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  5. CRYSTAL CITY APOTHECARY, LLC

CRYSTAL CITY APOTHECARY, LLC

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Company Details

Name: CRYSTAL CITY APOTHECARY, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 Nov 2004 (21 years ago)
Entity Number: 3129422
ZIP code: 14892
County: Steuben
Place of Formation: New York
Address: 443 CAYUTA AVE, WAVERLY, NY, United States, 14892

Contact Details

Phone +1 607-565-2390

DOS Process Agent

Name Role Address
CRYSTAL CITY APOTHECARY, LLC DOS Process Agent 443 CAYUTA AVE, WAVERLY, NY, United States, 14892

Unique Entity ID

CAGE Code:
7G5H7
UEI Expiration Date:
2018-06-30

Business Information

Doing Business As:
WAVERLY PHARMACY
Activation Date:
2017-06-30
Initial Registration Date:
2015-09-07

Commercial and government entity program

CAGE number:
7G5H7
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-03-10
CAGE Expiration:
2022-06-30

Contact Information

POC:
DONALD W. SASSMAN

National Provider Identifier

NPI Number:
1790566305
Certification Date:
2023-10-10
Link:
View on NPI website

Authorized Person:

Name:
MR. DONALD W GUTHRIE ROBERT PACKER HOSPITAL
Role:
MEMBER
Phone:
1607565239

Taxonomy:

Selected Taxonomy:
3336L0003X - Long Term Care Pharmacy
Is Primary:
Yes

Contacts:

Phone:
+1 607-565-2390
Fax:
6075652393

Form 5500 Series

Employer Identification Number (EIN):
134290223
Plan Year:
2024
Number Of Participants:
6
Sponsors Telephone Number:
6075652390
File:
View File
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
6075652390
File:
View File
Plan Year:
2022
Number Of Participants:
6
Sponsors Telephone Number:
6075652390
File:
View File
Plan Year:
2021
Number Of Participants:
7
Sponsors Telephone Number:
6075652390
File:
View File
Plan Year:
2020
Number Of Participants:
6
Sponsors Telephone Number:
6075652390
File:
View File

History

Start date End date Type Value
2018-12-24 2025-02-10 Address 443 CAYUTA AVE, WAVERLY, NY, 14892, USA (Type of address: Service of Process)
2012-11-07 2018-12-24 Address 443 CAYUTA AVE, WAVERLY, NY, 14892, USA (Type of address: Service of Process)
2008-08-27 2012-11-07 Address 316 BROAD ST, WAVERLY, NY, 14892, USA (Type of address: Service of Process)
2005-02-10 2008-08-27 Address P.O. BOX 1345, CORNING, NY, 14830, USA (Type of address: Service of Process)
2004-11-23 2005-02-10 Address 63-65 MARKET ST, CORNING, NY, 14830, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250210003358 2025-02-10 BIENNIAL STATEMENT 2025-02-10
221101003117 2022-11-01 BIENNIAL STATEMENT 2022-11-01
201102060825 2020-11-02 BIENNIAL STATEMENT 2020-11-01
181224002020 2018-12-24 BIENNIAL STATEMENT 2018-11-01
181011006159 2018-10-11 BIENNIAL STATEMENT 2016-11-01

USAspending Awards / Financial Assistance

Date:
2024-07-10
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
AWARDTYPE: GUARANTEED/INSURED LOANS ACTIVITIES TO BE PERFORMED: TO PROVIDE GUARANTEED LOANS FROM LENDERS TO ELIGIBLE FOR PROFIT SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE BUT CAN DEMONSTRATE AN ABILITY TO REPAY LOANS IF GRANTED, IN A TIMELY MANNER. THE SBA GUARANTEES 7(A) PROGRAM LOANS THROUGH VARIOUS LOAN PROCESSING METHODS INCLUDING: (1) STANDARD 7(A) LOANS; (2) 7(A) SMALL LOANS; (3) SBAEXPRESS LOANS; (4) CAPLINE LOANS; (5) THE QUALIFIED EMPLOYEE TRUSTS (ESOP); (6) EXPORT EXPRESS; (7)EXPORT WORKING CAPITAL PROGRAM (EWCP); (8) INTERNATIONAL TRADE, AND (9) PILOT (TEMPORARY) PROGRAMS. DELIVERABLES: LOAN GUARANTEES EXPECTED OUTCOMES: TO PROVIDE GUARANTEED LOANS FROM LENDERS TO ELIGIBLE FOR PROFIT SMALL BUSINESSES AND, IN CERTAIN CIRCUMSTANCES, TO QUALIFIED EMPLOYEE TRUSTS (ESOPS). INTENDED BENEFICIARIES: SMALL BUSINESSES SUBRECIPIENT ACTIVITIES: NA
Obligated Amount:
0.00
Face Value Of Loan:
500000.00
Total Face Value Of Loan:
500000.00
Date:
2022-05-05
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
AWARDTYPE: DIRECT LOANS ACTIVITIES TO BE PERFORMED: PROVIDE LOANS TO BUSINESSES IMPACTED BY THE COVID-19 PANDEMIC FOR UNINSURED OR OTHERWISE UNCOMPENSATED ECONOMIC INJURY. DELIVERABLES: LOANS EXPECTED OUTCOMES: EXPECTED OUTCOMES: ENABLE BUSINESSES TO FUND POST-DISASTER ORDINARY AND NECESSARY OPERATING EXPENSES UNTIL NORMAL OPERATIONS RESUME INTENDED BENEFICIARIES: SURVIVORS OF DISASTER SUBRECIPIENT ACTIVITIES: NA
Obligated Amount:
0.00
Face Value Of Loan:
300000.00
Total Face Value Of Loan:
800000.00
Date:
2021-01-23
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
57618.35
Total Face Value Of Loan:
57618.35
Date:
2020-04-15
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
58000.00
Total Face Value Of Loan:
58000.00

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$57,618.35
Date Approved:
2021-01-20
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$57,618.35
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$57,967.26
Servicing Lender:
Citizens & Northern Bank
Use of Proceeds:
Payroll: $57,616.35
Utilities: $1
Jobs Reported:
8
Initial Approval Amount:
$58,000
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$58,000
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$58,576.78
Servicing Lender:
Citizens & Northern Bank
Use of Proceeds:
Payroll: $58,000

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443 CAYUTA AVE, WAVERLY, NY, United States, 14892

CAYUTA DISTRIBUTORS, LLC WAVERLY PHARMACY HOLDINGS, LLC

Date of last update: 29 Mar 2025

Sources: New York Secretary of State

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