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  5. ISLAND NEONATOLOGY, PLLC

ISLAND NEONATOLOGY, PLLC

Company Details

Name: ISLAND NEONATOLOGY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 30 Oct 2003 (21 years ago)
Entity Number: 2971204
ZIP code: 11795
County: Suffolk
Place of Formation: New York
Address: 1000 MONTAUK HIGHWAY, WEST ISLIP, NY, United States, 11795

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ISLAND NEONATOLOGY, PLLC 401(K) PLAN 2023 200352027 2024-09-21 ISLAND NEONATOLOGY, PLLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6316975953
Plan sponsor’s address P.O. BOX 272, EAST ISLIP, NY, 11730

Signature of
Role Plan administrator
Date 2024-09-21
Name of individual signing PRABHU MEHTA
Valid signature Filed with authorized/valid electronic signature
ISLAND NEONATOLOGY, PLLC 401(K) PLAN 2022 200352027 2023-06-30 ISLAND NEONATOLOGY, PLLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6316975953
Plan sponsor’s address P.O. BOX 272, EAST ISLIP, NY, 11730

Signature of
Role Plan administrator
Date 2023-06-30
Name of individual signing PRABHU MEHTA
ISLAND NEONATOLOGY, PLLC 401(K) PLAN 2021 200352027 2022-10-06 ISLAND NEONATOLOGY, PLLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6316975953
Plan sponsor’s address P.O. BOX 272, EAST ISLIP, NY, 11730

Signature of
Role Plan administrator
Date 2022-10-06
Name of individual signing PRABHU MEHTA
ISLAND NEONATOLOGY, PLLC 401(K) PLAN 2020 200352027 2021-07-20 ISLAND NEONATOLOGY, PLLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6316975953
Plan sponsor’s address P.O. BOX 272, EAST ISLIP, NY, 11730

Signature of
Role Plan administrator
Date 2021-07-20
Name of individual signing PRABHU N. MEHTA
ISLAND NEONATOLOGY, PLLC 401(K) PLAN 2019 200352027 2020-09-15 ISLAND NEONATOLOGY, PLLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6316975953
Plan sponsor’s address P.O. BOX 272, EAST ISLIP, NY, 11730

Signature of
Role Plan administrator
Date 2020-09-15
Name of individual signing PRABHU MEHTA
ISLAND NEONATOLOGY, PLLC 401(K) PLAN 2018 200352027 2019-09-26 ISLAND NEONATOLOGY, PLLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6316975953
Plan sponsor’s address P.O. BOX 272, EAST ISLIP, NY, 11730

Signature of
Role Plan administrator
Date 2019-09-26
Name of individual signing PRABHU MEHTA
ISLAND NEONATOLOGY, PLLC 401(K) PLAN 2017 200352027 2018-09-18 ISLAND NEONATOLOGY, PLLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6316975953
Plan sponsor’s address P.O. BOX 272, EAST ISLIP, NY, 11730

Signature of
Role Plan administrator
Date 2018-09-18
Name of individual signing PRABHU N MEHTA
ISLAND NEONATOLOGY, PLLC 401(K) PLAN 2016 200352027 2017-10-10 ISLAND NEONATOLOGY, PLLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6316975953
Plan sponsor’s address P.O. BOX 272, EAST ISLIP, NY, 11730

Signature of
Role Plan administrator
Date 2017-10-10
Name of individual signing PRABHU MEHTA
ISLAND NEONATOLOGY, PLLC 401(K) PLAN 2015 200352027 2016-09-20 ISLAND NEONATOLOGY, PLLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6316975953
Plan sponsor’s address P.O. BOX 272, EAST ISLIP, NY, 11730

Signature of
Role Plan administrator
Date 2016-09-20
Name of individual signing PRABHU N MEHTA
ISLAND NEONATOLOGY, PLLC 401(K) PLAN 2014 200352027 2015-10-02 ISLAND NEONATOLOGY, PLLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6316975953
Plan sponsor’s address P.O. BOX 272, EAST ISLIP, NY, 11730

Signature of
Role Plan administrator
Date 2015-10-02
Name of individual signing PRABHU MEHTA

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1000 MONTAUK HIGHWAY, WEST ISLIP, NY, United States, 11795

Filings

Filing Number Date Filed Type Effective Date
131107002280 2013-11-07 BIENNIAL STATEMENT 2013-10-01
111018003187 2011-10-18 BIENNIAL STATEMENT 2011-10-01
091007002043 2009-10-07 BIENNIAL STATEMENT 2009-10-01
071003002443 2007-10-03 BIENNIAL STATEMENT 2007-10-01
060522000915 2006-05-22 AFFIDAVIT OF PUBLICATION 2006-05-22
060522000913 2006-05-22 AFFIDAVIT OF PUBLICATION 2006-05-22
051103002504 2005-11-03 BIENNIAL STATEMENT 2005-10-01
031030000201 2003-10-30 ARTICLES OF ORGANIZATION 2003-10-30

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9797918403 2021-02-17 0235 PPS 1000 Montauk Hwy, West Islip, NY, 11795-4927
Loan Status Date 2021-12-15
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 132420
Loan Approval Amount (current) 132420
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address West Islip, SUFFOLK, NY, 11795-4927
Project Congressional District NY-02
Number of Employees 7
NAICS code 621111
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 133076.66
Forgiveness Paid Date 2021-08-18
2806147304 2020-04-29 0235 PPP 1000 MONTAUK HWY, WEST ISLIP, NY, 11795-4927
Loan Status Date 2021-02-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 137500
Loan Approval Amount (current) 137500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address WEST ISLIP, SUFFOLK, NY, 11795-4927
Project Congressional District NY-02
Number of Employees 6
NAICS code 541618
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 138520.89
Forgiveness Paid Date 2021-01-26

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State

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