ENGRACIA O. LAZATIN, M.D., P.C.

Company Details

Name:	ENGRACIA O. LAZATIN, M.D., P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	27 Jun 2002 (23 years ago)
Entity Number:	2783486
ZIP code:	11590
County:	Nassau
Place of Formation:	New York
Principal Address:	1065 OLD COUNTRY RD, SUITE 214, WESTBURY, NY, United States, 11590
Address:	1065 OLD COUNTRY ROAD, SUITE 214, WESTBURY, NY, United States, 11590

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Name	Role	Address
ENGRACIA O. LAZATIN, M.D.	DOS Process Agent	1065 OLD COUNTRY ROAD, SUITE 214, WESTBURY, NY, United States, 11590

Name	Role	Address
ENGRACIA LAZATIN	Chief Executive Officer	1065 OLD COUNTRY RD, SUITE 214, WESTBURY, NY, United States, 11590

Start date	End date	Type	Value
2018-06-14	2020-06-08	Address	1065 OLD COUNTRY RD, SUITE 214, WESTBURY, NY, 11590, USA (Type of address: Service of Process)
2006-05-31	2018-06-14	Address	1065 OLD COUNTRY RD, SUITE 214, WESTBURY, NY, 11590, USA (Type of address: Service of Process)
2004-08-17	2006-05-31	Address	1065 OLD COUNTRY RD, STE 214, WESTBURY, NY, 11590, USA (Type of address: Chief Executive Officer)
2004-08-17	2006-05-31	Address	1065 OLD COUNTRY RD, STE 214, WESTBURY, NY, 11590, USA (Type of address: Principal Executive Office)
2004-08-17	2006-05-31	Address	1065 OLD COUNTRY RD, STE 214, WESTBURY, NY, 11590, USA (Type of address: Service of Process)
2002-06-27	2004-08-17	Address	500 OLD COUNTRY ROAD, GARDEN CITY, NY, 11530, USA (Type of address: Service of Process)

Filing Number	Date Filed	Type	Effective Date
200608060320	2020-06-08	BIENNIAL STATEMENT	2020-06-01
180614006103	2018-06-14	BIENNIAL STATEMENT	2018-06-01
160606006600	2016-06-06	BIENNIAL STATEMENT	2016-06-01
140709006054	2014-07-09	BIENNIAL STATEMENT	2014-06-01
120724002633	2012-07-24	BIENNIAL STATEMENT	2012-06-01
100617002618	2010-06-17	BIENNIAL STATEMENT	2010-06-01
080606002167	2008-06-06	BIENNIAL STATEMENT	2008-06-01
060531002041	2006-05-31	BIENNIAL STATEMENT	2006-06-01
040817002280	2004-08-17	BIENNIAL STATEMENT	2004-06-01
020627000169	2002-06-27	CERTIFICATE OF INCORPORATION	2002-06-27

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

9572107802

2020-06-08

0235

PPP

1065 Old Country Road Ste 214, WESTBURY, NY, 11590

Loan Status Date	2021-04-23
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	15397
Loan Approval Amount (current)	15397
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	WESTBURY, NASSAU, NY, 11590-0001
Project Congressional District	NY-03
Number of Employees	4
NAICS code	621111
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	194093
Originating Lender Name	JPMorgan Chase Bank, National Association
Originating Lender Address	CHICAGO, IL
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	15510.59
Forgiveness Paid Date	2021-03-25

Date of last update: 30 Mar 2025