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MICHELLE COPELAND, D.M.D., M.D., P.C.

MICHELLE COPELAND, D.M.D., M.D., P.C.

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Company Details

Name:	MICHELLE COPELAND, D.M.D., M.D., P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	23 Aug 1996 (29 years ago)
Entity Number:	2059769
ZIP code:	10028
County:	New York
Place of Formation:	New York
Address:	1001 5TH AVE, NEW YORK, NY, United States, 10028

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
MICHELLE COPELAND MD FACS PC	DOS Process Agent	1001 5TH AVE, NEW YORK, NY, United States, 10028

Chief Executive Officer

Name	Role	Address
MICHELLE COPELAND MD FACS	Chief Executive Officer	1001 5TH AVE, NEW YORK, NY, United States, 10028

National Provider Identifier

NPI Number:

1538461629

Certification Date:

2023-07-20

Link:

View on NPI website

Authorized Person:

Name:

DR. MICHELLE COPELAND

Role:

PRESIDENT

Phone:

2124522200

Taxonomy:

Selected Taxonomy:

208200000X - Plastic Surgery Physician

Is Primary:

Yes

Contacts:

Phone:

+1 212-452-2200

Fax:

2124522208

Form 5500 Series

Employer Identification Number (EIN):

133905539

Plan Year:

2024

Number Of Participants:

5

Sponsors Telephone Number:

2124522200

File:

Plan Year:

2023

Number Of Participants:

9

Sponsors Telephone Number:

2124522200

File:

Plan Year:

2023

Number Of Participants:

5

Sponsors Telephone Number:

2124522200

File:

Plan Year:

2022

Number Of Participants:

5

Sponsors Telephone Number:

2124522200

File:

Plan Year:

2021

Number Of Participants:

3

Sponsors Telephone Number:

2124522200

File:

History

Start date	End date	Type	Value
2024-03-08	2024-03-08	Address	1001 5TH AVE, NEW YORK, NY, 10028, USA (Type of address: Chief Executive Officer)
2011-04-01	2011-05-20	Name	MICHELLE COPELAND, M.D., P.C.
1998-08-13	2024-03-08	Address	1001 5TH AVE, NEW YORK, NY, 10028, USA (Type of address: Service of Process)
1998-08-13	2024-03-08	Address	1001 5TH AVE, NEW YORK, NY, 10028, USA (Type of address: Chief Executive Officer)
1996-09-20	2011-04-01	Name	MICHELLE COPELAND, D.M.D., M.D., P.C.

Filings

Filing Number	Date Filed	Type	Effective Date
240308000404	2024-03-08	BIENNIAL STATEMENT	2024-03-08
220728001428	2022-07-28	BIENNIAL STATEMENT	2020-08-01
120824006031	2012-08-24	BIENNIAL STATEMENT	2012-08-01
110520000748	2011-05-20	CERTIFICATE OF AMENDMENT	2011-05-20
110401000193	2011-04-01	CERTIFICATE OF AMENDMENT	2011-04-01

Paycheck Protection Program

Jobs Reported:

6

Initial Approval Amount:

$78,600

Date Approved:

2021-01-25

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$78,600

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Female Owned

Veteran:

Unanswered

Forgiveness Amount:

$79,167.67

Servicing Lender:

Citibank, N.A.

Use of Proceeds:

Payroll: $78,596
Utilities: $1

Jobs Reported:

6

Initial Approval Amount:

$78,600

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$78,600

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Female Owned

Veteran:

Unanswered

Forgiveness Amount:

$79,305.22

Servicing Lender:

Citibank, N.A.

Use of Proceeds:

Payroll: $78,600

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Date of last update: 14 Mar 2025

Sources: New York Secretary of State