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FOUR CORNERS PHARMACY, LLC

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Company Details

Name: FOUR CORNERS PHARMACY, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Inactive
Date of registration: 06 Dec 2004 (21 years ago)
Date of dissolution: 02 Dec 2022
Entity Number: 3134044
ZIP code: 12054
County: Albany
Place of Formation: New York
Address: 360 DELAWARE AVENUE, DELMAR, NY, United States, 12054

DOS Process Agent

Name Role Address
FOUR CORNERS PHARMACY, LLC DOS Process Agent 360 DELAWARE AVENUE, DELMAR, NY, United States, 12054

National Provider Identifier

NPI Number:
1083722771

Authorized Person:

Name:
JOHN L CROCE
Role:
CO-OWNER
Phone:

Taxonomy:

Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
5184393657

Form 5500 Series

Employer Identification Number (EIN):
201978101
Plan Year:
2020
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
6
Sponsors Telephone Number:

History

Start date End date Type Value
2014-12-09 2023-01-18 Address 360 DELAWARE AVENUE, DELMAR, NY, 12054, USA (Type of address: Service of Process)
2004-12-06 2014-12-09 Address 340 DELAWARE AVENUE, DELMAR, NY, 12054, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230118003656 2022-12-02 CERTIFICATE OF DISSOLUTION-CANCELLATION 2022-12-02
181214006052 2018-12-14 BIENNIAL STATEMENT 2018-12-01
161205006243 2016-12-05 BIENNIAL STATEMENT 2016-12-01
141209006930 2014-12-09 BIENNIAL STATEMENT 2014-12-01
121219006300 2012-12-19 BIENNIAL STATEMENT 2012-12-01

USAspending Awards / Financial Assistance

Date:
2020-04-15
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:
51200.00
Total Face Value Of Loan:
51200.00

Paycheck Protection Program

Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
51200
Current Approval Amount:
51200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
51765.3

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State