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FAMILY MEDICINE OF CARTHAGE, P.C.

FAMILY MEDICINE OF CARTHAGE, P.C.

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Company Details

Name:	FAMILY MEDICINE OF CARTHAGE, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	03 Jan 2001 (25 years ago)
Entity Number:	2589415
ZIP code:	13619
County:	Jefferson
Place of Formation:	New York
Address:	214 CHURCH STREET, CARTHAGE, NY, United States, 13619

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name	Role	Address
JOCELYN AZNAR-BEANE, MD	Chief Executive Officer	214 CHURCH STREET, CARTHAGE, NY, United States, 13619

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	214 CHURCH STREET, CARTHAGE, NY, United States, 13619

National Provider Identifier

NPI Number:

1770678559

Certification Date:

2023-01-08

Link:

View on NPI website

Authorized Person:

Name:

JOCELYN C BEANE

Role:

OWNER

Phone:

3154930128

Taxonomy:

Selected Taxonomy:

207QG0300X - Geriatric Medicine (Family Medicine) Physician

Is Primary:

Yes

Contacts:

Phone:

+1 315-493-0128

Fax:

3154936200

Form 5500 Series

Employer Identification Number (EIN):

161596654

Plan Year:

2024

Number Of Participants:

12

Sponsors Telephone Number:

3154930128

File:

Plan Year:

2023

Number Of Participants:

12

Sponsors Telephone Number:

3154930128

File:

Plan Year:

2022

Number Of Participants:

13

Sponsors Telephone Number:

3154930128

File:

Plan Year:

2021

Number Of Participants:

12

Sponsors Telephone Number:

3154930128

File:

Plan Year:

2020

Number Of Participants:

12

Sponsors Telephone Number:

3154930128

File:

History

Start date	End date	Type	Value
2003-03-11	2007-01-11	Address	214 CHURCH ST, CARTHAGE, NY, 13619, 1212, USA (Type of address: Chief Executive Officer)
2003-03-11	2007-01-11	Address	214 CHURCH ST, CARTHAGE, NY, 13619, 1212, USA (Type of address: Principal Executive Office)
2003-03-11	2007-01-11	Address	214 CHURCH ST, CARTHAGE, NY, 13619, 1212, USA (Type of address: Service of Process)
2001-01-03	2003-03-11	Address	870 STATE STREET, CARTHAGE, NY, 13619, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
170103007708	2017-01-03	BIENNIAL STATEMENT	2017-01-01
150107006591	2015-01-07	BIENNIAL STATEMENT	2015-01-01
130125006039	2013-01-25	BIENNIAL STATEMENT	2013-01-01
110214002184	2011-02-14	BIENNIAL STATEMENT	2011-01-01
070111002723	2007-01-11	BIENNIAL STATEMENT	2007-01-01

Paycheck Protection Program

Jobs Reported:

9

Initial Approval Amount:

$70,000

Date Approved:

2020-04-29

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$70,000

Race:

Asian

Ethnicity:

Not Hispanic or Latino

Gender:

Female Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$70,981.92

Servicing Lender:

Community Bank, National Association

Use of Proceeds:

Payroll: $70,000

Jobs Reported:

9

Initial Approval Amount:

$70,000

Date Approved:

2021-02-13

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$70,000

Race:

Asian

Ethnicity:

Not Hispanic or Latino

Gender:

Female Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$70,886.03

Servicing Lender:

Community Bank, National Association

Use of Proceeds:

Payroll: $69,996
Utilities: $1

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State