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PHYSICIAN OFFICE BASED SURGERY, PLLC

Company Details

Name: PHYSICIAN OFFICE BASED SURGERY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 01 Feb 2007 (18 years ago)
Entity Number: 3526721
ZIP code: 12601
County: Dutchess
Place of Formation: New York
Address: PO BOX 2179, POUGHKEEPSIE, NY, United States, 12601

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PHYSICIAN OFFICE BASED SURGERY 401(K) PROFIT SHARING PLAN & TRUST 2023 260801399 2024-04-05 PHYSICIAN OFFICE BASED SURGERY 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 8454548026
Plan sponsor’s address 82 NORTH WATER ST., POUGHKEEPSIE, NY, 12601

Signature of

Role Plan administrator
Date 2024-04-05
Name of individual signing PATRICIA RUF
PHYSICIAN OFFICE BASED SURGERY 401(K) PROFIT SHARING PLAN & TRUST 2022 260801399 2023-05-18 PHYSICIAN OFFICE BASED SURGERY 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 8454548026
Plan sponsor’s address 82 NORTH WATER ST., POUGHKEEPSIE, NY, 12601

Signature of

Role Plan administrator
Date 2023-05-18
Name of individual signing PATRICIA RUF
PHYSICIAN OFFICE BASED SURGERY 401(K) PROFIT SHARING PLAN & TRUST 2021 260801399 2022-05-10 PHYSICIAN OFFICE BASED SURGERY 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 8454548026
Plan sponsor’s address 82 NORTH WATER ST., POUGHKEEPSIE, NY, 12601

Signature of

Role Plan administrator
Date 2022-05-10
Name of individual signing PATRICIA RUFF
PHYSICIAN OFFICE BASED SURGERY 401(K) PROFIT SHARING PLAN & TRUST 2020 260801399 2021-06-17 PHYSICIAN OFFICE BASED SURGERY 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 8454548025
Plan sponsor’s address 82 NORTH WATER ST., POUGHKEEPSIE, NY, 12601

Signature of

Role Plan administrator
Date 2021-06-17
Name of individual signing PATRICIA RUF

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent PO BOX 2179, POUGHKEEPSIE, NY, United States, 12601

History

Start date End date Type Value
2007-02-01 2013-02-26 Address POST OFFICE BOX 2053, POUGHKEEPSIE, NY, 12601, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130226002337 2013-02-26 BIENNIAL STATEMENT 2013-02-01
090305002414 2009-03-05 BIENNIAL STATEMENT 2009-02-01
070605000972 2007-06-05 CERTIFICATE OF PUBLICATION 2007-06-05
070201000965 2007-02-01 ARTICLES OF ORGANIZATION 2007-02-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4835488404 2021-02-07 0202 PPS 82 N Water St Unit Lg-B, Poughkeepsie, NY, 12601-1721
Loan Status Date 2021-12-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 169857
Loan Approval Amount (current) 169857
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Poughkeepsie, DUTCHESS, NY, 12601-1721
Project Congressional District NY-18
Number of Employees 11
NAICS code 621111
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 48270
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address COLUMBUS, OH
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 171086.95
Forgiveness Paid Date 2021-11-03
7509997101 2020-04-14 0202 PPP 82 N Water St, Unit LG-B, POUGHKEEPSIE, NY, 12601
Loan Status Date 2021-06-23
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 169859.85
Loan Approval Amount (current) 169859.85
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address POUGHKEEPSIE, DUTCHESS, NY, 12601-0101
Project Congressional District NY-18
Number of Employees 12
NAICS code 621111
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 171658.57
Forgiveness Paid Date 2021-05-12

Date of last update: 28 Mar 2025

Sources: New York Secretary of State