LONG BEACH FAMILY MEDICINE, P.C.

Company Details

Name:	LONG BEACH FAMILY MEDICINE, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	21 Aug 2002 (23 years ago)
Entity Number:	2803146
ZIP code:	11561
County:	Nassau
Place of Formation:	New York
Address:	10 FRANKLIN BLVD / SUITE 102, LONG BEACH, NY, United States, 11561

Contact Details

Phone +1 516-889-0100

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Name	Role	Address
SERGEY KULIKOV	Chief Executive Officer	10 FRANKLIN BLVD / SUITE 102, LONG BEACH, NY, United States, 11561

Name	Role	Address
THE CORPORATION	DOS Process Agent	10 FRANKLIN BLVD / SUITE 102, LONG BEACH, NY, United States, 11561

Start date	End date	Type	Value
2008-08-19	2010-08-24	Address	10 FRANKLIN BLVD, STE 102, LONG BEACH, NY, 11561, USA (Type of address: Service of Process)
2008-08-19	2010-08-24	Address	10 FRANKLIN BLVD, STE 102, LONG BEACH, NY, 11561, USA (Type of address: Principal Executive Office)
2008-08-19	2010-08-24	Address	10 FRANKLIN BLVD, STE 102, LONG BEACH, NY, 11561, USA (Type of address: Chief Executive Officer)
2006-08-15	2008-08-19	Address	10 FRANKLIN BLVD, LONG BEACH, NY, 11561, USA (Type of address: Principal Executive Office)
2006-08-15	2008-08-19	Address	10 FRANKLIN BLVD, LONG BEACH, NY, 11561, USA (Type of address: Chief Executive Officer)
2006-08-15	2008-08-19	Address	10 FRANKLIN BLVD, LONG BEACH, NY, 11561, USA (Type of address: Service of Process)
2004-09-27	2006-08-15	Address	35 EAST OLIVE ST, LONG BEACH, NY, 11561, USA (Type of address: Principal Executive Office)
2004-09-27	2006-08-15	Address	36 EAST OLIVE ST, LONG BEACH, NY, 11561, USA (Type of address: Chief Executive Officer)
2002-08-21	2006-08-15	Address	35 EAST OLIVE STREET, LONG BEACH, NY, 11561, USA (Type of address: Service of Process)

Filing Number	Date Filed	Type	Effective Date
120806006009	2012-08-06	BIENNIAL STATEMENT	2012-08-01
100824002498	2010-08-24	BIENNIAL STATEMENT	2010-08-01
080819002824	2008-08-19	BIENNIAL STATEMENT	2008-08-01
060815002883	2006-08-15	BIENNIAL STATEMENT	2006-08-01
040927002754	2004-09-27	BIENNIAL STATEMENT	2004-08-01
020821000223	2002-08-21	CERTIFICATE OF INCORPORATION	2002-08-21

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

9813987309

2020-05-03

0235

PPP

10 Franklin Blvd. Ste 102, Long Beach, NY, 11561

Loan Status Date	2021-08-24
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	44275
Loan Approval Amount (current)	44275
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	29805
Servicing Lender Name	TD Bank, National Association
Servicing Lender Address	2035 Limestone Rd, WILMINGTON, DE, 19808-5529
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	Long Beach, NASSAU, NY, 11561-0001
Project Congressional District	NY-04
Number of Employees	3
NAICS code	621111
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	29805
Originating Lender Name	TD Bank, National Association
Originating Lender Address	WILMINGTON, DE
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	44814.91
Forgiveness Paid Date	2021-07-22

Date of last update: 30 Mar 2025