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RANDY D. MAKOVSKY, M.D., P.C.

Company Details

Name: RANDY D. MAKOVSKY, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 13 Aug 2002 (23 years ago)
Entity Number: 2800229
ZIP code: 11042
County: Nassau
Place of Formation: New York
Address: 2001 MARCUS AVENUE, SUITE #E110, LAKE SUCCESS, NY, United States, 11042

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
RANDY D. MAKOVSKY, M.D. 401(K) PROFIT SHARING PLAN 2023 050526624 2024-08-20 RANDY D. MAKOVSKY, M.D., P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 9174781133
Plan sponsor’s address 2001 MARCUS AVENUE,, SUITE #E110, LAKE SUCCESS, NY, 11042
RANDY D. MAKOVSKY, M.D. 401(K) PROFIT SHARING PLAN 2022 050526624 2023-10-09 RANDY D. MAKOVSKY, M.D., P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 9174781133
Plan sponsor’s address 2001 MARCUS AVENUE,, SUITE #E110, LAKE SUCCESS, NY, 11042
RANDY D. MAKOVSKY, M.D. 401(K) PROFIT SHARING PLAN 2021 050526624 2022-10-12 RANDY D. MAKOVSKY, M.D., P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 9174781133
Plan sponsor’s address 2001 MARCUS AVENUE,, SUITE #E110, LAKE SUCCESS, NY, 11042
RANDY D. MAKOVSKY, M.D. 401(K) PLAN 2020 050526624 2021-08-11 RANDY D. MAKOVSKY, M.D., P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5164823530
Plan sponsor’s address 2001 MARCUS AVENUE,, SUITE #E110, LAKE SUCCESS, NY, 11042

Signature of

Role Plan administrator
Date 2021-08-11
Name of individual signing RANDY MAKOVSKY
Role Employer/plan sponsor
Date 2021-08-11
Name of individual signing RANDY MAKOVSKY
RANDY D. MAKOVSKY, M.D. 401(K) PLAN 2019 050526624 2020-08-31 RANDY D. MAKOVSKY, M.D., P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5164823530
Plan sponsor’s address 2001 MARCUS AVENUE,, SUITE #E110, LAKE SUCCESS, NY, 11042

Signature of

Role Plan administrator
Date 2020-08-31
Name of individual signing RANDY MAKOVSKY
Role Employer/plan sponsor
Date 2020-08-31
Name of individual signing RANDY MAKOVSKY
RANDY D. MAKOVSKY, M.D. 401(K) PLAN 2018 050526624 2019-07-31 RANDY D. MAKOVSKY, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5164823530
Plan sponsor’s address 2001 MARCUS AVENUE,, SUITE #E110, LAKE SUCCESS, NY, 11042

Signature of

Role Plan administrator
Date 2019-07-31
Name of individual signing RANDY MAKOVSKY
Role Employer/plan sponsor
Date 2019-07-31
Name of individual signing RANDY MAKOVSKY
RANDY D. MAKOVSKY M.D. 401(K) PLAN 2017 050526624 2018-08-19 RANDY D. MAKOVSKY, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5164823530
Plan sponsor’s address 2001 MARCUS AVENUE,, SUITE #E110, LAKE SUCCESS, NY, 11042

Signature of

Role Plan administrator
Date 2018-08-19
Name of individual signing RANDY MAKOVSKY
Role Employer/plan sponsor
Date 2018-08-19
Name of individual signing RANDY MAKOVSKY
RANDY D. MAKOVSKY, M.D. 401(K) PLAN 2016 050526624 2017-10-08 RANDY D. MAKOVSKY, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5164823530
Plan sponsor’s address 2001 MARCUS AVENUE,, SUITE #E110, LAKE SUCCESS, NY, 11042

Signature of

Role Plan administrator
Date 2017-10-08
Name of individual signing RANDY MAKOVSKY
Role Employer/plan sponsor
Date 2017-10-08
Name of individual signing RANDY MAKOVSKY

DOS Process Agent

Name Role Address
RANDY D MAKOVSKY MD DOS Process Agent 2001 MARCUS AVENUE, SUITE #E110, LAKE SUCCESS, NY, United States, 11042

Chief Executive Officer

Name Role Address
RANDY D MAKOVSKY MD Chief Executive Officer 2001 MARCUS AVENUE, SUITE E 110, LAKE SUCCESS, NY, United States, 11042

History

Start date End date Type Value
2004-09-14 2015-01-13 Address 475 NORTHERN BLVD, 26, GREAT NECK, NY, 11021, USA (Type of address: Chief Executive Officer)
2004-09-14 2015-01-13 Address 475 NORTHERN BLVD, 26, GREAT NECK, NY, 11021, USA (Type of address: Principal Executive Office)
2004-09-14 2015-01-13 Address 475 NORTHERN BLVD, 26, GREAT NECK, NY, 11021, USA (Type of address: Service of Process)
2002-08-13 2004-09-14 Address C/O GRLICK KRAVITZ ET AL, 17 STATE STREET, 4TH FL, NEW YORK, NY, 10004, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200811060436 2020-08-11 BIENNIAL STATEMENT 2020-08-01
180801007467 2018-08-01 BIENNIAL STATEMENT 2018-08-01
160802006824 2016-08-02 BIENNIAL STATEMENT 2016-08-01
150113007457 2015-01-13 BIENNIAL STATEMENT 2014-08-01
120813006031 2012-08-13 BIENNIAL STATEMENT 2012-08-01
100927002339 2010-09-27 BIENNIAL STATEMENT 2010-08-01
080730002957 2008-07-30 BIENNIAL STATEMENT 2008-08-01
060731002723 2006-07-31 BIENNIAL STATEMENT 2006-08-01
040914002295 2004-09-14 BIENNIAL STATEMENT 2004-08-01
020813000283 2002-08-13 CERTIFICATE OF INCORPORATION 2002-08-13

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4163898307 2021-01-23 0235 PPS 2001 Marcus Ave Ste E110, New Hyde Park, NY, 11042-1061
Loan Status Date 2022-02-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 88890
Loan Approval Amount (current) 88890
Undisbursed Amount 0
Franchise Name -
Lender Location ID 224478
Servicing Lender Name Signature Bank
Servicing Lender Address 565 5th Ave, 12th Fl, NEW YORK CITY, NY, 10017-2496
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address New Hyde Park, NASSAU, NY, 11042-1061
Project Congressional District NY-03
Number of Employees 9
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 224478
Originating Lender Name Signature Bank
Originating Lender Address NEW YORK CITY, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 89776.46
Forgiveness Paid Date 2022-01-28
6770887200 2020-04-28 0235 PPP 2001 MARCUS AVE, SUITE E110, LAKE SUCCESS, NY, 11042
Loan Status Date 2021-05-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 95084
Loan Approval Amount (current) 95084
Undisbursed Amount 0
Franchise Name -
Lender Location ID 224478
Servicing Lender Name Signature Bank
Servicing Lender Address 565 5th Ave, 12th Fl, NEW YORK CITY, NY, 10017-2496
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address LAKE SUCCESS, NASSAU, NY, 11042-0001
Project Congressional District NY-03
Number of Employees 10
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 224478
Originating Lender Name Signature Bank
Originating Lender Address NEW YORK CITY, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 95982.74
Forgiveness Paid Date 2021-04-19

Date of last update: 30 Mar 2025

Sources: New York Secretary of State