SUSAN S. BLUM, M.D., M.P.H., P.C.

Company Details

Name:	SUSAN S. BLUM, M.D., M.P.H., P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	11 Sep 2001 (24 years ago)
Entity Number:	2679342
ZIP code:	10504
County:	Westchester
Place of Formation:	New York
Principal Address:	1241 MAMARONECK AVE, WHITE PLAINS, NY, United States, 10605
Address:	3 INDIAN TRAIL, ARMONK, NY, United States, 10504

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Name	Role	Address
SUSAN BLUM	DOS Process Agent	3 INDIAN TRAIL, ARMONK, NY, United States, 10504

Name	Role	Address
SUSAN BLUM	Chief Executive Officer	1241 MAMARONECK AVE, WHITE PLAINS, NY, United States, 10605

Start date	End date	Type	Value
2003-10-14	2005-11-10	Address	455 CENTRAL PARK AVE, SCARSDALE, NY, 10583, USA (Type of address: Chief Executive Officer)
2003-10-14	2005-11-10	Address	3 INDIAN TRAIL, ARMONK, NY, 10504, USA (Type of address: Principal Executive Office)
2003-01-17	2005-11-10	Address	SUSAN BLUM, 3 INDIAN TRAIL, ARMONK, NY, 10504, USA (Type of address: Service of Process)
2001-09-11	2003-01-17	Address	SUSAN S. BLUM, 16 KENSINGTON ROAD, SCARSDALE, NY, 10583, USA (Type of address: Service of Process)

Filing Number	Date Filed	Type	Effective Date
070904002152	2007-09-04	BIENNIAL STATEMENT	2007-09-01
051110002553	2005-11-10	BIENNIAL STATEMENT	2005-09-01
031014002625	2003-10-14	BIENNIAL STATEMENT	2003-09-01
030117000883	2003-01-17	CERTIFICATE OF AMENDMENT	2003-01-17
010911000080	2001-09-11	CERTIFICATE OF INCORPORATION	2001-09-11

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

2119318508

2021-02-19

0202

PPS

34 Rye Ridge Plz, Rye Brook, NY, 10573-2820

Loan Status Date	2021-12-18
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	114907
Loan Approval Amount (current)	114907
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	48270
Servicing Lender Name	JPMorgan Chase Bank, National Association
Servicing Lender Address	1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	Rye Brook, WESTCHESTER, NY, 10573-2820
Project Congressional District	NY-16
Number of Employees	6
NAICS code	621399
Borrower Race	White
Borrower Ethnicity	Not Hispanic or Latino
Business Type	Corporation
Originating Lender ID	48270
Originating Lender Name	JPMorgan Chase Bank, National Association
Originating Lender Address	COLUMBUS, OH
Gender	Female Owned
Veteran	Non-Veteran
Forgiveness Amount	115707.77
Forgiveness Paid Date	2021-11-08

Date of last update: 30 Mar 2025