| Name: | MARK J. JAGUST, M.D., P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 06 Apr 2000 (25 years ago) |
| Entity Number: | 2495442 |
| ZIP code: | 11755 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | 2835 MIDDLE COUNTRY ROAD, LAKE GROVE, NY, United States, 11755 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| MARK J. JAGUST M.D. | Chief Executive Officer | 2853 MIDDLE COUNTRY ROAD, LAKE GROVE, NY, United States, 11755 |
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 2835 MIDDLE COUNTRY ROAD, LAKE GROVE, NY, United States, 11755 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 140926002023 | 2014-09-26 | BIENNIAL STATEMENT | 2014-04-01 |
| 100607002660 | 2010-06-07 | BIENNIAL STATEMENT | 2010-04-01 |
| 080514002456 | 2008-05-14 | BIENNIAL STATEMENT | 2008-04-01 |
| 060426002524 | 2006-04-26 | BIENNIAL STATEMENT | 2006-04-01 |
| 040527002751 | 2004-05-27 | BIENNIAL STATEMENT | 2004-04-01 |
| 020412002004 | 2002-04-12 | BIENNIAL STATEMENT | 2002-04-01 |
| 000406000063 | 2000-04-06 | CERTIFICATE OF INCORPORATION | 2000-04-06 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1718827302 | 2020-04-28 | 0235 | PPP | 2835 MIDDLE COUNTRY RD, LAKE GROVE, NY, 11755 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 31 Mar 2025
Sources: New York Secretary of State
