ERIE AGUSTIN, M.D., PRIMARY CARE, P.C.

Company Details

Name:	ERIE AGUSTIN, M.D., PRIMARY CARE, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	08 Jun 2004 (21 years ago)
Entity Number:	3063470
ZIP code:	11377
County:	Queens
Place of Formation:	New York
Principal Address:	17-13 RIDGEWOOD HART ST, RIDGEWOOD, NY, United States, 11385
Address:	57-18 WOODSIDE AVENUE, WOODSIDE, NY, United States, 11377

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Name	Role	Address
LAW OFFICES OF GABRIEL & MOROFF, P.C.	Agent	2 LINCOLN AVENUE SUITE 302, ROCKVILLE CENTRE, NY, 11570

Name	Role	Address
ERIE AGUSTIN MD	Chief Executive Officer	57-18 WOODSIDE AVE, WOODSIDE, NY, United States, 11377

Name	Role	Address
THE CORPORATION	DOS Process Agent	57-18 WOODSIDE AVENUE, WOODSIDE, NY, United States, 11377

Start date	End date	Type	Value
2004-06-08	2022-05-09	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filing Number	Date Filed	Type	Effective Date
200828000079	2020-08-28	CERTIFICATE OF CHANGE	2020-08-28
060707002139	2006-07-07	BIENNIAL STATEMENT	2006-06-01
040608000739	2004-06-08	CERTIFICATE OF INCORPORATION	2004-06-08

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

2827028200

2020-08-03

0202

PPP

58-01 Woodside Avenue, Flushing, NY, 11377-3437

Loan Status Date	2023-10-27
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	37985
Loan Approval Amount (current)	37985
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	433860
Servicing Lender Name	Quontic Bank
Servicing Lender Address	3105 Broadway, 2nd Fl, Astoria, NY, 11106
Rural or Urban Indicator	U
Hubzone	N
LMI	Y
Business Age Description	Unanswered
Project Address	Flushing, QUEENS, NY, 11377-3437
Project Congressional District	NY-06
Number of Employees	4
NAICS code	621111
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Subchapter S Corporation
Originating Lender ID	529111
Originating Lender Name	FC Marketplace, LLC (dba Funding Circle)
Originating Lender Address	San Francisco, CA
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	38689.54
Forgiveness Paid Date	2022-06-15

Date of last update: 29 Mar 2025