILLAGE FAMILY PRACTICE, P.C.

Company Details

Name: VILLAGE FAMILY PRACTICE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 18 Sep 1995 (30 years ago)
Entity Number: 1957075
ZIP code: 10011
County: New York
Place of Formation: New York
Address: 30 fifth ave, 1E, new york, NY, United States, 10011
Principal Address: 30 FIFTH AVE., #1E, NEW YORK, NY, United States, 10011

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
VILLAGE FAMILY PRACTICE 401(K) PLAN 2022 133851753 2023-10-12 VILLAGE FAMILY PRACTICE P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-07-01
Business code 621111
Sponsor’s telephone number 2124771750
Plan sponsor’s address 30 FIFTH AVENUE, SUITE 1E, NEW YORK, NY, 10011

Signature of
Role Plan administrator
Date 2023-10-12
Name of individual signing JERRY CLEMENTS
Role Employer/plan sponsor
Date 2023-10-12
Name of individual signing JERRY CLEMENTS
VILLAGE FAMILY PRACTICE 401(K) PLAN 2022 133851753 2023-10-12 VILLAGE FAMILY PRACTICE P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-07-01
Business code 621111
Sponsor’s telephone number 2124771750
Plan sponsor’s address 30 FIFTH AVENUE, SUITE 1E, NEW YORK, NY, 10011

Signature of
Role Plan administrator
Date 2023-10-12
Name of individual signing JERRY CLEMENTS
Role Employer/plan sponsor
Date 2023-10-12
Name of individual signing JERRY CLEMENTS
VILLAGE FAMILY PRACTICE 401(K) PLAN 2020 133851753 2021-06-10 VILLAGE FAMILY PRACTICE P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-07-01
Business code 621111
Sponsor’s telephone number 2124771750
Plan sponsor’s address 30 FIFTH AVENUE, SUITE 1E, NEW YORK, NY, 10011

Signature of
Role Plan administrator
Date 2021-06-10
Name of individual signing JERRY CLEMENTS
Role Employer/plan sponsor
Date 2021-06-10
Name of individual signing JERRY CLEMENTS
VILLAGE FAMILY PRACTICE 401(K) PLAN 2018 133851753 2019-09-25 VILLAGE FAMILY PRACTICE P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-07-01
Business code 621111
Sponsor’s telephone number 2124771750
Plan sponsor’s address 30 FIFTH AVENUE, SUITE 1E, NEW YORK, NY, 10011

Signature of
Role Plan administrator
Date 2019-09-25
Name of individual signing JERRY CLEMENTS
Role Employer/plan sponsor
Date 2019-09-25
Name of individual signing JERRY CLEMENTS
VILLAGE FAMILY PRACTICE 401(K) PLAN 2017 133851753 2018-05-28 VILLAGE FAMILY PRACTICE P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-07-01
Business code 621111
Sponsor’s telephone number 2124771750
Plan sponsor’s address 30 FIFTH AVENUE, SUITE 1E, NEW YORK, NY, 10011

Signature of
Role Plan administrator
Date 2018-05-28
Name of individual signing JERRY CLEMENTS
Role Employer/plan sponsor
Date 2018-05-28
Name of individual signing JERRY CLEMENTS

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 30 fifth ave, 1E, new york, NY, United States, 10011

Chief Executive Officer

Name Role Address
JERRY CLEMENTS MD Chief Executive Officer 30 FIFTH AVE, #1E, NEW YORK, NY, United States, 10011

History

Start date End date Type Value
2022-07-27 2022-08-04 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2009-10-02 2013-09-16 Address 30 5TH AVENUE, 1E, NEW YORK, NY, 10011, USA (Type of address: Service of Process)
2009-10-02 2013-09-16 Address 30 FIFTH AVE, 1E, NEW YORK, NY, 10011, USA (Type of address: Chief Executive Officer)
2009-10-02 2013-09-16 Address 30 FIFTH AVE., 1E, NEW YORK, NY, 10011, USA (Type of address: Principal Executive Office)
2001-09-20 2009-10-02 Address 25 FIFTH AVE, NEW YORK, NY, 10003, USA (Type of address: Chief Executive Officer)
1997-10-15 2009-10-02 Address 25 FIFTH AVE., NEW YORK, NY, 10003, USA (Type of address: Principal Executive Office)
1997-10-15 2001-09-20 Address 25 FIFTH AVE., NEW YORK, NY, 10003, USA (Type of address: Chief Executive Officer)
1995-09-18 2009-10-02 Address 25 5TH AVENUE, NEW YORK, NY, 10003, USA (Type of address: Service of Process)
1995-09-18 2022-07-27 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
220804001754 2022-08-04 BIENNIAL STATEMENT 2021-09-01
130916002224 2013-09-16 BIENNIAL STATEMENT 2013-09-01
111004002183 2011-10-04 BIENNIAL STATEMENT 2011-09-01
091002002654 2009-10-02 BIENNIAL STATEMENT 2009-09-01
070924002778 2007-09-24 BIENNIAL STATEMENT 2007-09-01
051103002749 2005-11-03 BIENNIAL STATEMENT 2005-09-01
030925002218 2003-09-25 BIENNIAL STATEMENT 2003-09-01
010920002438 2001-09-20 BIENNIAL STATEMENT 2001-09-01
991005002277 1999-10-05 BIENNIAL STATEMENT 1999-09-01
971015002126 1997-10-15 BIENNIAL STATEMENT 1997-09-01

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
3901205004 Small Business Administration 59.012 - 7(A) LOAN GUARANTEES No data No data TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Recipient VILLAGE FAMILY PRACTICE P.C.
Recipient Name Raw VILLAGE FAMILY PRACTICE P.C.
Recipient DUNS 054358705
Recipient Address 30 FIFTH AVE 1E, NEW YORK, NEW YORK, NEW YORK, 10011-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 1058.00
Face Value of Direct Loan 25000.00
Link View Page

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2386347700 2020-05-01 0202 PPP 30 FIFTH AVE 1E, NEW YORK, NY, 10011
Loan Status Date 2021-04-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 33300
Loan Approval Amount (current) 33300
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 NEW YORK, NEW YORK, NY, 10011-0001
Project Congressional District NY-12
Number of Employees 2
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 33596.43
Forgiveness Paid Date 2021-03-25
9768708400 2021-02-17 0202 PPS 30 5th Ave Apt 1E, New York, NY, 10011-8803
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) 32120
Loan Approval Amount (current) 32120
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 New York, NEW YORK, NY, 10011-8803
Project Congressional District NY-10
Number of Employees 2
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 48270
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address COLUMBUS, OH
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 32334.22
Forgiveness Paid Date 2021-10-22

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Related by address

No related companies by address

Date of last update: 14 Mar 2025

Sources: New York Secretary of State

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