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RAJ MODI MD PC

Company Details

Name: RAJ MODI MD PC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 31 Jul 1996 (29 years ago)
Entity Number: 2053125
ZIP code: 11507
County: Queens
Place of Formation: New York
Address: 45 CREST HOLLOW LANE, SEARING TOWN, NY, United States, 11507
Principal Address: 55-44 METROPOLITAN AVE, RIDGEWOOD, NY, United States, 11385

Contact Details

Phone +1 718-456-2020

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
RAJENDRA K MODI, MD, PROFIT SHARING PLAN 2022 113333277 2023-09-17 RAJ MODI, MD PC 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5164848567
Plan sponsor’s address 55-44 METROPOLITAN AVENUE, RIDGEWOOD, NY, 11385

Signature of

Role Plan administrator
Date 2023-09-17
Name of individual signing RAJENDRA K MODI
RAJENDRA K MODI, MD, PROFIT SHARING PLAN 2021 113333277 2022-09-27 RAJ MODI, MD PC 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5164848567
Plan sponsor’s address 55-44 METROPOLITAN AVENUE, RIDGEWOOD, NY, 11385

Signature of

Role Plan administrator
Date 2022-09-27
Name of individual signing RAJENDRA K MODI
RAJENDRA K MODI, MD, PROFIT SHARING PLAN 2020 113333277 2021-07-23 RAJ MODI, MD PC 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5164848567
Plan sponsor’s address 55-44 METROPOLITAN AVENUE, RIDGEWOOD, NY, 11385

Signature of

Role Plan administrator
Date 2021-07-23
Name of individual signing RAJENDRA K MODI
RAJENDRA K MODI, MD, PROFIT SHARING PLAN 2019 113333277 2020-10-02 RAJ MODI, MD PC 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5164848567
Plan sponsor’s address 55-44 METROPOLITAN AVENUE, RIDGEWOOD, NY, 11385

Signature of

Role Plan administrator
Date 2020-10-02
Name of individual signing RAJ MODI

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 45 CREST HOLLOW LANE, SEARING TOWN, NY, United States, 11507

Chief Executive Officer

Name Role Address
RAJENDRA K MODI Chief Executive Officer 55-44 METROPOLITAN AVE, RIDGEWOOD, NY, United States, 11385

History

Start date End date Type Value
1998-08-12 2006-06-21 Address 55-44 METROPOLITAN AVE, RIDGEWOOD, NY, 11385, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
230106002436 2023-01-06 BIENNIAL STATEMENT 2022-07-01
200225060363 2020-02-25 BIENNIAL STATEMENT 2018-07-01
140721006199 2014-07-21 BIENNIAL STATEMENT 2014-07-01
120809002002 2012-08-09 BIENNIAL STATEMENT 2012-07-01
100805002056 2010-08-05 BIENNIAL STATEMENT 2010-07-01
080717002929 2008-07-17 BIENNIAL STATEMENT 2008-07-01
060621003097 2006-06-21 BIENNIAL STATEMENT 2006-07-01
040729002486 2004-07-29 BIENNIAL STATEMENT 2004-07-01
020703002245 2002-07-03 BIENNIAL STATEMENT 2002-07-01
000711002538 2000-07-11 BIENNIAL STATEMENT 2000-07-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5557638307 2021-01-25 0202 PPS 5544 Metropolitan Ave, Ridgewood, NY, 11385-1221
Loan Status Date 2022-04-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 38400
Loan Approval Amount (current) 38400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 49274
Servicing Lender Name Citibank, N.A.
Servicing Lender Address 5800 S. Corporate Place, Sioux Falls, SD, 57108
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Ridgewood, QUEENS, NY, 11385-1221
Project Congressional District NY-07
Number of Employees 6
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 49274
Originating Lender Name Citibank, N.A.
Originating Lender Address Sioux Falls, SD
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 38843.73
Forgiveness Paid Date 2022-03-28
7192417702 2020-05-01 0202 PPP 5544 metropolitan ave, ridgewood, NY, 11385
Loan Status Date 2021-07-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 38400
Loan Approval Amount (current) 38400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 49274
Servicing Lender Name Citibank, N.A.
Servicing Lender Address 5800 S. Corporate Place, Sioux Falls, SD, 57108
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address ridgewood, QUEENS, NY, 11385-0001
Project Congressional District NY-07
Number of Employees 6
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 49274
Originating Lender Name Citibank, N.A.
Originating Lender Address Sioux Falls, SD
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 38828.8
Forgiveness Paid Date 2021-06-17

Date of last update: 14 Mar 2025

Sources: New York Secretary of State