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PHYSICIANS BILLING ASSOCIATES INTERNATIONAL INC.

Company Details

Name: PHYSICIANS BILLING ASSOCIATES INTERNATIONAL INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Inactive
Date of registration: 03 May 2006 (19 years ago)
Date of dissolution: 21 May 2024
Entity Number: 3356652
ZIP code: 10303
County: Richmond
Place of Formation: New York
Address: 2015 FOREST AVE, SUITE A3, STATEN ISLAND, NY, United States, 10303
Principal Address: 2015 Forest Ave, Suite A3, STATEN ISLAND, NY, United States, 10303

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PHYSICIANS BILLING ASSOCIATES INTERNATIONAL, INC. PROFIT SHARING PLAN 2014 141961109 2015-08-13 PHYSICIANS BILLING ASSOCIATES INTERNATIONAL, INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-05-01
Business code 561490
Sponsor’s telephone number 7188151000
Plan sponsor’s address 302 MANOR ROAD, STATEN ISLAND, NY, 10314
PHYSICIANS BILLING ASSOCIATES INTERNATIONAL, INC. PROFIT SHARING PLAN 2013 141961109 2015-01-21 PHYSICIANS BILLING ASSOCIATES INTERNATIONAL, INC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-05-01
Business code 561490
Sponsor’s telephone number 7188151000
Plan sponsor’s address 302 MANOR ROAD, STATEN ISLAND, NY, 10314
PHYSICIANS BILLING ASSOCIATES INTERNATIONAL, INC. PROFIT SHARING PLAN 2012 141961109 2015-01-21 PHYSICIANS BILLING ASSOCIATES INTERNATIONAL, INC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-05-01
Business code 561490
Sponsor’s telephone number 7188151000
Plan sponsor’s address 302 MANOR ROAD, STATEN ISLAND, NY, 10314

Signature of

Role Plan administrator
Date 2015-01-21
Name of individual signing FREMA GORDON
Role Employer/plan sponsor
Date 2015-01-21
Name of individual signing FREMA GORDON
PHYSICIANS BILLING ASSOCIATES INTERNATIONAL, INC. PROFIT SHARING PLAN 2011 141961109 2013-02-15 PHYSICIANS BILLING ASSOCIATES INTERNATIONAL, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-05-01
Business code 561490
Sponsor’s telephone number 7188151000
Plan sponsor’s address 302 MANOR ROAD, STATEN ISLAND, NY, 10314

Plan administrator’s name and address

Administrator’s EIN 141961109
Plan administrator’s name PHYSICIANS BILLING ASSOCIATES INTERNATIONAL, INC.
Plan administrator’s address 302 MANOR ROAD, STATEN ISLAND, NY, 10314
Administrator’s telephone number 7188151000

Signature of

Role Plan administrator
Date 2013-02-15
Name of individual signing FREMA GORDON
PHYSICIANS BILLING ASSOCIATES INTERNATIONAL, INC. PROFIT SHARING PLAN 2009 141961109 2012-04-04 PHYSICIANS BILLING ASSOCIATES INTERNATIONAL INC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-05-01
Sponsor’s telephone number 7188151000
Plan sponsor’s address 302 MANOR ROAD, STATEN ISLAND, NY, 10314

Plan administrator’s name and address

Administrator’s EIN 141961109
Plan administrator’s name PHYSICIANS BILLING ASSOCIATES INTERNATIONAL INC
Plan administrator’s address 302 MANOR ROAD, STATEN ISLAND, NY, 10314
Administrator’s telephone number 7188151000

Chief Executive Officer

Name Role Address
FREMA GORDON Chief Executive Officer 2015 FOREST AVE, SUITE A3, STATEN ISLAND, NY, United States, 10303

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2015 FOREST AVE, SUITE A3, STATEN ISLAND, NY, United States, 10303

History

Start date End date Type Value
2024-06-07 2024-06-07 Address 2015 FOREST AVE, SUITE A3, STATEN ISLAND, NY, 10303, USA (Type of address: Chief Executive Officer)
2024-06-07 2024-06-07 Address 302 MANOR RD, STATEN ISLAND, NY, 10314, USA (Type of address: Chief Executive Officer)
2019-12-17 2024-06-07 Address 2015 FOREST AVE, SUITE A3, STATEN ISLAND, NY, 10314, USA (Type of address: Service of Process)
2008-06-02 2024-06-07 Address 302 MANOR RD, STATEN ISLAND, NY, 10314, USA (Type of address: Chief Executive Officer)
2006-05-03 2024-05-21 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2006-05-03 2019-12-17 Address 302 MANOR ROAD, STATEN ISLAND, NY, 10314, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240607001266 2024-05-21 CERTIFICATE OF DISSOLUTION-CANCELLATION 2024-05-21
211111001768 2021-11-11 BIENNIAL STATEMENT 2021-11-11
191217000563 2019-12-17 CERTIFICATE OF CHANGE 2019-12-17
120625002677 2012-06-25 BIENNIAL STATEMENT 2012-05-01
100525002827 2010-05-25 BIENNIAL STATEMENT 2010-05-01
080602003171 2008-06-02 BIENNIAL STATEMENT 2008-05-01
060503000236 2006-05-03 CERTIFICATE OF INCORPORATION 2006-05-03

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6688927200 2020-04-28 0202 PPP 2015 Forest Ave Suite A3, Staten Island, NY, 10303
Loan Status Date 2022-03-25
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 35263
Loan Approval Amount (current) 35263
Undisbursed Amount 0
Franchise Name -
Lender Location ID 121536
Servicing Lender Name Customers Bank
Servicing Lender Address 40 General Warren Blvd, Malvern, PA, 19355
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Staten Island, RICHMOND, NY, 10303-0001
Project Congressional District NY-11
Number of Employees 6
NAICS code 561499
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 121536
Originating Lender Name Customers Bank
Originating Lender Address Malvern, PA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 35804.99
Forgiveness Paid Date 2021-11-16

Date of last update: 28 Mar 2025

Sources: New York Secretary of State