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  5. LONG ISLAND SURGERY PC

LONG ISLAND SURGERY PC

Company Details

Name: LONG ISLAND SURGERY PC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Jun 1997 (28 years ago)
Entity Number: 2153726
ZIP code: 10016
County: Suffolk
Place of Formation: New York
Address: 303 5TH AVE STE 1205, NEW YORK, NY, United States, 10016
Principal Address: 4 PHYLLIS DR, STE B, PATCHOGUE, NY, United States, 11772

Contact Details

Phone +1 631-205-9090

Phone +1 631-289-4700

Phone +1 631-862-3000

Phone +1 631-657-7100

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
LONG ISLAND SURGERY PC 401K PLAN 2023 113382645 2024-10-07 LONG ISLAND SURGERY, PC 24
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6312894700
Plan sponsor’s address 4 PHYLLIS DR., SUITE B3, PATCHOGUE, NY, 11772
LONG ISLAND SURGERY, PC CASH BALANCE PLAN 2023 113382645 2024-10-10 LONG ISLAND SURGERY, PC 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6312894700
Plan sponsor’s address 4 PHYLLIS DR. SUITE B3, PATCHOGUE, NY, 11772
LONG ISLAND SURGERY PC 401K PLAN 2022 113382645 2023-10-08 LONG ISLAND SURGERY, PC 22
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6312894700
Plan sponsor’s address 4 PHYLLIS DR., SUITE B3, PATCHOGUE, NY, 11772
LONG ISLAND SURGERY, PC CASH BALANCE PLAN 2022 113382645 2023-10-08 LONG ISLAND SURGERY, PC 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6312894700
Plan sponsor’s address 4 PHYLLIS DR. SUITE B3, PATCHOGUE, NY, 11772
LONG ISLAND SURGERY PC 401K PLAN 2021 113382645 2022-10-05 LONG ISLAND SURGERY, PC 22
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6312894700
Plan sponsor’s address 4 PHYLLIS DR., SUITE B3, PATCHOGUE, NY, 11772
LONG ISLAND SURGERY, PC CASH BALANCE PLAN 2021 113382645 2022-10-11 LONG ISLAND SURGERY, PC 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6312894700
Plan sponsor’s address 4 PHYLLIS DR. SUITE B3, PATCHOGUE, NY, 11772
LONG ISLAND SURGERY PC 401K PLAN 2020 113382645 2021-10-04 LONG ISLAND SURGERY, PC 20
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6312894700
Plan sponsor’s address 4 PHYLLIS DR., SUITE B3, PATCHOGUE, NY, 11772
LONG ISLAND SURGERY, PC CASH BALANCE PLAN 2020 113382645 2021-10-04 LONG ISLAND SURGERY, PC 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6312894700
Plan sponsor’s address 4 PHYLLIS DR. SUITE B3, PATCHOGUE, NY, 11772
LONG ISLAND SURGERY PC 401K PLAN 2019 113382645 2020-10-05 LONG ISLAND SURGERY, PC 19
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6312894700
Plan sponsor’s address 4 PHYLLIS DR., SUITE B3, PATCHOGUE, NY, 11772
LONG ISLAND SURGERY, PC CASH BALANCE PLAN 2019 113382645 2020-10-05 LONG ISLAND SURGERY, PC 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6312894700
Plan sponsor’s address 4 PHYLLIS DR. SUITE B3, PATCHOGUE, NY, 11772

Agent

Name Role Address
ANDREW A. PASTEWSKI Agent 4 PHYLLIS DRIVE, PATCHOGUE, NY, 11771

DOS Process Agent

Name Role Address
GANGA MUKKAVILLI CPA DOS Process Agent 303 5TH AVE STE 1205, NEW YORK, NY, United States, 10016

Chief Executive Officer

Name Role Address
BADRI P NATH Chief Executive Officer 4 PHYLLIS DR, STE B, PATCHOGUE, NY, United States, 11772

History

Start date End date Type Value
2023-12-26 2024-02-27 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-08-28 2023-12-26 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2007-07-10 2021-06-10 Address 303 5TH AVE STE 1205, NEW YORK, NY, 10016, USA (Type of address: Service of Process)
2005-08-19 2011-06-30 Address 4 PHYLLIS DRIVE, PATCHOGUE, NY, 11772, USA (Type of address: Chief Executive Officer)
2005-08-19 2011-06-30 Address 4 PHYLLIS DRIVE, PATCHOGUE, NY, 11772, USA (Type of address: Principal Executive Office)
1999-06-30 2005-08-19 Address 4 PHYLLIS DR, PATCHOGUE, NY, 11772, USA (Type of address: Principal Executive Office)
1999-06-30 2005-08-19 Address 4 PHYLLIS DR, PATCHOGUE, NY, 11772, USA (Type of address: Chief Executive Officer)
1997-06-17 2007-07-10 Address 600 OLD COUNTRY ROAD, SUITE 320, GARDEN CITY, NY, 11530, USA (Type of address: Service of Process)
1997-06-17 2023-08-28 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
210610060624 2021-06-10 BIENNIAL STATEMENT 2021-06-01
190603060800 2019-06-03 BIENNIAL STATEMENT 2019-06-01
150601006334 2015-06-01 BIENNIAL STATEMENT 2015-06-01
130620006311 2013-06-20 BIENNIAL STATEMENT 2013-06-01
110630002276 2011-06-30 BIENNIAL STATEMENT 2011-06-01
090626002777 2009-06-26 BIENNIAL STATEMENT 2009-06-01
070710002304 2007-07-10 BIENNIAL STATEMENT 2007-06-01
070410000612 2007-04-10 CERTIFICATE OF AMENDMENT 2007-04-10
050819002777 2005-08-19 BIENNIAL STATEMENT 2005-06-01
030613002254 2003-06-13 BIENNIAL STATEMENT 2003-06-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2227857703 2020-05-01 0235 PPP 4 PHYLLIS DR, PATCHOGUE, NY, 11772
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) 223372
Loan Approval Amount (current) 223372
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 Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address PATCHOGUE, SUFFOLK, NY, 11772-0001
Project Congressional District NY-02
Number of Employees 17
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S 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 226126.55
Forgiveness Paid Date 2021-07-29

Related by officers

BADRI P NATH

MD MATCH INC.

Related by address

303 5TH AVE STE 1205, NEW YORK, NY, United States, 10016

KONRAD RAYNES & VICTOR, LLP

Date of last update: 25 Feb 2025

Sources: New York Secretary of State

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