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  5. BROCKPORT INTERNAL MEDICINE, P.C.

BROCKPORT INTERNAL MEDICINE, P.C.

Company Details

Name: BROCKPORT INTERNAL MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 03 Dec 2004 (20 years ago)
Entity Number: 3133394
ZIP code: 14420
County: Monroe
Place of Formation: New York
Address: 34 WEST AVE, BROCKPORT, NY, United States, 14420

Contact Details

Phone +1 585-589-0146

Phone +1 585-637-2161

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
NSGFZQHJX4F5 2024-06-05 34 WEST AVE, BROCKPORT, NY, 14420, 1304, USA 34 WEST AVE, BROCKPORT, NY, 14420, 1304, USA

Business Information
Congressional District 25
State/Country of Incorporation NY, USA
Activation Date 2023-06-08
Initial Registration Date 2023-06-06
Entity Start Date 2004-10-04
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name ANITA GARG
Address 34 WEST AVE, BROCKPORT, NY, 14420, USA
Government Business
Title PRIMARY POC
Name ANITA GARG
Address 34 WEST AVE, BROCKPORT, NY, 14420, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BROCKPORT INTERNAL MEDICINE, P. C., 401K PLAN 2023 201726439 2024-07-03 BROCKPORT INTERNAL MEDICINE, P. C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5856372161
Plan sponsor’s address 34 WEST AVENUE, BROCKPORT, NY, 14420
BROCKPORT INTERNAL MEDICINE, P. C., 401K PLAN 2022 201726439 2023-10-12 BROCKPORT INTERNAL MEDICINE, P. C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5856372161
Plan sponsor’s address 34 WEST AVENUE, BROCKPORT, NY, 14420
BROCKPORT INTERNAL MEDICINE, P. C., 401K PLAN 2021 201726439 2022-10-11 BROCKPORT INTERNAL MEDICINE, P. C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5856372161
Plan sponsor’s address 34 WEST AVENUE, BROCKPORT, NY, 14420
BROCKPORT INTERNAL MEDICINE, P. C., 401K PLAN 2020 201726439 2021-10-12 BROCKPORT INTERNAL MEDICINE, P. C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5856372161
Plan sponsor’s address 34 WEST AVENUE, BROCKPORT, NY, 14420
BROCKPORT INTERNAL MEDICINE, P. C., 401K PLAN 2019 201726439 2020-10-09 BROCKPORT INTERNAL MEDICINE, P. C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5856372161
Plan sponsor’s address 34 WEST AVENUE, BROCKPORT, NY, 14420
BROCKPORT INTERNAL MEDICINE, P. C., 401K PLAN 2018 201726439 2019-10-11 BROCKPORT INTERNAL MEDICINE, P. C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5856372161
Plan sponsor’s address 34 WEST AVENUE, BROCKPORT, NY, 14420
BROCKPORT INTERNAL MEDICINE, P. C., 401K PLAN 2017 201726439 2018-07-30 BROCKPORT INTERNAL MEDICINE, P. C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5856372161
Plan sponsor’s address 34 WEST AVENUE, BROCKPORT, NY, 14420
BROCKPORT INTERNAL MEDICINE, P. C., 401K PLAN 2016 201726439 2017-05-31 BROCKPORT INTERNAL MEDICINE, P. C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5856372161
Plan sponsor’s address 34 WEST AVENUE, BROCKPORT, NY, 14420
BROCKPORT INTERNAL MEDICINE, P. C., 401K PLAN 2015 201726439 2016-07-22 BROCKPORT INTERNAL MEDICINE, P. C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5856372161
Plan sponsor’s address 34 WEST AVENUE, BROCKPORT, NY, 14420
BROCKPORT INTERNAL MEDICINE, P. C., 401K PLAN 2012 201726439 2013-07-23 BROCKPORT INTERNAL MEDICINE, P. C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 5856372161
Plan sponsor’s address 34 WEST AVENUE, BROCKPORT, NY, 14420

Signature of
Role Plan administrator
Date 2013-07-23
Name of individual signing PANKAJ GARG
Role Employer/plan sponsor
Date 2013-07-23
Name of individual signing PANKAJ GARG

Chief Executive Officer

Name Role Address
PANKAJ GARG Chief Executive Officer 34 WEST AVE, BROCKPORT, NY, United States, 14420

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 34 WEST AVE, BROCKPORT, NY, United States, 14420

History

Start date End date Type Value
2006-11-29 2014-07-25 Address 80 WEST AVE, STE 109, BROCKPORT, NY, 14420, USA (Type of address: Chief Executive Officer)
2006-11-29 2014-07-25 Address 80 WEST AVE, STE 109, BROCKPORT, NY, 14420, USA (Type of address: Principal Executive Office)
2006-11-29 2014-07-25 Address SUITE #109, 80 WEST AVENUE, BROCKPORT, NY, 14420, USA (Type of address: Service of Process)
2004-12-03 2006-11-29 Address SUITE #109, 80 WEST AVENUE, BROCKPORT, NY, 14420, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
201203060448 2020-12-03 BIENNIAL STATEMENT 2020-12-01
161213006218 2016-12-13 BIENNIAL STATEMENT 2016-12-01
141208006943 2014-12-08 BIENNIAL STATEMENT 2014-12-01
140725002235 2014-07-25 BIENNIAL STATEMENT 2013-12-01
061129002881 2006-11-29 BIENNIAL STATEMENT 2006-12-01
041203000542 2004-12-03 CERTIFICATE OF INCORPORATION 2004-12-03

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6198398309 2021-01-26 0219 PPS 34 West Ave, Brockport, NY, 14420-1304
Loan Status Date 2021-09-29
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 69623.63
Loan Approval Amount (current) 69623.63
Undisbursed Amount 0
Franchise Name -
Lender Location ID 434162
Servicing Lender Name Citizens Bank, National Association
Servicing Lender Address 1 Citizens Plaza, PROVIDENCE, RI, 02903-1344
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Brockport, MONROE, NY, 14420-1304
Project Congressional District NY-25
Number of Employees 6
NAICS code 621610
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 434162
Originating Lender Name Citizens Bank, National Association
Originating Lender Address PROVIDENCE, RI
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 70007.04
Forgiveness Paid Date 2021-08-18
8216757100 2020-04-15 0219 PPP 34 WEST AVENUE, BROCKPORT, NY, 14420
Loan Status Date 2020-12-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 68600
Loan Approval Amount (current) 68600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 434162
Servicing Lender Name Citizens Bank, National Association
Servicing Lender Address 1 Citizens Plaza, PROVIDENCE, RI, 02903-1344
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address BROCKPORT, MONROE, NY, 14420-0040
Project Congressional District NY-25
Number of Employees 9
NAICS code 621610
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 434162
Originating Lender Name Citizens Bank, National Association
Originating Lender Address PROVIDENCE, RI
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 68960.62
Forgiveness Paid Date 2021-02-16

U.S. Small Business Administration Profile

Status User ID Name of Firm Trade Name UEI Address
Active P3146160 BROCKPORT INTERNAL MEDICINE, P.C. BROCKPORT INTERNAL MEDICINE PC NSGFZQHJX4F5 34 WEST AVE, BROCKPORT, NY, 14420-1304
Capabilities Statement Link -
Phone Number 585-637-2161
Fax Number -
E-mail Address 34medicine@gmail.com
WWW Page -
E-Commerce Website -
Contact Person ANITA GARG
County Code (3 digit) 055
Congressional District 25
Metropolitan Statistical Area 6840
CAGE Code 9WBH8
Year Established 2004
Accepts Government Credit Card Yes
Legal Structure Corporation
Ownership and Self-Certifications -
Business Development Servicing Office BUFFALO DISTRICT OFFICE (SBA office code 0296)
Capabilities Narrative (none given)
Special Equipment/Materials (none given)
Business Type Percentages (none given)
Keywords (none given)
Quality Assurance Standards (none given)
Electronic Data Interchange capable -

SBA Federal Certifications
HUBZone Certified No
Women Owned Certified No
Women Owned Pending No
Economically Disadvantaged Women Owned Certified No
Economically Disadvantaged Women Owned Pending No
Veteran-Owned Small Business Certified No
Veteran-Owned Small Business Joint Venture No
Service-Disabled Veteran-Owned Small Business Certified No
Service-Disabled Veteran-Owned Small Business Joint Venture No

Bonding Levels
Description Construction Bonding Level (per contract)
Level (none given)
Description Construction Bonding Level (aggregate)
Level (none given)
Description Service Bonding Level (per contract)
Level (none given)
Description Service Bonding Level (aggregate)
Level (none given)

NAICS Codes with Size Determinations by NAICS
Primary Yes
Code 622110
NAICS Code's Description General Medical and Surgical Hospitals
Buy Green Yes

Export Profile (Trade Mission Online)
Exporter Firm hasn't answered this question yet
Export Business Activities (none given)
Exporting to (none given)
Desired Export Business Relationships (none given)
Description of Export Objective(s) (none given)

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Related by address

34 WEST AVE, BROCKPORT, NY, United States, 14420

BROCKPORT LASER CENTER, LLC IMMEDIATE URGENT CARE, PLLC YOUR MEDICAL STORE,LLC COMMUNITY URGENT CENTER,LLC

Date of last update: 29 Mar 2025

Sources: New York Secretary of State

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