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SULLIVAN PHARMACY INC.

Company Details

Name: SULLIVAN PHARMACY INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 17 Sep 2004 (20 years ago)
Entity Number: 3103124
ZIP code: 12754
County: Sullivan
Place of Formation: New York
Principal Address: 267 NORTH MAIN STREET, LIBERTY, NY, United States, 12754

Contact Details

Phone +1 845-295-5456

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
SULLIVAN PHARMACY, INC., PROFIT SHARING PLAN 2022 201655921 2023-08-30 SULLIVAN PHARMACY, INC., 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 9147990199
Plan sponsor’s address 55 WILLEY AVENUE, LIBERTY, NY, 12754

Signature of

Role Plan administrator
Date 2023-08-30
Name of individual signing SONAL TRIVEDI
SULLIVAN PHARMACY, INC., PROFIT SHARING PLAN 2022 201655921 2023-09-02 SULLIVAN PHARMACY, INC., 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 9147990199
Plan sponsor’s address 55 WILLEY AVENUE, LIBERTY, NY, 12754

Signature of

Role Plan administrator
Date 2023-09-02
Name of individual signing SONAL TRIVEDI
SULLIVAN PHARMACY, INC., PROFIT SHARING PLAN 2021 201655921 2022-02-13 SULLIVAN PHARMACY, INC., 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 8452955456
Plan sponsor’s address 55 WILLEY AVENUE, LIBERTY, NY, 12754

Signature of

Role Plan administrator
Date 2022-02-13
Name of individual signing SONAL TRIVEDI
SULLIVAN PHARMACY, INC., PROFIT SHARING PLAN 2020 201655921 2021-02-16 SULLIVAN PHARMACY, INC., 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 8452955456
Plan sponsor’s address 55 WILLEY AVENUE, LIBERTY, NY, 12754

Signature of

Role Plan administrator
Date 2021-02-15
Name of individual signing SONAL TRIVEDI
SULLIVAN PHARMACY, INC., PROFIT SHARING PLAN 2019 201655921 2020-03-11 SULLIVAN PHARMACY, INC., 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 8452955456
Plan sponsor’s address 55 WILLEY AVENUE, LIBERTY, NY, 12754

Signature of

Role Plan administrator
Date 2020-03-08
Name of individual signing MS. SONAL TRIVEDI
SULLIVAN PHARMACY, INC., PROFIT SHARING PLAN 2018 201655921 2019-01-13 SULLIVAN PHARMACY, INC., 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 8452955456
Plan sponsor’s address 55 WILLEY AVENUE, LIBERTY, NY, 12754

Signature of

Role Plan administrator
Date 2019-01-13
Name of individual signing SONAL TRIVEDI
SULLIVAN PHARMACY, INC., PROFIT SHARING PLAN 2017 201655921 2018-01-15 SULLIVAN PHARMACY, INC., 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 8452955456
Plan sponsor’s address 55 WILLEY AVENUE, LIBERTY, NY, 12754

Signature of

Role Plan administrator
Date 2018-01-15
Name of individual signing SONAL TRIVEDI
SULLIVAN PHARMACY, INC., PROFIT SHARING PLAN 2016 201655921 2017-03-05 SULLIVAN PHARMACY, INC., 7
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 8452955456
Plan sponsor’s address 55 WILLEY AVENUE, LIBERTY, NY, 12754

Signature of

Role Employer/plan sponsor
Date 2017-03-05
Name of individual signing SONAL TRIVEDI
SULLIVAN PHARMACY, INC., PROFIT SHARING PLAN 2016 201655921 2017-03-06 SULLIVAN PHARMACY, INC., 7
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 8452955456
Plan sponsor’s address 55 WILLEY AVENUE, LIBERTY, NY, 12754

Signature of

Role Employer/plan sponsor
Date 2017-03-06
Name of individual signing SONAL TRIVEDI
SULLIVAN PHARMACY, INC., PROFIT SHARING PLAN 2016 201655921 2017-03-07 SULLIVAN PHARMACY, INC., 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 8452955456
Plan sponsor’s address 55 WILLEY AVENUE, LIBERTY, NY, 12754

Signature of

Role Plan administrator
Date 2017-03-07
Name of individual signing SONAL TRIVEDI

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 267 NORTH MAIN STREET, LIBERTY, NY, United States, 12754

Chief Executive Officer

Name Role Address
MUHAMMAD K QURESHI Chief Executive Officer 267 NORTH MAIN STREET, LIBERTY, NY, United States, 12754

History

Start date End date Type Value
2024-09-01 2024-09-01 Address 267 NORTH MAIN STREET, LIBERTY, NY, 12754, USA (Type of address: Chief Executive Officer)
2006-08-31 2024-09-01 Address 267 NORTH MAIN STREET, LIBERTY, NY, 12754, USA (Type of address: Chief Executive Officer)
2004-09-17 2024-09-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2004-09-17 2024-09-01 Address 55 WILLEY AVENUE, LIBERTY, NY, 12754, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240901034882 2024-09-01 BIENNIAL STATEMENT 2024-09-01
230111001871 2023-01-11 BIENNIAL STATEMENT 2022-09-01
120919006374 2012-09-19 BIENNIAL STATEMENT 2012-09-01
101006002277 2010-10-06 BIENNIAL STATEMENT 2010-09-01
080828003442 2008-08-28 BIENNIAL STATEMENT 2008-09-01
060831002668 2006-08-31 BIENNIAL STATEMENT 2006-09-01
040917000001 2004-09-17 CERTIFICATE OF INCORPORATION 2004-09-17

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1518207103 2020-04-10 0202 PPP 267 North Main Street, Liberty, NY, 12754-1850
Loan Status Date 2022-02-02
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 89100
Loan Approval Amount (current) 89100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 224780
Servicing Lender Name New York Business Development Corporation
Servicing Lender Address 50 Beaver Street, Albany, NY, 12207-1538
Rural or Urban Indicator R
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Liberty, SULLIVAN, NY, 12754-1850
Project Congressional District NY-19
Number of Employees 11
NAICS code 446110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 224780
Originating Lender Name New York Business Development Corporation
Originating Lender Address Albany, NY
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 90130.14
Forgiveness Paid Date 2021-06-17

Date of last update: 12 Mar 2025

Sources: New York Secretary of State