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JAYASELVI KOLLI, M.D., P.C.

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Company Details

Name: JAYASELVI KOLLI, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 13 Dec 2005 (20 years ago)
Entity Number: 3292353
ZIP code: 14202
County: Niagara
Place of Formation: New York
Address: 1300 LIBERTY BUILDING, ATTN: LAWRENCE M. ROSS, ESQ., BUFFALO, NY, United States, 14202
Principal Address: 6934 WILLIAMS RD, STE 500, NIAGARA FALLS, NY, United States, 14304

Contact Details

Phone +1 716-297-7898

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
JAYASELVI KOLLI, MD Chief Executive Officer 6934 WILLIAMS RD, STE 500, NIAGARA FALLS, NY, United States, 14304

DOS Process Agent

Name Role Address
C/O HURWITZ & FINE, P.C. DOS Process Agent 1300 LIBERTY BUILDING, ATTN: LAWRENCE M. ROSS, ESQ., BUFFALO, NY, United States, 14202

National Provider Identifier

NPI Number:
1982630133

Authorized Person:

Name:
DR. JAYASELVI KOLLI
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
Yes

Contacts:

Fax:
7162130935

Form 5500 Series

Employer Identification Number (EIN):
203932883
Plan Year:
2023
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
12
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
071219002712 2007-12-19 BIENNIAL STATEMENT 2007-12-01
051213000817 2005-12-13 CERTIFICATE OF INCORPORATION 2005-12-13

USAspending Awards / Financial Assistance

Date:
2020-04-11
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:
100000.00
Total Face Value Of Loan:
100000.00

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$100,000
Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$100,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$101,060.27
Servicing Lender:
KeyBank National Association
Use of Proceeds:
Payroll: $100,000

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State