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HEALTHSOURCE PHARMACY, INC.

Company Details

Name: HEALTHSOURCE PHARMACY, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 16 Jul 2001 (24 years ago)
Entity Number: 2660784
ZIP code: 10065
County: New York
Address: 1296 2ND AVE, NEW YORK, NY, United States, 10065

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
HEALTHSOURCE PHARMACY INC CASH BALANCE PLAN 2023 134181422 2024-10-04 HEALTHSOURCE PHARMACY INC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 2127948700
Plan sponsor’s address 1302 2ND AVE., NEW YORK, NY, 10065
HEALTHSOURCE PHARMACY INC 401(K) PROFIT SHARING PLAN 2023 134181422 2024-08-30 HEALTHSOURCE PHARMACY INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 2127948700
Plan sponsor’s address 1302 2ND AVE., NEW YORK, NY, 10065
HEALTHSOURCE PHARMACY INC 401(K) PROFIT SHARING PLAN 2023 134181422 2024-08-30 HEALTHSOURCE PHARMACY INC 14
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 2127948700
Plan sponsor’s address 1302 2ND AVE., NEW YORK, NY, 10065
HEALTHSOURCE PHARMACY INC 401(K) PROFIT SHARING PLAN 2022 134181422 2023-05-08 HEALTHSOURCE PHARMACY INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 2127948700
Plan sponsor’s address 1302 2ND AVE., NEW YORK, NY, 10065
HEALTHSOURCE PHARMACY INC CASH BALANCE PLAN 2022 134181422 2023-10-14 HEALTHSOURCE PHARMACY INC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 2127948700
Plan sponsor’s address 1302 2ND AVE., NEW YORK, NY, 10065
HEALTHSOURCE PHARMACY INC 401(K) PROFIT SHARING PLAN 2021 134181422 2022-03-31 HEALTHSOURCE PHARMACY INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 2127948700
Plan sponsor’s address 1302 2ND AVE., NEW YORK, NY, 10065
HEALTHSOURCE PHARMACY INC CASH BALANCE PLAN 2021 134181422 2022-03-31 HEALTHSOURCE PHARMACY INC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 2127948700
Plan sponsor’s address 1302 2ND AVE., NEW YORK, NY, 10065
HEALTHSOURCE PHARMACY INC 401(K) PROFIT SHARING PLAN 2020 134181422 2021-06-24 HEALTHSOURCE PHARMACY INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 2127948700
Plan sponsor’s address 1302 2ND AVE., NEW YORK, NY, 10065
HEALTHSOURCE PHARMACY INC CASH BALANCE PLAN 2020 134181422 2021-07-05 HEALTHSOURCE PHARMACY INC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 2127948700
Plan sponsor’s address 1302 2ND AVE., NEW YORK, NY, 10065
HEALTHSOURCE PHARMACY INC CASH BALANCE PLAN 2019 134181422 2020-09-22 HEALTHSOURCE PHARMACY INC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 2127948700
Plan sponsor’s address 1302 2ND AVE., NEW YORK, NY, 10065

Chief Executive Officer

Name Role Address
BORIS NIYAZOV Chief Executive Officer 1296 2ND AVE, NEW YORK, NY, United States, 10065

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1296 2ND AVE, NEW YORK, NY, United States, 10065

History

Start date End date Type Value
2025-01-10 2025-01-10 Address 1302 2ND AVE, NEW YORK, NY, 10065, USA (Type of address: Chief Executive Officer)
2025-01-10 2025-01-10 Address 1296 2ND AVE, NEW YORK, NY, 10065, USA (Type of address: Service of Process)
2025-01-10 2025-01-10 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-01-10 2025-01-10 Address 1296 2ND AVE, NEW YORK, NY, 10065, USA (Type of address: Chief Executive Officer)
2024-02-01 2025-01-10 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-01-18 2024-02-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2013-09-25 2025-01-10 Address 1302 2ND AVE, NEW YORK, NY, 10065, USA (Type of address: Chief Executive Officer)
2013-09-25 2025-01-10 Address 1302 2ND AVE, NEW YORK, NY, 10065, USA (Type of address: Service of Process)
2001-07-16 2013-09-25 Address 385 SECOND AVE, NEW YORK, NY, 10010, USA (Type of address: Service of Process)
2001-07-16 2024-01-18 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
250110000186 2025-01-10 BIENNIAL STATEMENT 2025-01-10
250110003303 2025-01-10 CERTIFICATE OF MERGER 2025-01-10
130925002046 2013-09-25 BIENNIAL STATEMENT 2013-07-01
020520000671 2002-05-20 CERTIFICATE OF AMENDMENT 2002-05-20
010716000434 2001-07-16 CERTIFICATE OF INCORPORATION 2001-07-16

Fine And Fees

Fee Sequence Id Fee type Status Date Amount Description
264397 CNV_SI INVOICED 2003-11-20 36 SI - Certificate of Inspection fee (scales)
253189 CNV_SI INVOICED 2002-09-04 36 SI - Certificate of Inspection fee (scales)

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6135177102 2020-04-14 0202 PPP 1302 2nd Ave, NEW YORK, NY, 10065-5706
Loan Status Date 2021-06-30
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 108482.5
Loan Approval Amount (current) 108482.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 29805
Servicing Lender Name TD Bank, National Association
Servicing Lender Address 2035 Limestone Rd, WILMINGTON, DE, 19808-5529
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address NEW YORK, NEW YORK, NY, 10065-5706
Project Congressional District NY-12
Number of Employees 4
NAICS code 446110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 29805
Originating Lender Name TD Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 109602.98
Forgiveness Paid Date 2021-04-28

Date of last update: 30 Mar 2025

Sources: New York Secretary of State