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ISLAND KIDS PEDIATRICS P.C.

Company Details

Name: ISLAND KIDS PEDIATRICS P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Dec 1999 (25 years ago)
Entity Number: 2451347
ZIP code: 10314
County: Richmond
Place of Formation: New York
Address: 2066 RICHMOND AVE., STATEN ISLAND, NY, United States, 10314

Contact Details

Phone +1 718-982-9001

Phone +1 718-667-5500

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
ISLAND KIDS PEDIATRICS, P.C. 401(K) PLAN 2023 134096547 2024-06-04 ISLAND KIDS PEDIATRICS, P.C. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 7189829001
Plan sponsor’s address 2066 RICHMOND AVENUE, STATEN ISLAND, NY, 10314

Signature of

Role Plan administrator
Date 2024-06-04
Name of individual signing DENIZ CEREB MD
ISLAND KIDS PEDIATRICS, P.C. 401(K) PLAN 2022 134096547 2023-10-02 ISLAND KIDS PEDIATRICS, P.C. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 7189829001
Plan sponsor’s address 2066 RICHMOND AVENUE, STATEN ISLAND, NY, 10314

Signature of

Role Plan administrator
Date 2023-10-02
Name of individual signing DENIZ CEREB, MD
ISLAND KIDS PEDIATRICS, P.C. 401(K) PLAN 2021 134096547 2022-09-29 ISLAND KIDS PEDIATRICS, P.C. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 7189829001
Plan sponsor’s address 2066 RICHMOND AVENUE, STATEN ISLAND, NY, 10314

Signature of

Role Plan administrator
Date 2022-09-29
Name of individual signing DENIZ CEREB, M.D., TRUSTEE
Role Employer/plan sponsor
Date 2022-09-29
Name of individual signing DENIZ CEREB, M.D., PRESIDENT
ISLAND KIDS PEDIATRICS, P.C. 401(K) PLAN 2020 134096547 2021-08-18 ISLAND KIDS PEDIATRICS, P.C. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 7189829001
Plan sponsor’s address 2066 RICHMOND AVENUE, STATEN ISLAND, NY, 10314

Signature of

Role Plan administrator
Date 2021-08-18
Name of individual signing DENIZ CEREB, M.D., TRUSTEE
Role Employer/plan sponsor
Date 2021-08-18
Name of individual signing DENIZ CEREB, M.D., PRESIDENT
ISLAND KIDS PEDIATRICS, P.C. 401(K) PLAN 2020 134096547 2021-08-18 ISLAND KIDS PEDIATRICS, P.C. 26
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 7189829001
Plan sponsor’s address 2066 RICHMOND AVENUE, STATEN ISLAND, NY, 10314

Signature of

Role Plan administrator
Date 2021-08-18
Name of individual signing DENIZ CEREB, M.D., TRUSTEE
Role Employer/plan sponsor
Date 2021-08-18
Name of individual signing DENIZ CEREB, M.D., PRESIDENT
ISLAND KIDS PEDIATRICS P C 401(K) PROFIT SHARING PLAN 2019 134096547 2020-06-22 ISLAND KIDS PEDIATRICS P C 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-04
Business code 621111
Sponsor’s telephone number 7189829001
Plan sponsor’s address 2066 RICHMOND AVENUE, 1ST FLOOR, STATEN ISLAND, NY, 10314

Signature of

Role Plan administrator
Date 2020-06-22
Name of individual signing SHIRLEY HORNER
ISLAND KIDS PEDIATRICS, P.C. 401(K) PLAN 2017 134096547 2018-06-18 ISLAND KIDS PEDIATRICS, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 7189829001
Plan sponsor’s address 2066 RICHMOND AVENUE, STATEN ISLAND, NY, 10314

Signature of

Role Plan administrator
Date 2018-06-18
Name of individual signing DENIZ CEREB
Role Employer/plan sponsor
Date 2018-06-18
Name of individual signing DENIZ CEREB
ISLAND KIDS PEDIATRICS, P.C. 401(K) PLAN 2016 134096547 2017-03-14 ISLAND KIDS PEDIATRICS, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 7189829001
Plan sponsor’s address 2066 RICHMOND AVENUE, STATEN ISLAND, NY, 10314

Signature of

Role Plan administrator
Date 2017-03-14
Name of individual signing DENIZ CEREB
Role Employer/plan sponsor
Date 2017-03-14
Name of individual signing DENIZ CEREB
ISLAND KIDS PEDIATRICS, P.C. 401(K) PLAN 2015 134096547 2016-07-12 ISLAND KIDS PEDIATRICS, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 7189829001
Plan sponsor’s address 2066 RICHMOND AVENUE, STATEN ISLAND, NY, 10314

Signature of

Role Plan administrator
Date 2016-07-12
Name of individual signing DENIZ CEREB
Role Employer/plan sponsor
Date 2016-07-12
Name of individual signing DENIZ CEREB
ISLAND KIDS PEDIATRICS, P.C. 401(K) PLAN 2014 134096547 2015-06-04 ISLAND KIDS PEDIATRICS, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 7189829001
Plan sponsor’s address 2066 RICHMOND AVENUE, STATEN ISLAND, NY, 10314

Signature of

Role Plan administrator
Date 2015-06-04
Name of individual signing DENIZ CEREB
Role Employer/plan sponsor
Date 2015-06-04
Name of individual signing DENIZ CEREB

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2066 RICHMOND AVE., STATEN ISLAND, NY, United States, 10314

History

Start date End date Type Value
2008-09-04 2008-11-20 Name HYLAN PEDIATRICS P.C.
1999-12-17 2008-09-04 Name DENIZ CEREB, M.D., P.C.
1999-12-17 2010-08-10 Address 219 QUINLAN AVENUE, STATEN ISLAND, NY, 10314, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
100810000582 2010-08-10 CERTIFICATE OF CHANGE 2010-08-10
081120000662 2008-11-20 CERTIFICATE OF AMENDMENT 2008-11-20
080904000526 2008-09-04 CERTIFICATE OF AMENDMENT 2008-09-04
991217000817 1999-12-17 CERTIFICATE OF INCORPORATION 1999-12-17

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3116858309 2021-01-21 0202 PPS 2066 Richmond Ave, Staten Island, NY, 10314-3960
Loan Status Date 2022-03-25
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 390971
Loan Approval Amount (current) 390971
Undisbursed Amount 0
Franchise Name -
Lender Location ID 121536
Servicing Lender Name Customers Bank
Servicing Lender Address 40 General Warren Blvd, Malvern, PA, 19355
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Staten Island, RICHMOND, NY, 10314-3960
Project Congressional District NY-11
Number of Employees 28
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 121536
Originating Lender Name Customers Bank
Originating Lender Address Malvern, PA
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 395041.38
Forgiveness Paid Date 2022-02-28
1413047205 2020-04-15 0202 PPP 2066 RICHMOND AVE, STATEN ISLAND, NY, 10314
Loan Status Date 2021-02-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 430165
Loan Approval Amount (current) 430165
Undisbursed Amount 0
Franchise Name -
Lender Location ID 122043
Servicing Lender Name WebBank
Servicing Lender Address 215 S State St, Ste 1000, SALT LAKE CITY, UT, 84111-2336
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address STATEN ISLAND, RICHMOND, NY, 10314-0001
Project Congressional District NY-11
Number of Employees 33
NAICS code 621112
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 122043
Originating Lender Name WebBank
Originating Lender Address SALT LAKE CITY, UT
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 433570.47
Forgiveness Paid Date 2021-01-27

Date of last update: 31 Mar 2025

Sources: New York Secretary of State