SOUTH SHORE FAMILY MEDICAL ASSOCIATE, P.C.

Company Details

Name:	SOUTH SHORE FAMILY MEDICAL ASSOCIATE, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	24 Apr 1998 (27 years ago)
Entity Number:	2252886
ZIP code:	11096
County:	Nassau
Place of Formation:	New York
Address:	271 DOUGHTY BLVD, INWOOD, NY, United States, 11096

Shares Details

Shares issued 20000

Share Par Value 1

Type PAR VALUE

Name	Role	Address
ALLAN S DETWEILER	Chief Executive Officer	271 DOUGHTY BLVD, INWOOD, NY, United States, 11096

Name	Role	Address
THE CORPORATION	DOS Process Agent	271 DOUGHTY BLVD, INWOOD, NY, United States, 11096

Name	Role	Address
SPIEGEL & UTRERA, P.A., P.C.	Agent	45 JOHN STREET, STE. 711, NEW YORK, NY, 10038

Start date	End date	Type	Value
2002-09-16	2010-04-23	Address	271 DOUGHTY BLVD, INWOOD, NY, 11096, 2104, USA (Type of address: Chief Executive Officer)
2002-09-16	2010-04-23	Address	271 DOUGHTY BLVD, INWOOD, NY, 11096, 2104, USA (Type of address: Principal Executive Office)
2002-09-16	2010-04-23	Address	271 DOUGHTY BLVD, INWOOD, NY, 11096, 2104, USA (Type of address: Service of Process)
1998-04-24	2002-09-16	Address	45 JOHN STREET, STE. 711, NEW YORK, NY, 10038, USA (Type of address: Service of Process)

Filing Number	Date Filed	Type	Effective Date
140611002044	2014-06-11	BIENNIAL STATEMENT	2014-04-01
120516002776	2012-05-16	BIENNIAL STATEMENT	2012-04-01
100423002575	2010-04-23	BIENNIAL STATEMENT	2010-04-01
080402003149	2008-04-02	BIENNIAL STATEMENT	2008-04-01
060426002326	2006-04-26	BIENNIAL STATEMENT	2006-04-01
040413002234	2004-04-13	BIENNIAL STATEMENT	2004-04-01
020916002343	2002-09-16	BIENNIAL STATEMENT	2002-04-01
980424000500	1998-04-24	CERTIFICATE OF INCORPORATION	1998-04-24

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

5226777106

2020-04-13

0235

PPP

271 Doughty Blvd, INWOOD, NY, 11096-2135

Loan Status Date	2021-09-24
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	336500
Loan Approval Amount (current)	336500
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	Y
Business Age Description	Existing or more than 2 years old
Project Address	INWOOD, NASSAU, NY, 11096-2135
Project Congressional District	NY-04
Number of Employees	31
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	340930.58
Forgiveness Paid Date	2021-08-12

Date of last update: 14 Mar 2025