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  5. PORT ANIMAL HOSPITAL LLC

PORT ANIMAL HOSPITAL LLC

Company Details

Name: PORT ANIMAL HOSPITAL LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 06 Aug 1998 (27 years ago)
Entity Number: 2286368
ZIP code: 11050
County: Nassau
Place of Formation: New York
Address: 16 WILLOWDALE AVE, PORT WASHINGTON, NY, United States, 11050

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PORT ANIMAL HOSPITAL LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 113453067 2024-07-30 PORT ANIMAL HOSPITAL LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 541990
Sponsor’s telephone number 5168832005
Plan sponsor’s address 16 WILLOWDALE AVENUE, PORT WASHINGTON, NY, 11050

Signature of
Role Plan administrator
Date 2024-07-30
Name of individual signing MICHAEL EZELL
PORT ANIMAL HOSPITAL LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 113453067 2023-08-02 PORT ANIMAL HOSPITAL LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 541990
Sponsor’s telephone number 5168832005
Plan sponsor’s address 16 WILLOWDALE AVENUE, PORT WASHINGTON, NY, 11050

Signature of
Role Plan administrator
Date 2023-08-02
Name of individual signing MICHAEL EZELL
PORT ANIMAL HOSPITAL LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 113453067 2023-08-02 PORT ANIMAL HOSPITAL LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 541990
Sponsor’s telephone number 5168832005
Plan sponsor’s address 16 WILLOWDALE AVENUE, PORT WASHINGTON, NY, 11050

Signature of
Role Plan administrator
Date 2023-08-02
Name of individual signing MICHAEL EZELL
PORT ANIMAL HOSPITAL LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 113453067 2021-07-27 PORT ANIMAL HOSPITAL LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 541990
Sponsor’s telephone number 5168832005
Plan sponsor’s address 16 WILLOWDALE AVENUE, PORT WASHINGTON, NY, 11050

Signature of
Role Plan administrator
Date 2021-07-27
Name of individual signing MICHAEL EZELL
PORT ANIMAL HOSPITAL LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 113453067 2020-05-28 PORT ANIMAL HOSPITAL LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 541990
Sponsor’s telephone number 5168832005
Plan sponsor’s address 16 WILLOWDALE AVENUE, PORT WASHINGTON, NY, 11050

Signature of
Role Plan administrator
Date 2020-05-28
Name of individual signing MICHAEL EZELL
PORT ANIMAL HOSPITAL LLC 401 K PROFIT SHARING PLAN TRUST 2018 113453067 2019-07-30 PORT ANIMAL HOSPITAL LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 541990
Sponsor’s telephone number 5168832005
Plan sponsor’s address 16 WILLOWDALE AVENUE, PORT WASHINGTON, NY, 11050

Signature of
Role Plan administrator
Date 2019-07-30
Name of individual signing MICHAEL EZELL
PORT ANIMAL HOSPITAL LLC 401 K PROFIT SHARING PLAN TRUST 2017 113453067 2018-09-06 PORT ANIMAL HOSPITAL LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 541990
Sponsor’s telephone number 5168832005
Plan sponsor’s address 16 WILLOWDALE AVENUE, PORT WASHINGTON, NY, 11050

Signature of
Role Plan administrator
Date 2018-09-06
Name of individual signing MICHAEL EZELL
PORT ANIMAL HOSPITAL LLC 401 K PROFIT SHARING PLAN TRUST 2016 113453067 2017-07-19 PORT ANIMAL HOSPITAL LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 541990
Sponsor’s telephone number 5168832005
Plan sponsor’s address 16 WILLOWDALE AVENUE, PORT WASHINGTON, NY, 11050

Signature of
Role Plan administrator
Date 2017-07-19
Name of individual signing MICHAEL EZELL
PORT ANIMAL HOSPITAL, LLC RETIREMENT PLAN 2014 113453067 2015-06-05 PORT ANIMAL HOSPITAL, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 541940
Sponsor’s telephone number 5168832005
Plan sponsor’s address 16 WILLOWDALE AVENUE, PORT WASHINGTON, NY, 11050

Signature of
Role Plan administrator
Date 2015-06-05
Name of individual signing MICHAEL EZELL
Role Employer/plan sponsor
Date 2015-06-05
Name of individual signing MICHAEL EZELL
PORT ANIMAL HOSPITAL, LLC RETIREMENT PLAN 2013 113453067 2014-07-23 PORT ANIMAL HOSPITAL, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 541940
Sponsor’s telephone number 5168832005
Plan sponsor’s address 16 WILLOWDALE AVENUE, PORT WASHINGTON, NY, 11050

Signature of
Role Plan administrator
Date 2014-07-23
Name of individual signing MICHAEL EZELL
Role Employer/plan sponsor
Date 2014-07-23
Name of individual signing MICHAEL EZELL

DOS Process Agent

Name Role Address
PORT ANIMAL HOSPITAL LLC DOS Process Agent 16 WILLOWDALE AVE, PORT WASHINGTON, NY, United States, 11050

History

Start date End date Type Value
1998-08-06 2008-08-15 Address 16 WILLOWDALE AVENUE, PORT WASHINGTON, NY, 11050, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
221024002303 2022-10-24 BIENNIAL STATEMENT 2022-08-01
150414000863 2015-04-14 CERTIFICATE OF PUBLICATION 2015-04-14
120806007132 2012-08-06 BIENNIAL STATEMENT 2012-08-01
100826002396 2010-08-26 BIENNIAL STATEMENT 2010-08-01
080815002340 2008-08-15 BIENNIAL STATEMENT 2008-08-01
060816002014 2006-08-16 BIENNIAL STATEMENT 2006-08-01
040728002138 2004-07-28 BIENNIAL STATEMENT 2004-08-01
000815002084 2000-08-15 BIENNIAL STATEMENT 2000-08-01
980806000255 1998-08-06 ARTICLES OF ORGANIZATION 1998-08-06

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5549157200 2020-04-27 0235 PPP 16 WILLOWDALE AVE, PORT WASHINGTON, NY, 11050
Loan Status Date 2022-02-24
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 147055.2
Loan Approval Amount (current) 147055.2
Undisbursed Amount 0
Franchise Name -
Lender Location ID 46104
Servicing Lender Name Dime Community Bank
Servicing Lender Address 2200 Montauk Hwy, BRIDGEHAMPTON, NY, 11932
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address PORT WASHINGTON, NASSAU, NY, 11050-0001
Project Congressional District NY-03
Number of Employees 13
NAICS code 541940
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 49693
Originating Lender Name Dime Community Bank
Originating Lender Address NEW YORK CITY, NY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 149452.81
Forgiveness Paid Date 2022-01-04

Related by officers

No related officers

Related by address

16 WILLOWDALE AVE, PORT WASHINGTON, NY, United States, 11050

11 WILLOWDALE LLC

Date of last update: 31 Mar 2025

Sources: New York Secretary of State

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