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  5. MITCHELL J. MANDEL, M.D. P.C.

MITCHELL J. MANDEL, M.D. P.C.

Company Details

Name: MITCHELL J. MANDEL, M.D. P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Oct 1995 (29 years ago)
Entity Number: 1963356
ZIP code: 11946
County: New York
Place of Formation: New York
Address: 19 Lighthouse Road, Hampton Bays, NY, United States, 11946
Principal Address: 1 POLO DRIVE, OLD WESTBURY, NY, United States, 11568

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
MITCHELL J. MANDEL, M.D., P.C. 401(K) PLAN 2023 133842292 2024-05-07 MITCHELL J. MANDEL, M.D., P.C. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2125709595
Plan sponsor’s address 116 E 68TH ST, 1C, NEW YORK, NY, 10065

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2024-05-07
Name of individual signing QIAN LIU
MITCHELL J. MANDEL, M.D., P.C. 401(K) PLAN 2022 133842292 2023-05-26 MITCHELL J. MANDEL, M.D., P.C. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2125709595
Plan sponsor’s address 116 E 68TH ST, 1C, NEW YORK, NY, 10065

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2023-05-26
Name of individual signing CHRISTINE RIMER
MITCHELL J. MANDEL, M.D., P.C. 401(K) PLAN 2021 133842292 2022-05-27 MITCHELL J. MANDEL, M.D., P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2125709595
Plan sponsor’s address 116 E 68TH ST, 1C, NEW YORK, NY, 10065

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2022-05-27
Name of individual signing CHRISTINE RIMER
MITCHELL J. MANDEL, M.D., P.C. 401(K) PLAN 2020 133842292 2021-09-12 MITCHELL J. MANDEL, M.D., P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2125709595
Plan sponsor’s address 116 E 68TH ST, 1C, NEW YORK, NY, 10065

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2021-09-12
Name of individual signing CAROL HO
MITCHELL J. MANDEL, M.D., P.C. 401(K) PLAN 2019 133842292 2020-08-25 MITCHELL J. MANDEL, M.D., P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2125709595
Plan sponsor’s address 116 E 68TH ST, 1C, NEW YORK, NY, 10065

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2020-08-25
Name of individual signing CAROL HO

Chief Executive Officer

Name Role Address
MITCHELL J. MANDEL Chief Executive Officer 19 LIGHTHOUSE ROAD, HAMPTON BAYS, NY, United States, 11946

DOS Process Agent

Name Role Address
MITCHELL MANDEL DOS Process Agent 19 Lighthouse Road, Hampton Bays, NY, United States, 11946

History

Start date End date Type Value
1999-11-18 2011-11-03 Address #1 POLO DRIVE, OLD WESTBURY, NY, 11568, 1039, USA (Type of address: Chief Executive Officer)
1999-11-18 2011-11-03 Address #1 POLO DRIVE, OLD WESTBURY, NY, 11568, 1039, USA (Type of address: Principal Executive Office)
1997-10-20 1999-11-18 Address 36 WHITNEY LANE, BROOKVILLE, NY, 11545, USA (Type of address: Chief Executive Officer)
1997-10-20 1999-11-18 Address 36 WHITNEY LANE, BROOKVILLE, NY, 11545, USA (Type of address: Principal Executive Office)
1995-10-10 2021-07-20 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1995-10-10 2001-10-01 Address 47 EAST 68TH STREET, NEW YORK, NY, 10021, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210714003273 2021-07-14 BIENNIAL STATEMENT 2021-07-14
141219006574 2014-12-19 BIENNIAL STATEMENT 2013-10-01
111103002980 2011-11-03 BIENNIAL STATEMENT 2011-10-01
091007002958 2009-10-07 BIENNIAL STATEMENT 2009-10-01
071108002536 2007-11-08 BIENNIAL STATEMENT 2007-10-01
051202002420 2005-12-02 BIENNIAL STATEMENT 2005-10-01
031015002434 2003-10-15 BIENNIAL STATEMENT 2003-10-01
011001002199 2001-10-01 BIENNIAL STATEMENT 2001-10-01
991118002290 1999-11-18 BIENNIAL STATEMENT 1999-10-01
971020002137 1997-10-20 BIENNIAL STATEMENT 1997-10-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2786017204 2020-04-16 0202 PPP 116 E 68TH ST APT 1C, NEW YORK, NY, 10065
Loan Status Date 2021-09-30
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 118407
Loan Approval Amount (current) 118407
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, 10065-0001
Project Congressional District NY-12
Number of Employees 13
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 119941.29
Forgiveness Paid Date 2021-08-09
2371878405 2021-02-03 0202 PPS 116 E 68th St Apt 1C, New York, NY, 10065-5995
Loan Status Date 2022-02-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 102770
Loan Approval Amount (current) 102770
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, 10065-5995
Project Congressional District NY-12
Number of Employees 13
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 103707.21
Forgiveness Paid Date 2022-01-06

Related by officers

MITCHELL MANDEL

NINETEEN LIGHTHOUSE LLC TWENTY ONE LIGHTHOUSE LLC

Related by address

19 Lighthouse Road, Hampton Bays, NY, United States, 11946

MANDEL FUNDING, INC. MANDEL GROUP LLC MANDEL SKINCARE LLC MANDEL-WILENTZ DERMATOLOGY PLLC SEVENTEEN LIGHTHOUSE LLC

1 POLO DRIVE, OLD WESTBURY, NY, United States, 11568

FIVE STARS IMPORTS LLC JINKEL SPECIALISTS INC. NINETEEN LIGHTHOUSE LLC POST MADISON, LLC SRMM L.P. WILENTZ-MANDEL INC.

Date of last update: 25 Feb 2025

Sources: New York Secretary of State

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