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  5. JACQUELINE DELMONT, MD, P.C.

JACQUELINE DELMONT, MD, P.C.

Company Details

Name: JACQUELINE DELMONT, MD, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 Nov 2001 (23 years ago)
Entity Number: 2700086
ZIP code: 11520
County: Nassau
Place of Formation: New York
Activity Description: Jacqueline Delmont MD, PC is a primary care practice that has state of the art facilities. electronic health records and patient portal to improve access to medical information.
Address: 55 North Main Street, Freeport, NY, United States, 11520
Principal Address: 55 NORTH MAIN STREET, FREEPORT, NY, United States, 11520

Contact Details

Phone +1 516-377-8014

Website http://www.delmonthealthcare.com

Phone +1 516-442-8488

Phone +1 718-868-4850

Phone +1 516-352-8300

Phone +1 718-868-1100

Phone +1 516-340-0001

Phone +1 516-377-8015

Phone +1 516-377-1023

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Activities

#621999 All Other Miscellaneous Ambulatory Health Care Services

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
FM6QKHRVLFJ7 2023-03-09 55 N MAIN ST, FREEPORT, NY, 11520, 2243, USA 55 NORTH MAIN STREET, FREEPORT, NY, 11520, USA

Business Information
Congressional District 04
State/Country of Incorporation NY, USA
Activation Date 2022-02-11
Initial Registration Date 2022-02-07
Entity Start Date 2000-08-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621112

Points of Contacts
Electronic Business
Title PRIMARY POC
Name JACQUELINE DELMONT
Role PRESIDENT
Address 55 NORTH MAIN STREET, FREEPORT, NY, 11520, USA
Government Business
Title PRIMARY POC
Name JACQUELINE DELMONT
Role PRESIDENT
Address 55 NORTH MAIN STREET, FREEPORT, NY, 11520, USA
Past Performance
Title ALTERNATE POC
Name MICHELE REDMOND
Role BILLING MANAGER
Address 55 NORTH MAIN STREET, FREEPORT, NY, 11520, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DELMONT HEALTHCARE CASH BALANCE PLAN 2023 522248589 2024-09-27 JACQUELINE DELMONT MD P.C. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 5163778014
Plan sponsor’s address 55 NORTH MAIN STREET, FREEPORT, NY, 11520
DELMONT HEALTHCARE CASH BALANCE PLAN 2022 522248589 2023-10-03 JACQUELINE DELMONT MD P.C. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 5163778014
Plan sponsor’s address 55 NORTH MAIN STREET, FREEPORT, NY, 11520
DELMONT HEALTHCARE 401(K) PLAN 2021 522248589 2022-05-02 JACQUELINE DELMONT MD P.C. 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-06-01
Business code 621111
Sponsor’s telephone number 5163778014
Plan sponsor’s address 55 NORTH MAIN STREET, FREEPORT, NY, 115202243

Signature of
Role Plan administrator
Date 2022-05-02
Name of individual signing JACQUELINE DELMONT
Role Employer/plan sponsor
Date 2022-05-02
Name of individual signing JACQUELINE DELMONT
DELMONT HEALTHCARE CASH BALANCE PLAN 2021 522248589 2022-10-14 JACQUELINE DELMONT MD P.C. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 5163778014
Plan sponsor’s address 55 NORTH MAIN STREET, FREEPORT, NY, 11520
DELMONT HEALTHCARE 401(K) PLAN 2020 522248589 2021-10-14 JACQUELINE DELMONT MD P.C. 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-06-01
Business code 621111
Sponsor’s telephone number 5163778014
Plan sponsor’s address 55 NORTH MAIN STREET, FREEPORT, NY, 115202243

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing JACQUELINE DELMONT
Role Employer/plan sponsor
Date 2021-10-14
Name of individual signing JACQUELINE DELMONT
DELMONT HEALTHCARE 401(K) PLAN 2019 522248589 2020-10-14 JACQUELINE DELMONT MD P.C. 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-06-01
Business code 621111
Sponsor’s telephone number 5163778014
Plan sponsor’s address 55 NORTH MAIN STREET, FREEPORT, NY, 115202243

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing SILVIA ROSALES
Role Employer/plan sponsor
Date 2020-10-14
Name of individual signing SILVIA ROSALES
DELMONT HEALTHCARE 401(K) PLAN 2018 522248589 2019-07-30 JACQUELINE DELMONT MD P.C. 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-06-01
Business code 621111
Sponsor’s telephone number 5163778014
Plan sponsor’s address 55 NORTH MAIN STREET, FREEPORT, NY, 115202243

Signature of
Role Plan administrator
Date 2019-07-30
Name of individual signing SILVIA ROSALES
Role Employer/plan sponsor
Date 2019-07-30
Name of individual signing SILVIA ROSALES

DOS Process Agent

Name Role Address
JACQUELINE DELMONT, MD, P.C. DOS Process Agent 55 North Main Street, Freeport, NY, United States, 11520

Chief Executive Officer

Name Role Address
JACQUELINE DELMONT, MD, P.C. Chief Executive Officer 55 NORTH MAIN STREET, FREEPORT, NY, United States, 11520

History

Start date End date Type Value
2023-11-01 2023-11-01 Address 55 NORTH MAIN STREET, FREEPORT, NY, 11520, USA (Type of address: Chief Executive Officer)
2023-02-08 2023-11-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-02-08 2023-11-01 Address 55 North Main Street, Freeport, NY, 11520, USA (Type of address: Service of Process)
2023-02-08 2023-02-08 Address 55 NORTH MAIN STREET, FREEPORT, NY, 11520, USA (Type of address: Chief Executive Officer)
2023-02-08 2023-11-01 Address 55 NORTH MAIN STREET, FREEPORT, NY, 11520, USA (Type of address: Chief Executive Officer)
2016-09-08 2023-02-08 Address 55 NORTH MAIN STREET, FREEPORT, NY, 11520, USA (Type of address: Service of Process)
2016-09-08 2023-02-08 Address 55 NORTH MAIN STREET, FREEPORT, NY, 11520, USA (Type of address: Chief Executive Officer)
2007-12-17 2016-09-08 Address BOARD-CERTIFIED INTERNAL MED., 60 GUY LOMBARDO AVENUE, FREEPORT, NY, 11520, USA (Type of address: Chief Executive Officer)
2007-12-17 2016-09-08 Address BOARD-CERTIFIED INTERNAL MED., 60 GUY LOMBARDO AVENUE, FREEPORT, NY, 11520, USA (Type of address: Principal Executive Office)
2007-12-17 2016-09-08 Address BOARD-CERTIFIED INTERNAL MED., 60 GUY LOMBARDO AVENUE, FREEPORT, NY, 11520, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231101042390 2023-11-01 BIENNIAL STATEMENT 2023-11-01
230208002901 2023-02-08 BIENNIAL STATEMENT 2021-11-01
160908002016 2016-09-08 BIENNIAL STATEMENT 2015-11-01
071217002418 2007-12-17 BIENNIAL STATEMENT 2007-11-01
031031002821 2003-10-31 BIENNIAL STATEMENT 2003-11-01
011116000656 2001-11-16 CERTIFICATE OF INCORPORATION 2001-11-16

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2511437703 2020-05-01 0235 PPP 55 N MAIN ST, FREEPORT, NY, 11520
Loan Status Date 2021-12-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 925667
Loan Approval Amount (current) 925667
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 Y
Business Age Description Existing or more than 2 years old
Project Address FREEPORT, NASSAU, NY, 11520-0001
Project Congressional District NY-04
Number of Employees 500
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 939526.29
Forgiveness Paid Date 2021-11-03

Related by officers

No related officers

Related by address

55 NORTH MAIN STREET, FREEPORT, NY, United States, 11520

DELMONT HEALTHCARE CONSULTANTS, LLC DELMONT REALTY CENTRAL LLC DELMONT REALTY FREEPORT 47 LLC DELMONT REALTY FREEPORT LLC DELMONT REALTY WESTBURY LLC DELMONT REALTY, LLC

Date of last update: 30 Mar 2025

Sources: New York Secretary of State

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