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ANDREW GOLDFARB, M.D., P.C.

Company Details

Name: ANDREW GOLDFARB, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 27 May 1999 (26 years ago)
Entity Number: 2383087
ZIP code: 11545
County: Nassau
Place of Formation: New York
Address: 63 THE CIRCLE, GLEN HEAD, NY, United States, 11545
Principal Address: 1575 HILLSIDE AVE / SUITE 205, NEW HYDE PARK, NY, United States, 11040

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
ANDREW GOLDFARB, M.D., P.C. 401(K) PROFIT SHARING PLAN 2023 113492373 2024-09-10 ANDREW GOLDFARB, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5163580088
Plan sponsor’s address 63 THE CIRCLE, GLEN HEAD, NY, 11545
ANDREW GOLDFARB, M.D., P.C. 401(K) PROFIT SHARING PLAN 2022 113492373 2023-08-16 ANDREW GOLDFARB, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5163580088
Plan sponsor’s address 63 THE CIRCLE, GLEN HEAD, NY, 11545
ANDREW GOLDFARB, M.D., P.C. 401(K) PROFIT SHARING PLAN 2021 113492373 2022-08-04 ANDREW GOLDFARB, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5163580088
Plan sponsor’s address 63 THE CIRCLE, GLEN HEAD, NY, 11545
ANDREW GOLDFARB, M.D., P.C. 401(K) PROFIT SHARING PLAN 2020 113492373 2021-07-30 ANDREW GOLDFARB, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5163580088
Plan sponsor’s address 63 THE CIRCLE, GLEN HEAD, NY, 11545
ANDREW GOLDFARB, M.D., P.C. 401(K) PROFIT SHARING PLAN 2019 113492373 2020-09-14 ANDREW GOLDFARB, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5163580088
Plan sponsor’s address 63 THE CIRCLE, GLEN HEAD, NY, 11545
ANDREW GOLDFARB, M.D., P.C. 401(K) PROFIT SHARING PLAN 2018 113492373 2019-10-04 ANDREW GOLDFARB, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5163580088
Plan sponsor’s address 63 THE CIRCLE, GLEN HEAD, NY, 11545
ANDREW GOLDFARB, M.D., P.C. 401(K) PROFIT SHARING PLAN 2017 113492373 2018-09-07 ANDREW GOLDFARB, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5163580088
Plan sponsor’s address 63 THE CIRCLE, GLEN HEAD, NY, 11545
ANDREW GOLDFARB, M.D., P.C. 401(K) PROFIT SHARING PLAN 2016 113492373 2017-08-24 ANDREW GOLDFARB, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5163580088
Plan sponsor’s address 63 THE CIRCLE, GLEN HEAD, NY, 11545
ANDREW GOLDFARB, M.D., P.C. 401(K) PROFIT SHARING PLAN 2015 113492373 2016-09-15 ANDREW GOLDFARB, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5163580088
Plan sponsor’s address 63 THE CIRCLE, GLEN HEAD, NY, 11545
ANDREW GOLDFARB, M.D., P.C. 401(K) PROFIT SHARING PLAN 2014 113492373 2015-09-15 ANDREW GOLDFARB, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 5163580088
Plan sponsor’s address 63 THE CIRCLE, GLEN HEAD, NY, 11545

DOS Process Agent

Name Role Address
ANDREW GOLDFARB, M.D., P.C. DOS Process Agent 63 THE CIRCLE, GLEN HEAD, NY, United States, 11545

Chief Executive Officer

Name Role Address
ANDREW GOLDFARB Chief Executive Officer 63 THE CIRCLE, GLEN HEAD, NY, United States, 11545

Agent

Name Role Address
ANDREW GOLDFARB Agent 63 THE CIRCLE, GLEN HEAD, NY, 11545

History

Start date End date Type Value
2001-05-31 2011-06-08 Address 444 LAKEVILLE ROAD, LAKE SUCCESS, NY, 11042, USA (Type of address: Principal Executive Office)
1999-05-27 2021-05-19 Address 63 THE CIRCLE, GLEN HEAD, NY, 11545, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210519060252 2021-05-19 BIENNIAL STATEMENT 2021-05-01
190501060114 2019-05-01 BIENNIAL STATEMENT 2019-05-01
170518006051 2017-05-18 BIENNIAL STATEMENT 2017-05-01
150601007081 2015-06-01 BIENNIAL STATEMENT 2015-05-01
130509006403 2013-05-09 BIENNIAL STATEMENT 2013-05-01
110608002751 2011-06-08 BIENNIAL STATEMENT 2011-05-01
090603002326 2009-06-03 BIENNIAL STATEMENT 2009-05-01
070605002705 2007-06-05 BIENNIAL STATEMENT 2007-05-01
050712002565 2005-07-12 BIENNIAL STATEMENT 2005-05-01
030424002399 2003-04-24 BIENNIAL STATEMENT 2003-05-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3843968303 2021-01-22 0235 PPS 1575 Hillside Ave Ste 205, New Hyde Park, NY, 11040-2501
Loan Status Date 2022-04-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 43500
Loan Approval Amount (current) 43500
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 N
Business Age Description Existing or more than 2 years old
Project Address New Hyde Park, NASSAU, NY, 11040-2501
Project Congressional District NY-03
Number of Employees 3
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 49274
Originating Lender Name Citibank, N.A.
Originating Lender Address Sioux Falls, SD
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 43980.92
Forgiveness Paid Date 2022-03-07
7784377108 2020-04-14 0235 PPP 1575 Hillside Avenue Suite 205, NEW HYDE PARK, NY, 11040
Loan Status Date 2021-08-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 43500
Loan Approval Amount (current) 43500
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 N
Business Age Description Existing or more than 2 years old
Project Address NEW HYDE PARK, NASSAU, NY, 11040-0001
Project Congressional District NY-03
Number of Employees 3
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 49274
Originating Lender Name Citibank, N.A.
Originating Lender Address Sioux Falls, SD
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 44042.54
Forgiveness Paid Date 2021-07-19

Date of last update: 31 Mar 2025

Sources: New York Secretary of State