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PREMIUM MEDICAL CARE, P.C.

Company Details

Name: PREMIUM MEDICAL CARE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 Jun 2001 (24 years ago)
Entity Number: 2652656
ZIP code: 11355
County: Nassau
Place of Formation: New York
Address: 132-03 SANFORD AVE, FLUSHING, NY, United States, 11355
Principal Address: 14 WINCHESTER DR, GLEN HEAD, NY, United States, 11545

Contact Details

Phone +1 718-961-9800

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
PREMIUM MEDICAL CARE, P.C. DEFINED BENEFIT PLAN 2016 113616414 2017-03-31 PREMIUM MEDICAL CARE, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7189618881
Plan sponsor’s address 132-03 SANFORD AVE 1C, FLUSHING, NY, 11355
PREMIUM MEDICAL CARE, P.C. DEFINED BENEFIT PLAN 2015 113616414 2016-07-21 PREMIUM MEDICAL CARE, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7189618881
Plan sponsor’s address 132-03 SANFORD AVE 1C, FLUSHING, NY, 11355
PREMIUM MEDICAL CARE, P.C. DEFINED BENEFIT PLAN 2014 113616414 2015-09-23 PREMIUM MEDICAL CARE, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7189618881
Plan sponsor’s address 132-03 SANFORD AVE 1C, FLUSHING, NY, 11355
PREMIUM MEDICAL CARE, P.C. DEFINED BENEFIT PLAN 2013 113616414 2014-10-14 PREMIUM MEDICAL CARE, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7189618881
Plan sponsor’s address 132-03 SANFORD AVE 1C, FLUSHING, NY, 11355
PREMIUM MEDICAL CARE, P.C. DEFINED BENEFIT PLAN 2012 113616414 2013-09-13 PREMIUM MEDICAL CARE, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7189618881
Plan sponsor’s address 132-03 SANFORD AVE 1C, FLUSHING, NY, 11355

Signature of

Role Plan administrator
Date 2013-09-13
Name of individual signing SUZANNE MALEN
PREMIUM MEDICAL CARE, P.C. DEFINED BENEFIT PLAN 2011 113616414 2012-10-15 PREMIUM MEDICAL CARE, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7189618881
Plan sponsor’s address 132-03 SANFORD AVE 1C, FLUSHING, NY, 11355

Plan administrator’s name and address

Administrator’s EIN 113616414
Plan administrator’s name PREMIUM MEDICAL CARE, P.C.
Plan administrator’s address 132-03 SANFORD AVE 1C, FLUSHING, NY, 11355
Administrator’s telephone number 7189618881

Signature of

Role Plan administrator
Date 2012-10-15
Name of individual signing SUZANNE MALEN
PREMIUM MEDICAL CARE, P.C. DEFINED BENEFIT PLAN 2010 113616414 2011-07-29 PREMIUM MEDICAL CARE, P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7189618881
Plan sponsor’s address 132-03 SANFORD AVE 1C, FLUSHING, NY, 11355

Plan administrator’s name and address

Administrator’s EIN 113616414
Plan administrator’s name PREMIUM MEDICAL CARE, P.C.
Plan administrator’s address 132-03 SANFORD AVE 1C, FLUSHING, NY, 11355
Administrator’s telephone number 7189618881

Signature of

Role Plan administrator
Date 2011-07-29
Name of individual signing SUZANNE MALEN
PREMIUM MEDICAL CARE, P.C. DEFINED BENEFIT PLAN 2009 113616414 2010-10-13 PREMIUM MEDICAL CARE, P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7189618881
Plan sponsor’s address 132-03 SANFORD AVE 1C, FLUSHING, NY, 11355

Plan administrator’s name and address

Administrator’s EIN 113616414
Plan administrator’s name PREMIUM MEDICAL CARE, P.C.
Plan administrator’s address 132-03 SANFORD AVE 1C, FLUSHING, NY, 11355
Administrator’s telephone number 7189618881

Signature of

Role Plan administrator
Date 2010-10-13
Name of individual signing SUZANNE MALEN

DOS Process Agent

Name Role Address
YAOMING WANG MD DOS Process Agent 132-03 SANFORD AVE, FLUSHING, NY, United States, 11355

Chief Executive Officer

Name Role Address
YADMING WANG Chief Executive Officer 14 WINCHESTER DR, GLEN HEAD, NY, United States, 11545

History

Start date End date Type Value
2005-12-01 2016-05-05 Address PREMIUM MEDICAL CARE PC, 6 PEPPERMILL ROAD, ROSLYN, NY, 11576, 3106, USA (Type of address: Chief Executive Officer)
2001-06-20 2016-05-05 Address 6 PEPPERMILL ROAD, ROSLYN, NY, 11576, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
160505002027 2016-05-05 BIENNIAL STATEMENT 2015-06-01
051201003287 2005-12-01 BIENNIAL STATEMENT 2005-06-01
010620000754 2001-06-20 CERTIFICATE OF INCORPORATION 2001-06-20

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4806057202 2020-04-27 0202 PPP 13633 37TH AVE SUITE 1B, FLUSHING, NY, 11354-4562
Loan Status Date 2021-10-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 399200
Loan Approval Amount (current) 399200
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 Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address FLUSHING, QUEENS, NY, 11354-4562
Project Congressional District NY-06
Number of Employees 30
NAICS code 561990
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 49274
Originating Lender Name Citibank, N.A.
Originating Lender Address Sioux Falls, SD
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 404511.58
Forgiveness Paid Date 2021-09-07
3489088404 2021-02-05 0202 PPS 13633 37TH AVE # 1B/1C/1D, FLUSHING, NY, 11354
Loan Status Date 2022-03-17
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 323600
Loan Approval Amount (current) 323600
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 Y
Business Age Description Existing or more than 2 years old
Project Address FLUSHING, QUEENS, NY, 11354
Project Congressional District NY-06
Number of Employees 30
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 49274
Originating Lender Name Citibank, N.A.
Originating Lender Address Sioux Falls, SD
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 326862.97
Forgiveness Paid Date 2022-02-15

Date of last update: 30 Mar 2025

Sources: New York Secretary of State