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TRI STATE SURGICAL ASSOCIATES PLLC

Company Details

Name: TRI STATE SURGICAL ASSOCIATES PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 17 Feb 2006 (19 years ago)
Entity Number: 3322105
ZIP code: 10941
County: Orange
Place of Formation: New York
Address: 384 CRYSTAL RUN ROAD, STE 201, MIDDLETOWN, NY, United States, 10941

Contact Details

Phone +1 845-896-0610

Phone +1 845-517-2870

Phone +1 845-692-8780

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 384 CRYSTAL RUN ROAD, STE 201, MIDDLETOWN, NY, United States, 10941

National Provider Identifier

NPI Number:
1801993175
Certification Date:
2023-11-01

Authorized Person:

Name:
GINA KOWAL
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
8456923439

Form 5500 Series

Employer Identification Number (EIN):
204679131
Plan Year:
2022
Number Of Participants:
53
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
37
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
37
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
33
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
32
Sponsors Telephone Number:

History

Start date End date Type Value
2008-02-12 2010-03-12 Address 390 CRYSTAL RUN ROAD, SUITE 102, MIDDLETOWN, NY, 10941, USA (Type of address: Service of Process)
2006-02-17 2008-02-12 Address 15 JERSEY AVENUE, PORT JERVIS, NY, 12771, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210414000116 2021-04-14 CERTIFICATE OF AMENDMENT 2021-04-14
200203060583 2020-02-03 BIENNIAL STATEMENT 2020-02-01
180206006110 2018-02-06 BIENNIAL STATEMENT 2018-02-01
160202006259 2016-02-02 BIENNIAL STATEMENT 2016-02-01
140212006302 2014-02-12 BIENNIAL STATEMENT 2014-02-01

USAspending Awards / Financial Assistance

Date:
2021-01-29
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:
558175.00
Total Face Value Of Loan:
558175.00
Date:
2020-04-16
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:
578027.00
Total Face Value Of Loan:
578027.00

Paycheck Protection Program

Date Approved:
2021-01-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
558175
Current Approval Amount:
558175
Race:
Unanswered
Ethnicity:
Hispanic or Latino
Gender:
Male Owned
Veteran:
Veteran
Forgiveness Amount:
563649.7
Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
578027
Current Approval Amount:
578027
Race:
Unanswered
Ethnicity:
Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
582508.69

Date of last update: 28 Mar 2025

Sources: New York Secretary of State