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OGDENSBURG FAMILY PRACTICE, LLC

Company Details

Name: OGDENSBURG FAMILY PRACTICE, LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 30 Dec 1998 (26 years ago)
Entity Number: 2329823
ZIP code: 13669
County: St. Lawrence
Place of Formation: New York
Address: 921 STATE STREET, OGDENSBURG, NY, United States, 13669

Contact Details

Phone +1 315-393-9268

DOS Process Agent

Name Role Address
OGDENSBURG FAMILY PRACTICE, LLC DOS Process Agent 921 STATE STREET, OGDENSBURG, NY, United States, 13669

National Provider Identifier

NPI Number:
1699183806
Certification Date:
2022-04-06

Authorized Person:

Name:
WYLON SPRINGSTEAD
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3153933541

Form 5500 Series

Employer Identification Number (EIN):
161562234
Plan Year:
2012
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
14
Sponsors Telephone Number:

History

Start date End date Type Value
1998-12-30 2021-05-28 Address 3 LYON PLACE, OGDENSBURG, NY, 13669, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210727002952 2021-07-27 BIENNIAL STATEMENT 2021-07-27
210528000284 2021-05-28 CERTIFICATE OF CHANGE 2021-05-28
081209002359 2008-12-09 BIENNIAL STATEMENT 2008-12-01
070209002048 2007-02-09 BIENNIAL STATEMENT 2006-12-01
050308002546 2005-03-08 BIENNIAL STATEMENT 2004-12-01

USAspending Awards / Financial Assistance

Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
99717.50
Total Face Value Of Loan:
99717.50
Date:
2020-04-26
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
99717.5
Current Approval Amount:
99717.5
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
100395.03

Date of last update: 31 Mar 2025

Sources: New York Secretary of State