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  5. PECONIC SURGICAL GROUP P.C.

PECONIC SURGICAL GROUP P.C.

Company Details

Name: PECONIC SURGICAL GROUP P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 24 Jan 1996 (29 years ago)
Entity Number: 1993150
ZIP code: 11969
County: Suffolk
Place of Formation: New York
Address: 234 HAMPTON RD., SOUTHAMPTON, NY, United States, 11969
Principal Address: 234 HAMPTON RD, SOUTHAMPTON, NY, United States, 11968

Shares Details

Shares issued 1000

Share Par Value 0.001

Type PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PECONIC SURGICAL GROUP PC PSP 2015 113311876 2016-07-19 PECONIC SURGICAL GROUP, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6313698539
Plan sponsor’s address 31 MAIN ROAD, SUITE 2, RIVERHEAD, NY, 11901

Signature of
Role Plan administrator
Date 2016-07-19
Name of individual signing LESLAW GREDYSA
Role Employer/plan sponsor
Date 2016-07-19
Name of individual signing LESLAW GREDYSA
PECONIC SURGICAL GROUP, P.C. PROFIT SHARING PLAN 2014 113311876 2015-04-01 PECONIC SURGICAL GROUP, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6312871433
Plan sponsor’s address 31 MAIN ROAD, SUITE 2, RIVERHEAD, NY, 11901
PECONIC SURGICAL GROUP, P.C. PROFIT SHARING PLAN 2013 113311876 2014-02-14 PECONIC SURGICAL GROUP, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6312871433
Plan sponsor’s address 31 MAIN ROAD, SUITE 2, RIVERHEAD, NY, 11901
PECONIC SURGICAL GROUP, P.C. PROFIT SHARING PLAN 2012 113311876 2013-10-03 PECONIC SURGICAL GROUP, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6312871433
Plan sponsor’s address 31 MAIN ROAD, SUITE 2, RIVERHEAD, NY, 11901

Signature of
Role Plan administrator
Date 2013-10-03
Name of individual signing LESLAW GREDYSA
Role Employer/plan sponsor
Date 2013-10-03
Name of individual signing LESLAW GREDYSA
PECONIC SURGICAL GROUP, P.C. PROFIT SHARING PLAN 2011 113311876 2012-07-10 PECONIC SURGICAL GROUP, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6312871433
Plan sponsor’s address 31 MAIN ROAD, SUITE 2, RIVERHEAD, NY, 11901

Plan administrator’s name and address
Administrator’s EIN 113311876
Plan administrator’s name PECONIC SURGICAL GROUP, P.C.
Plan administrator’s address 31 MAIN ROAD, SUITE 2, RIVERHEAD, NY, 11901
Administrator’s telephone number 6312871433

Signature of
Role Plan administrator
Date 2012-07-10
Name of individual signing LESLAW GREDYSA
Role Employer/plan sponsor
Date 2012-07-10
Name of individual signing LESLAW GREDYSA
PECONIC SURGICAL GROUP, P.C. PROFIT SHARING PLAN 2010 113311876 2011-05-06 PECONIC SURGICAL GROUP, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6312871433
Plan sponsor’s address 31 MAIN ROAD, SUITE 2, RIVERHEAD, NY, 11901

Plan administrator’s name and address
Administrator’s EIN 113311876
Plan administrator’s name PECONIC SURGICAL GROUP, P.C.
Plan administrator’s address 31 MAIN ROAD, SUITE 2, RIVERHEAD, NY, 11901
Administrator’s telephone number 6312871433

Signature of
Role Plan administrator
Date 2011-05-06
Name of individual signing LESLAW GREDYSA
Role Employer/plan sponsor
Date 2011-05-06
Name of individual signing LESLAW GREDYSA
PECONIC SURGICAL GROUP, P.C. PROFIT SHARING PLAN 2009 113311876 2010-07-12 PECONIC SURGICAL GROUP, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6312871433
Plan sponsor’s address 31 MAIN ROAD, SUITE 2, RIVERHEAD, NY, 11901

Plan administrator’s name and address
Administrator’s EIN 113311876
Plan administrator’s name PECONIC SURGICAL GROUP, P.C.
Plan administrator’s address 31 MAIN ROAD, SUITE 2, RIVERHEAD, NY, 11901
Administrator’s telephone number 6312871433

Signature of
Role Plan administrator
Date 2010-07-12
Name of individual signing LESLAW GREDYSA
Role Employer/plan sponsor
Date 2010-07-12
Name of individual signing LESLAW GREDYSA

Agent

Name Role Address
LESLAW GREDYSA Agent 234 HAMPTON RD., SOUTHAMPTON, NY, 11969

DOS Process Agent

Name Role Address
DR. LESLAW GREDYSA DOS Process Agent 234 HAMPTON RD., SOUTHAMPTON, NY, United States, 11969

Chief Executive Officer

Name Role Address
LESLAW J GREDYSA Chief Executive Officer 234 HAMPTON ROAD, SOUTHAMPTON, NY, United States, 11968

History

Start date End date Type Value
1996-01-24 2023-06-16 Shares Share type: PAR VALUE, Number of shares: 1000, Par value: 0.001

Filings

Filing Number Date Filed Type Effective Date
060222002051 2006-02-22 BIENNIAL STATEMENT 2006-01-01
040130002980 2004-01-30 BIENNIAL STATEMENT 2004-01-01
020116002067 2002-01-16 BIENNIAL STATEMENT 2002-01-01
000216002372 2000-02-16 BIENNIAL STATEMENT 2000-01-01
980205002762 1998-02-05 BIENNIAL STATEMENT 1998-01-01
960124000590 1996-01-24 CERTIFICATE OF INCORPORATION 1996-01-24

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9167957109 2020-04-15 0235 PPP 31 Main Road Suite 2, Riverhead, NY, 11901
Loan Status Date 2021-07-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 220000
Loan Approval Amount (current) 220000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 455644
Servicing Lender Name Live Oak Banking Company
Servicing Lender Address 1741 Tiburon Dr, WILMINGTON, NC, 28403-6244
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Riverhead, SUFFOLK, NY, 11901-0001
Project Congressional District NY-01
Number of Employees 7
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 455644
Originating Lender Name Live Oak Banking Company
Originating Lender Address WILMINGTON, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 222597.81
Forgiveness Paid Date 2021-06-28
3004158502 2021-02-22 0235 PPS 31 Main Rd Ste 2, Riverhead, NY, 11901-1953
Loan Status Date 2022-01-11
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 82355
Loan Approval Amount (current) 110400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 455644
Servicing Lender Name Live Oak Banking Company
Servicing Lender Address 1741 Tiburon Dr, WILMINGTON, NC, 28403-6244
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Riverhead, SUFFOLK, NY, 11901-1953
Project Congressional District NY-01
Number of Employees 7
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 455644
Originating Lender Name Live Oak Banking Company
Originating Lender Address WILMINGTON, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 111189.44
Forgiveness Paid Date 2021-12-06

Related by officers

LESLAW GREDYSA

SOUTHAMPTON ESTATES INC.

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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