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TIMOTHY JAYASUNDERA M.D., P.C.

TIMOTHY JAYASUNDERA M.D., P.C.

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Company Details

Name:	TIMOTHY JAYASUNDERA M.D., P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	19 Jun 2006 (19 years ago)
Entity Number:	3378071
ZIP code:	10021
County:	New York
Place of Formation:	New York
Address:	515 E 72ND ST, # 24 C, NEW YORK, NY, United States, 10021
Principal Address:	130-56 LEFFERTS BLVD, SOUTH OZONE PARK, NY, United States, 11420

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
TIMOTHY G JAYASUNDERA	DOS Process Agent	515 E 72ND ST, # 24 C, NEW YORK, NY, United States, 10021

Chief Executive Officer

Name	Role	Address
TIMOTHY G JAYASUNDERA	Chief Executive Officer	515 E. 72ND STREET, APT 24C, NEW YORK, NY, United States, 10021

National Provider Identifier

NPI Number:

1225049638

Link:

View on NPI website

Authorized Person:

Name:

TIMOTHY G JAYASUNDERA

Role:

OWNER

Phone:

9172140084

Taxonomy:

Selected Taxonomy:

207RC0000X - Cardiovascular Disease Physician

Is Primary:

Yes

Contacts:

Phone:

+1 917-214-0084

Fax:

9175369945

Phone:

+1 718-763-6666

Fax:

7182515636

Form 5500 Series

Employer Identification Number (EIN):

205075838

Plan Year:

2023

Number Of Participants:

13

Sponsors Telephone Number:

9172140084

File:

Plan Year:

2022

Number Of Participants:

16

Sponsors Telephone Number:

9172140084

File:

Plan Year:

2021

Number Of Participants:

16

Sponsors Telephone Number:

9172140084

File:

Plan Year:

2021

Number Of Participants:

10

Sponsors Telephone Number:

9172140084

File:

Plan Year:

2020

Number Of Participants:

10

Sponsors Telephone Number:

9172140084

File:

History

Start date	End date	Type	Value
2024-06-07	2024-06-07	Address	130-56 LEFFERTS BLVD, SOUTH OZONE PARK, NY, 11420, USA (Type of address: Chief Executive Officer)
2024-06-07	2024-06-07	Address	515 E. 72ND STREET, APT 24C, NEW YORK, NY, 10021, USA (Type of address: Chief Executive Officer)
2023-02-10	2024-06-07	Address	515 E. 72ND STREET, APT 24C, NEW YORK, NY, 10021, USA (Type of address: Chief Executive Officer)
2023-02-10	2023-02-10	Address	130-56 LEFFERTS BLVD, SOUTH OZONE PARK, NY, 11420, USA (Type of address: Chief Executive Officer)
2023-02-10	2024-06-07	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number	Date Filed	Type	Effective Date
240607002100	2024-06-07	BIENNIAL STATEMENT	2024-06-07
230210003128	2023-02-10	BIENNIAL STATEMENT	2022-06-01
180607006087	2018-06-07	BIENNIAL STATEMENT	2018-06-01
160602006140	2016-06-02	BIENNIAL STATEMENT	2016-06-01
140602006142	2014-06-02	BIENNIAL STATEMENT	2014-06-01

Paycheck Protection Program

Jobs Reported:

13

Initial Approval Amount:

$118,631

Date Approved:

2020-04-14

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$118,631

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$120,743.61

Servicing Lender:

Flushing Bank

Use of Proceeds:

Payroll: $88,973.25
Utilities: $29,657.75

Jobs Reported:

13

Initial Approval Amount:

$140,585

Date Approved:

2021-01-23

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$140,585

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$142,013.96

Servicing Lender:

Flushing Bank

Use of Proceeds:

Payroll: $140,580
Utilities: $1

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State