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LUIZA GUSEYNOV, PHYSICIAN, PLLC

Company Details

Name: LUIZA GUSEYNOV, PHYSICIAN, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 17 Nov 2004 (20 years ago)
Entity Number: 3127220
ZIP code: 11357
County: Queens
Place of Formation: New York
Address: 168-32 POWELLS COVE BLVD, BEECHHURST, NY, United States, 11357

Contact Details

Phone +1 718-432-0200

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LUIZA GUSEYNOV, PHYSICIAN, PLLC 401(K) PLAN 2023 201900068 2024-03-27 LUIZA GUSEYNOV, PHYSICIAN, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7184320200
Plan sponsor’s address 3108 KINGSBRIDGE AVENUE, SUITE B, BRONX, NY, 10463

Signature of

Role Plan administrator
Date 2024-03-27
Name of individual signing LUIZA GUSEYNOV
LUIZA GUSEYNOV, PHYSICIAN, PLLC 401(K) PLAN 2022 201900068 2023-04-04 LUIZA GUSEYNOV, PHYSICIAN, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7184320200
Plan sponsor’s address 3108 KINGSBRIDGE AVENUE, SUITE B, BRONX, NY, 10463

Signature of

Role Plan administrator
Date 2023-04-04
Name of individual signing LUIZA GUSEYNOV
LUIZA GUSEYNOV, PHYSICIAN, PLLC 401(K) PLAN 2021 201900068 2022-04-25 LUIZA GUSEYNOV, PHYSICIAN, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7184320200
Plan sponsor’s address 3108 KINGSBRIDGE AVENUE, SUITE B, BRONX, NY, 10463

Signature of

Role Plan administrator
Date 2022-04-25
Name of individual signing LUIZA GUSEYNOV
LUIZA GUSEYNOV, PHYSICIAN, PLLC 401(K) PLAN 2020 201900068 2021-05-07 LUIZA GUSEYNOV, PHYSICIAN, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7184320200
Plan sponsor’s address 3108 KINGSBRIDGE AVENUE, SUITE B, BRONX, NY, 10463

Signature of

Role Plan administrator
Date 2021-05-07
Name of individual signing LUIZA GUSEYNOV
LUIZA GUSEYNOV, PHYSICIAN, PLLC 401(K) PLAN 2019 201900068 2020-03-26 LUIZA GUSEYNOV, PHYSICIAN, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7184320200
Plan sponsor’s address 3108 KINGSBRIDGE AVENUE, SUITE B, BRONX, NY, 10463

Signature of

Role Plan administrator
Date 2020-03-26
Name of individual signing LUIZA GUSEYNOV
LUIZA GUSEYNOV, PHYSICIAN, PLLC 401(K) PLAN 2018 201900068 2019-06-06 LUIZA GUSEYNOV, PHYSICIAN, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7184320200
Plan sponsor’s address 3108 KINGSBRIDGE AVENUE, SUITE B, BRONX, NY, 10463

Signature of

Role Plan administrator
Date 2019-06-06
Name of individual signing LUIZA GUSEYNOV
LUIZA GUSEYNOV, PHYSICIAN, PLLC 401(K) PLAN 2017 201900068 2018-03-30 LUIZA GUSEYNOV, PHYSICIAN, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7184320200
Plan sponsor’s address 3108 KINGSBRIDGE AVENUE, SUITE B, BRONX, NY, 10463

Signature of

Role Plan administrator
Date 2018-03-30
Name of individual signing LUIZA GUSEYNOV
LUIZA GUSEYNOV, PHYSICIAN, PLLC 401(K) PLAN 2016 201900068 2017-05-11 LUIZA GUSEYNOV, PHYSICIAN, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7184320200
Plan sponsor’s address 3108 KINGSBRIDGE AVENUE, SUITE B, BRONX, NY, 10463

Signature of

Role Plan administrator
Date 2017-05-11
Name of individual signing LUIZA GUSEYNOV
LUIZA GUSEYNOV, PHYSICIAN, PLLC 401(K) PLAN 2015 201900068 2016-03-28 LUIZA GUSEYNOV, PHYSICIAN, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7184320200
Plan sponsor’s address 3108 KINGSBRIDGE AVENUE, SUITE B, BRONX, NY, 10463

Signature of

Role Plan administrator
Date 2016-03-28
Name of individual signing LUIZA GUSEYNOV

DOS Process Agent

Name Role Address
C/O LUIZA GUSEYNOV DOS Process Agent 168-32 POWELLS COVE BLVD, BEECHHURST, NY, United States, 11357

Filings

Filing Number Date Filed Type Effective Date
201103060405 2020-11-03 BIENNIAL STATEMENT 2020-11-01
141107006208 2014-11-07 BIENNIAL STATEMENT 2014-11-01
121114002120 2012-11-14 BIENNIAL STATEMENT 2012-11-01
101103002911 2010-11-03 BIENNIAL STATEMENT 2010-11-01
081023002906 2008-10-23 BIENNIAL STATEMENT 2008-11-01
061024002295 2006-10-24 BIENNIAL STATEMENT 2006-11-01
050816000801 2005-08-16 AFFIDAVIT OF PUBLICATION 2005-08-16
050816000797 2005-08-16 AFFIDAVIT OF PUBLICATION 2005-08-16
041117000359 2004-11-17 ARTICLES OF ORGANIZATION 2004-11-17

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9212187103 2020-04-15 0202 PPP 3108 Kingsbridge Ave #B, Bronx, NY, 10463
Loan Status Date 2021-02-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 55900
Loan Approval Amount (current) 55900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 49274
Servicing Lender Name Citibank, N.A.
Servicing Lender Address 5800 S. Corporate Place, Sioux Falls, SD, 57108
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Bronx, BRONX, NY, 10463-0001
Project Congressional District NY-15
Number of Employees 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 49274
Originating Lender Name Citibank, N.A.
Originating Lender Address Sioux Falls, SD
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 56286.64
Forgiveness Paid Date 2020-12-30

Date of last update: 29 Mar 2025

Sources: New York Secretary of State