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  5. PHOENIX MEDCOM, INC.

PHOENIX MEDCOM, INC.

Company Details

Name: PHOENIX MEDCOM, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 05 Jun 1998 (27 years ago)
Entity Number: 2266560
ZIP code: 10567
County: Westchester
Place of Formation: New York
Address: 10 MEADOWSWEET RD, CORTLANDT MANOR, NY, United States, 10567

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
PHOENIX MEDCOM, INC. PROFIT SHARING PLAN 2023 134012268 2024-07-03 PHOENIX MEDCOM. INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 517000
Sponsor’s telephone number 9147886777
Plan sponsor’s address 10 MEADOW SWEET ROAD, CORTLANDT MANOR, NY, 10567

Signature of
Role Plan administrator
Date 2024-07-03
Name of individual signing CAROLYN BROCCOLI
Role Employer/plan sponsor
Date 2024-07-03
Name of individual signing CAROLYN BROCCOLI
PHOENIX MEDCOM, INC. PROFIT SHARING PLAN 2022 134012268 2023-05-27 PHOENIX MEDCOM. INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 517000
Sponsor’s telephone number 9147886777
Plan sponsor’s address 10 MEADOW SWEET ROAD, CORTLANDT MANOR, NY, 10567

Signature of
Role Plan administrator
Date 2023-05-27
Name of individual signing CAROLYN BROCCOLI
Role Employer/plan sponsor
Date 2023-05-27
Name of individual signing CAROLYN BROCCOLI
PHOENIX MEDCOM, INC. PROFIT SHARING PLAN 2021 134012268 2022-05-24 PHOENIX MEDCOM. INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 517000
Sponsor’s telephone number 9147886777
Plan sponsor’s address 10 MEADOW SWEET ROAD, CORTLANDT MANOR, NY, 10567

Signature of
Role Plan administrator
Date 2022-05-24
Name of individual signing CAROLYN BROCCOLI
Role Employer/plan sponsor
Date 2022-05-24
Name of individual signing CAROLYN BROCCOLI
PHOENIX MEDCOM, INC. PROFIT SHARING PLAN 2020 134012268 2021-05-27 PHOENIX MEDCOM. INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 517000
Sponsor’s telephone number 9147886777
Plan sponsor’s address 10 MEADOW SWEET ROAD, CORTLANDT MANOR, NY, 10567

Signature of
Role Plan administrator
Date 2021-05-27
Name of individual signing CAROLYN BROCCOLI
Role Employer/plan sponsor
Date 2021-05-27
Name of individual signing CAROLYN BROCCOLI
PHOENIX MEDCOM, INC. PROFIT SHARING PLAN 2019 134012268 2020-05-08 PHOENIX MEDCOM. INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 517000
Sponsor’s telephone number 9147886777
Plan sponsor’s address 10 MEADOW SWEET ROAD, CORTLANDT MANOR, NY, 10567

Signature of
Role Plan administrator
Date 2020-05-08
Name of individual signing CAROLYN BROCCOLI
PHOENIX MEDCOM, INC. PROFIT SHARING PLAN 2018 134012268 2019-05-15 PHOENIX MEDCOM. INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 517000
Sponsor’s telephone number 9147886777
Plan sponsor’s address 10 MEADOW SWEET ROAD, CORTLANDT MANOR, NY, 10567

Signature of
Role Plan administrator
Date 2019-05-15
Name of individual signing CAROLYN BROCCOLI
PHOENIX MEDCOM, INC. PROFIT SHARING PLAN 2017 134012268 2018-05-10 PHOENIX MEDCOM. INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 517000
Sponsor’s telephone number 9147886777
Plan sponsor’s address 10 MEADOW SWEET ROAD, CORTLANDT MANOR, NY, 10567

Signature of
Role Plan administrator
Date 2018-05-09
Name of individual signing CAROLYN BROCCOLI
Role Employer/plan sponsor
Date 2018-05-09
Name of individual signing CAROLYN BROCCOLI
PHOENIX MEDCOM, INC. PROFIT SHARING PLAN 2016 134012268 2017-05-15 PHOENIX MEDCOM. INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 517000
Sponsor’s telephone number 9147886777
Plan sponsor’s address 10 MEADOW SWEET ROAD, CORTLANDT MANOR, NY, 10567

Signature of
Role Plan administrator
Date 2017-05-15
Name of individual signing CAROLYN BROCCOLI
Role Employer/plan sponsor
Date 2017-05-15
Name of individual signing CAROLYN BROCCOLI
PHOENIX MEDCOM, INC. PROFIT SHARING PLAN 2015 134012268 2016-07-21 PHOENIX MEDCOM. INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 517000
Sponsor’s telephone number 9147886777
Plan sponsor’s address 10 MEADOW SWEET ROAD, CORTLANDT MANOR, NY, 10567

Signature of
Role Plan administrator
Date 2016-07-21
Name of individual signing CAROLYN BROCCOLI
PHOENIX MEDCOM, INC. PROFIT SHARING PLAN 2014 134012268 2015-04-22 PHOENIX MEDCOM. INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 517000
Sponsor’s telephone number 9147886777
Plan sponsor’s address 10 MEADOW SWEET ROAD, CORTLANDT MANOR, NY, 10567

Signature of
Role Plan administrator
Date 2015-04-22
Name of individual signing CAROLYN BROCCOLI

DOS Process Agent

Name Role Address
PHOENIX MEDCOM, INC. DOS Process Agent 10 MEADOWSWEET RD, CORTLANDT MANOR, NY, United States, 10567

Chief Executive Officer

Name Role Address
ROBERT MANNING Chief Executive Officer 10 MEADOWSWEET RD, CORTLANDT MANOR, NY, United States, 10567

History

Start date End date Type Value
2024-05-16 2024-05-16 Address 10 MEADOWSWEET RD, CORTLANDT MANOR, NY, 10567, USA (Type of address: Chief Executive Officer)
2021-02-08 2024-05-16 Address 10 MEADOWSWEET RD, CORTLANDT MANOR, NY, 10567, USA (Type of address: Service of Process)
2008-06-11 2024-05-16 Address 10 MEADOWSWEET RD, CORTLANDT MANOR, NY, 10567, USA (Type of address: Chief Executive Officer)
2000-06-13 2008-06-11 Address 10 MEADOWSWEET RD, CORTLANDT MANOR, NY, 10567, USA (Type of address: Chief Executive Officer)
2000-06-13 2021-02-08 Address 10 MEADOWSWEET RD, CORTLANDT MANOR, NY, 10567, USA (Type of address: Service of Process)
1998-06-05 2024-05-16 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1998-06-05 2000-06-13 Address 3207 POPLAR STREET, YORKTOWN HEIGHTS, NY, 10598, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240516002082 2024-05-16 BIENNIAL STATEMENT 2024-05-16
210208060721 2021-02-08 BIENNIAL STATEMENT 2020-06-01
181031006047 2018-10-31 BIENNIAL STATEMENT 2018-06-01
140616006622 2014-06-16 BIENNIAL STATEMENT 2014-06-01
120723002899 2012-07-23 BIENNIAL STATEMENT 2012-06-01
100616002539 2010-06-16 BIENNIAL STATEMENT 2010-06-01
080611002972 2008-06-11 BIENNIAL STATEMENT 2008-06-01
060524003375 2006-05-24 BIENNIAL STATEMENT 2006-06-01
040622002547 2004-06-22 BIENNIAL STATEMENT 2004-06-01
020529002588 2002-05-29 BIENNIAL STATEMENT 2002-06-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6601917304 2020-04-30 0202 PPP 10 Meadow Sweet Road, Cortlandt Manor, NY, 10567
Loan Status Date 2021-04-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 200000
Loan Approval Amount (current) 200000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 84894
Servicing Lender Name Santander Bank, National Association
Servicing Lender Address 824 N Market St, Ste 100, WILMINGTON, DE, 19801-4937
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Cortlandt Manor, WESTCHESTER, NY, 10567-1000
Project Congressional District NY-17
Number of Employees 16
NAICS code 561499
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 84894
Originating Lender Name Santander Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 201720.55
Forgiveness Paid Date 2021-03-17
1467808406 2021-02-02 0202 PPS 10 Meadow Sweet Rd, Cortlandt Manor, NY, 10567-5239
Loan Status Date 2021-12-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 143197
Loan Approval Amount (current) 143197
Undisbursed Amount 0
Franchise Name -
Lender Location ID 84894
Servicing Lender Name Santander Bank, National Association
Servicing Lender Address 824 N Market St, Ste 100, WILMINGTON, DE, 19801-4937
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Cortlandt Manor, WESTCHESTER, NY, 10567-5239
Project Congressional District NY-17
Number of Employees 16
NAICS code 561499
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 84894
Originating Lender Name Santander Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 144240.57
Forgiveness Paid Date 2021-10-29

Related by officers

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Related by address

No related companies by address

Date of last update: 31 Mar 2025

Sources: New York Secretary of State

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