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JEFFERSON VALLEY PHARMACY, INC.

Company Details

Name: JEFFERSON VALLEY PHARMACY, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 04 Oct 2002 (23 years ago)
Entity Number: 2819308
ZIP code: 06905
County: Westchester
Place of Formation: New York
Address: 1700 BEDFORD STREET, STAMFORD, CT, United States, 06905
Principal Address: 3693 HILL BLVD, JEFFERSON VALLEY, NY, United States, 10535

Contact Details

Phone +1 914-962-6553

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
JEFFERSON VALLEY PHARMACY CASH BALANCE PENSION PLAN 2023 030486309 2024-10-10 JEFFERSON VALLEY PHARMACY, INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 9149626553
Plan sponsor’s address 3693 HILL BLVD., JEFFERSON VALLEY, NY, 10535
JEFFERSON VALLEY PHARMACY, INC. 401(K) PLAN 2023 030486309 2024-10-10 JEFFERSON VALLEY PHARMACY, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 446110
Sponsor’s telephone number 9149626553
Plan sponsor’s address 3693 HILL BLVD., JEFFERSON VALLEY, NY, 10535
JEFFERSON VALLEY PHARMACY CASH BALANCE PENSION PLAN 2022 030486309 2023-10-16 JEFFERSON VALLEY PHARMACY, INC. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 9149626553
Plan sponsor’s address 3693 HILL BLVD., JEFFERSON VALLEY, NY, 10535
JEFFERSON VALLEY PHARMACY, INC. 401(K) PLAN 2022 030486309 2023-10-16 JEFFERSON VALLEY PHARMACY, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 446110
Sponsor’s telephone number 9149626553
Plan sponsor’s address 3693 HILL BLVD., JEFFERSON VALLEY, NY, 10535
JEFFERSON VALLEY PHARMACY CASH BALANCE PENSION PLAN 2021 030486309 2022-10-16 JEFFERSON VALLEY PHARMACY, INC. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 9149626553
Plan sponsor’s address 3693 HILL BLVD., JEFFERSON VALLEY, NY, 10535
JEFFERSON VALLEY PHARMACY, INC. 401(K) PLAN 2021 030486309 2022-10-16 JEFFERSON VALLEY PHARMACY, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 446110
Sponsor’s telephone number 9149626553
Plan sponsor’s address 3693 HILL BLVD., JEFFERSON VALLEY, NY, 10535
JEFFERSON VALLEY PHARMACY CASH BALANCE PENSION PLAN 2020 030486309 2021-10-15 JEFFERSON VALLEY PHARMACY, INC. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 9149626553
Plan sponsor’s address 3693 HILL BLVD., JEFFERSON VALLEY, NY, 10535
JEFFERSON VALLEY PHARMACY, INC. 401(K) PLAN 2020 030486309 2021-10-15 JEFFERSON VALLEY PHARMACY, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 446110
Sponsor’s telephone number 9149626553
Plan sponsor’s address 3693 HILL BLVD., JEFFERSON VALLEY, NY, 10535
JEFFERSON VALLEY PHARMACY CASH BALANCE PENSION PLAN 2019 030486309 2020-10-15 JEFFERSON VALLEY PHARMACY, INC. 6
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 446110
Sponsor’s telephone number 9149626553
Plan sponsor’s address 3693 HILL BLVD., JEFFERSON VALLEY, NY, 10535
JEFFERSON VALLEY PHARMACY, INC. 401(K) PLAN 2019 030486309 2020-10-15 JEFFERSON VALLEY PHARMACY, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 446110
Sponsor’s telephone number 9149626553
Plan sponsor’s address 3693 HILL BLVD., JEFFERSON VALLEY, NY, 10535

DOS Process Agent

Name Role Address
C/O ROTHENBERG AND ROTHENBERG DOS Process Agent 1700 BEDFORD STREET, STAMFORD, CT, United States, 06905

Chief Executive Officer

Name Role Address
DANIEL BECKER Chief Executive Officer 3693 HILL BLVD, JEFFERSON VALLEY, NY, United States, 10535

History

Start date End date Type Value
2016-10-03 2020-10-01 Address 1700 BEDFORD STREET, STAMFORD, CT, 06905, USA (Type of address: Service of Process)
2006-09-29 2016-10-03 Address 3663 HILL BLVD, JEFFERSON VALLEY, NY, 10535, USA (Type of address: Chief Executive Officer)
2006-09-29 2016-10-03 Address 3663 HILL BLVD, JEFFERSON VALLEY, NY, 10535, USA (Type of address: Principal Executive Office)
2002-10-04 2016-10-03 Address 25 THIRD STREET, STAMFORD, CT, 06905, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
201001060009 2020-10-01 BIENNIAL STATEMENT 2020-10-01
181001006013 2018-10-01 BIENNIAL STATEMENT 2018-10-01
161003006043 2016-10-03 BIENNIAL STATEMENT 2016-10-01
141024006347 2014-10-24 BIENNIAL STATEMENT 2014-10-01
121016002055 2012-10-16 BIENNIAL STATEMENT 2012-10-01
101015002546 2010-10-15 BIENNIAL STATEMENT 2010-10-01
080926003089 2008-09-26 BIENNIAL STATEMENT 2008-10-01
060929002722 2006-09-29 BIENNIAL STATEMENT 2006-10-01
021004000221 2002-10-04 CERTIFICATE OF INCORPORATION 2002-10-04

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5125928503 2021-02-27 0202 PPP 3693 Hill Blvd, Jefferson Valley, NY, 10535-1501
Loan Status Date 2022-01-12
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 177205
Loan Approval Amount (current) 177205
Undisbursed Amount 0
Franchise Name -
Lender Location ID 12096
Servicing Lender Name Wells Fargo Bank, National Association
Servicing Lender Address 101 N Philips Ave, SIOUX FALLS, SD, 57104-6738
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Jefferson Valley, WESTCHESTER, NY, 10535-1501
Project Congressional District NY-17
Number of Employees 12
NAICS code 446110
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 12096
Originating Lender Name Wells Fargo Bank, National Association
Originating Lender Address SIOUX FALLS, SD
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 178559.53
Forgiveness Paid Date 2021-12-07

Date of last update: 30 Mar 2025

Sources: New York Secretary of State