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FOUNTAIN PULMONARY P.C.

Company Details

Name: FOUNTAIN PULMONARY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 23 Jun 2005 (20 years ago)
Entity Number: 3222422
ZIP code: 10314
County: Richmond
Place of Formation: New York
Address: 800 MANOR ROAD, SUITE 3, STATEN ISLAND, NJ, United States, 10314
Principal Address: 800 MANOR ROAD, SUITE 3, STATEN ISLAND, NY, United States, 10314

Contact Details

Phone +1 718-818-1234

Phone +1 347-562-2753

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
72A91 Active Non-Manufacturer 2014-02-13 2024-03-02 2027-02-09 2023-03-10

Contact Information

POC ADEBAMBO OLAJITAN
Phone +1 347-562-2753
Fax +1 347-289-5100
Address 800 MANOR RD STE 3, STATEN ISLAND, NY, 10314 7030, UNITED STATES

Ownership of Offeror Information

Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

DOS Process Agent

Name Role Address
FOUNTAIN PULMONARY P.C. DOS Process Agent 800 MANOR ROAD, SUITE 3, STATEN ISLAND, NJ, United States, 10314

Chief Executive Officer

Name Role Address
ADEBAMBO D OLAJITAN M.D. Chief Executive Officer 800 MANOR ROAD, SUITE #3, STATEN ISLAND, NY, United States, 10314

History

Start date End date Type Value
2007-06-27 2021-06-01 Address 800 MANOR ROAD, SUITE 3, STATEN ISLAND, NY, 10314, USA (Type of address: Service of Process)
2005-06-23 2007-06-27 Address 27 NATALIE COURT, STATEN ISLAND, NY, 10304, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210601060870 2021-06-01 BIENNIAL STATEMENT 2021-06-01
170601006582 2017-06-01 BIENNIAL STATEMENT 2017-06-01
150601006376 2015-06-01 BIENNIAL STATEMENT 2015-06-01
130705006118 2013-07-05 BIENNIAL STATEMENT 2013-06-01
090528002586 2009-05-28 BIENNIAL STATEMENT 2009-06-01
070627002047 2007-06-27 BIENNIAL STATEMENT 2007-06-01
050623000350 2005-06-23 CERTIFICATE OF INCORPORATION 2005-06-23

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3544267407 2020-05-07 0202 PPP 800, MANOR Rd ,, STATEN ISLAND, NY, 10314
Loan Status Date 2021-08-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1900
Loan Approval Amount (current) 1900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 529471
Servicing Lender Name Itria Ventures LLC
Servicing Lender Address One Penn Plaza, Suite 4530, New York, NY, 10119
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Unanswered
Project Address STATEN ISLAND, RICHMOND, NY, 10314-0001
Project Congressional District NY-11
Number of Employees 1
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 529471
Originating Lender Name Itria Ventures LLC
Originating Lender Address New York, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1922.91
Forgiveness Paid Date 2021-07-29

Date of last update: 29 Mar 2025

Sources: New York Secretary of State