FARSHAD SHAFIZADEH, M.D., P.C.

Company Details

Name:	FARSHAD SHAFIZADEH, M.D., P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	06 Aug 2004 (21 years ago)
Entity Number:	3087739
ZIP code:	10016
County:	New York
Place of Formation:	New York
Address:	461 PARK AVEnue SOUTH 3rd FLR, NEW YORK, NY, United States, 10016
Principal Address:	461 PARK AVE SOUTH 5TH FLR, NEW YORK, NY, United States, 10016

Contact Details

Phone +1 212-777-8566

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Name	Role	Address
THE CORPORATION	DOS Process Agent	461 PARK AVEnue SOUTH 3rd FLR, NEW YORK, NY, United States, 10016

Name	Role	Address
FARSHAD SHATIZADEH, MD	Chief Executive Officer	461 PARK AVE SOUTH 5TH FLR, NEW YORK, NY, United States, 10016

Start date	End date	Type	Value
2022-02-03	2022-02-10	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2006-08-07	2022-02-05	Address	461 PARK AVE SOUTH 5TH FLR, NEW YORK, NY, 10016, USA (Type of address: Chief Executive Officer)
2006-08-07	2022-02-05	Address	461 PARK AVE SOUTH 5TH FLR, NEW YORK, NY, 10016, USA (Type of address: Service of Process)
2004-08-06	2022-02-03	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2004-08-06	2006-08-07	Address	232 EAST 12TH STREET, NEW YORK, NY, 10003, USA (Type of address: Service of Process)

Filing Number	Date Filed	Type	Effective Date
220205000159	2022-02-03	CERTIFICATE OF CHANGE BY ENTITY	2022-02-03
110208002938	2011-02-08	BIENNIAL STATEMENT	2010-08-01
080801002169	2008-08-01	BIENNIAL STATEMENT	2008-08-01
060807003173	2006-08-07	BIENNIAL STATEMENT	2006-08-01
040806000601	2004-08-06	CERTIFICATE OF INCORPORATION	2004-08-06

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

9813668510

2021-03-12

0202

PPS

461 Park Ave S Fl 5, New York, NY, 10016-6892

Loan Status Date	2022-01-21
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	75885
Loan Approval Amount (current)	75885
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	48270
Servicing Lender Name	JPMorgan Chase Bank, National Association
Servicing Lender Address	1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	New York, NEW YORK, NY, 10016-6892
Project Congressional District	NY-12
Number of Employees	9
NAICS code	621111
Borrower Race	Asian
Borrower Ethnicity	Not Hispanic or Latino
Business Type	Corporation
Originating Lender ID	48270
Originating Lender Name	JPMorgan Chase Bank, National Association
Originating Lender Address	COLUMBUS, OH
Gender	Male Owned
Veteran	Non-Veteran
Forgiveness Amount	76432.43
Forgiveness Paid Date	2021-12-07

9194287300

2020-05-01

0202

PPP

461 Park Ave S Fl 5, NEW YORK, NY, 10016

Loan Status Date	2021-06-22
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	85885
Loan Approval Amount (current)	75885
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	48270
Servicing Lender Name	JPMorgan Chase Bank, National Association
Servicing Lender Address	1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	NEW YORK, NEW YORK, NY, 10016-0001
Project Congressional District	NY-12
Number of Employees	10
NAICS code	621111
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	48270
Originating Lender Name	JPMorgan Chase Bank, National Association
Originating Lender Address	COLUMBUS, OH
Gender	Male Owned
Veteran	Non-Veteran
Forgiveness Amount	76665.86
Forgiveness Paid Date	2021-05-18

Date of last update: 29 Mar 2025