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  5. QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC

QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC

Company Details

Name: QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 Jan 2002 (23 years ago)
Entity Number: 2722464
ZIP code: 11428
County: Queens
Place of Formation: New York
Address: 92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, United States, 11428

Contact Details

Phone +1 718-502-9393

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
QUEENS VILLAGE PRIMARY MEDICAL CARE PLLC PROFIT SHARING PLAN 2013 141877758 2014-09-17 QUEENS VILLAGE PRIMARY MEDICAL CARE PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7184653040
Plan sponsor’s address 92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428

Signature of
Role Plan administrator
Date 2014-09-17
Name of individual signing ARYEL NICOLEAU
Role Employer/plan sponsor
Date 2014-09-17
Name of individual signing ARYEL NICOLEAU
QUEENS VILLAGE PRIMARY MEDICAL CARE PLLC PROFIT SHARING PLAN 2012 141877758 2013-10-08 QUEENS VILLAGE PRIMARY MEDICAL CARE PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7184653040
Plan sponsor’s address 92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428

Signature of
Role Plan administrator
Date 2013-10-08
Name of individual signing AYREL NICOLEAU
QUEENS VILLAGE PRIMARY MEDICAL CARE PLLC PROFIT SHARING PLAN 2011 141877758 2012-10-05 QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC 8
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7184653040
Plan sponsor’s address 92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428

Plan administrator’s name and address
Administrator’s EIN 141877758
Plan administrator’s name QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC
Plan administrator’s address 92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428
Administrator’s telephone number 7184653040

Signature of
Role Plan administrator
Date 2012-10-05
Name of individual signing ARYEL NICOLEAU, MD
QUEENS VILLAGE PRIMARY MEDICAL CARE PLLC PROFIT SHARING PLAN 2011 141877758 2012-10-12 QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7184653040
Plan sponsor’s address 92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428

Plan administrator’s name and address
Administrator’s EIN 141877758
Plan administrator’s name QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC
Plan administrator’s address 92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428
Administrator’s telephone number 7184653040

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing DR. ARYEL NICOLEAU
QUEENS VILLAGE PRIMARY MEDICAL CARE PLLC PROFIT SHARING PLAN 2010 141877758 2011-10-27 QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC 6
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 620111
Sponsor’s telephone number 7184653040
Plan sponsor’s address 92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428

Plan administrator’s name and address
Administrator’s EIN 141877758
Plan administrator’s name QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC
Plan administrator’s address 92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428
Administrator’s telephone number 7184653040

Signature of
Role Plan administrator
Date 2011-10-27
Name of individual signing DR. NICOLEAU
QUEENS VILLAGE PRIMARY MEDICAL CARE PLLC PROFIT SHARING PLAN 2010 141877758 2011-12-21 QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC 6
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 620111
Sponsor’s telephone number 7184653040
Plan sponsor’s address 92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428

Plan administrator’s name and address
Administrator’s EIN 141877758
Plan administrator’s name QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC
Plan administrator’s address 92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428
Administrator’s telephone number 7184653040

Signature of
Role Plan administrator
Date 2011-12-21
Name of individual signing DR. NICOLEAU
QUEENS VILLAGE PRIMARY MEDICAL CARE PLLC PROFIT SHARING PLAN 2010 141877758 2012-01-05 QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7184653040
Plan sponsor’s address 92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428

Plan administrator’s name and address
Administrator’s EIN 141877758
Plan administrator’s name QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC
Plan administrator’s address 92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428
Administrator’s telephone number 7184653040

Signature of
Role Plan administrator
Date 2012-01-05
Name of individual signing DR. NICOLEAU
QUEENS VILLAGE PRIMARY MEDICAL CARE PLLC PROFIT SHARING PLAN 2010 141877758 2011-11-01 QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC 6
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 620111
Sponsor’s telephone number 7184653040
Plan sponsor’s address 92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428

Plan administrator’s name and address
Administrator’s EIN 141877758
Plan administrator’s name QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC
Plan administrator’s address 92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428
Administrator’s telephone number 7184653040

Signature of
Role Plan administrator
Date 2011-11-01
Name of individual signing DR. NICOLEAU
QUEENS VILLAGE PRIMARY MEDICAL CARE PLLC PROFIT SHARING PLAN 2010 141877758 2011-10-13 QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC 6
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 620111
Sponsor’s telephone number 7184653040
Plan sponsor’s address 92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428

Plan administrator’s name and address
Administrator’s EIN 141877758
Plan administrator’s name QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC
Plan administrator’s address 92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428
Administrator’s telephone number 7184653040

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing DR. NICOLEAU
QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC PROFIT SHARING PLAN 2009 014177758 2010-10-06 QUEENS VILLAGE PRIMARY MEDICAL CARE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7184653040
Plan sponsor’s address 92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428

Plan administrator’s name and address
Administrator’s EIN 014177758
Plan administrator’s name QUEENS VILLAGE PRIMARY MEDICAL CARE
Plan administrator’s address 92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, 11428
Administrator’s telephone number 7184653040

Signature of
Role Plan administrator
Date 2010-10-06
Name of individual signing DR. NICOLEAU

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, United States, 11428

Filings

Filing Number Date Filed Type Effective Date
140311002503 2014-03-11 BIENNIAL STATEMENT 2014-01-01
120319002030 2012-03-19 BIENNIAL STATEMENT 2012-01-01
100201002776 2010-02-01 BIENNIAL STATEMENT 2010-01-01
080104002454 2008-01-04 BIENNIAL STATEMENT 2008-01-01
040227002562 2004-02-27 BIENNIAL STATEMENT 2004-01-01
020426000255 2002-04-26 AFFIDAVIT OF PUBLICATION 2002-04-26
020426000251 2002-04-26 AFFIDAVIT OF PUBLICATION 2002-04-26
020123000817 2002-01-23 ARTICLES OF ORGANIZATION 2002-01-23

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2546308902 2021-04-27 0202 PPS 9204 Springfield Blvd, Queens Village, NY, 11428-1857
Loan Status Date 2022-05-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 109900
Loan Approval Amount (current) 109900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 123625
Servicing Lender Name Popular Bank
Servicing Lender Address 11 W 51st St, NEW YORK CITY, NY, 10019-6994
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Queens Village, QUEENS, NY, 11428-1857
Project Congressional District NY-03
Number of Employees 15
NAICS code 621111
Borrower Race Black or African American
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 123625
Originating Lender Name Popular Bank
Originating Lender Address NEW YORK CITY, NY
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 110959.31
Forgiveness Paid Date 2022-04-12
5108857802 2020-05-29 0202 PPP 9204 Springfield Boulevard, Queens Village, NY, 11428-1857
Loan Status Date 2020-12-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 104380
Loan Approval Amount (current) 104380
Undisbursed Amount 0
Franchise Name -
Lender Location ID 123625
Servicing Lender Name Popular Bank
Servicing Lender Address 11 W 51st St, NEW YORK CITY, NY, 10019-6994
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Queens Village, QUEENS, NY, 11428-1857
Project Congressional District NY-03
Number of Employees 15
NAICS code 621111
Borrower Race Black or African American
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 123625
Originating Lender Name Popular Bank
Originating Lender Address NEW YORK CITY, NY
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 104861.31
Forgiveness Paid Date 2020-11-24

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Related by address

92-04 SPRINGFIELD BOULEVARD, QUEENS VILLAGE, NY, United States, 11428

ARYDEB LLC

Date of last update: 30 Mar 2025

Sources: New York Secretary of State

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