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HUDSON MOHAWK PEDIATRIC AND ADOLESCENT MEDICINE, LLC

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Company Details

Name: HUDSON MOHAWK PEDIATRIC AND ADOLESCENT MEDICINE, LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Inactive
Date of registration: 12 Jul 2001 (24 years ago)
Date of dissolution: 21 Jun 2021
Entity Number: 2659721
ZIP code: 12019
County: Saratoga
Place of Formation: New York
Address: 318 RUHLE ROAD SOUTH, BALLSTON LAKE, NY, United States, 12019

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 318 RUHLE ROAD SOUTH, BALLSTON LAKE, NY, United States, 12019

National Provider Identifier

NPI Number:
1306950563

Authorized Person:

Name:
DR. GAYLE B BUCKLEY
Role:
OWNER/PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
5188995764

History

Start date End date Type Value
2012-09-12 2014-12-05 Name HUDSON MOHAWK PEDIATRIC AND FAMILY MEDICINE, LLC
2001-07-12 2012-09-12 Name HUDSON MOHAWK PEDIATRIC AND ADOLESCENT MEDICINE, LLC
2001-07-12 2022-02-01 Address 318 RUHLE ROAD SOUTH, BALLSTON LAKE, NY, 12019, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
220201000114 2021-06-21 CERTIFICATE OF DISSOLUTION-CANCELLATION 2021-06-21
141205000194 2014-12-05 CERTIFICATE OF AMENDMENT 2014-12-05
130731002195 2013-07-31 BIENNIAL STATEMENT 2013-07-01
120912000862 2012-09-12 CERTIFICATE OF AMENDMENT 2012-09-12
110804003104 2011-08-04 BIENNIAL STATEMENT 2011-07-01

USAspending Awards / Financial Assistance

Date:
2021-01-25
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
135767.10
Total Face Value Of Loan:
135767.10
Date:
2020-04-14
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Date Approved:
2021-01-25
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
135767.1
Current Approval Amount:
135767.1
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
136374.28

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State