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  5. WILLIAMSBURG ANIMAL CLINIC PLLC

WILLIAMSBURG ANIMAL CLINIC PLLC

Company Details

Name: WILLIAMSBURG ANIMAL CLINIC PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 12 Sep 2007 (18 years ago)
Entity Number: 3567008
ZIP code: 11211
County: Kings
Place of Formation: New York
Address: 760 GRAND ST., BROOKLYN, NY, United States, 11211

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WILLIAMSBURG ANIMAL CLINIC 401K PROFIT SHARING PLAN & TRUST 2022 260902176 2023-09-20 WILLIAMSBURG ANIMAL CLINIC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541940
Sponsor’s telephone number 7183022420
Plan sponsor’s address 760 GRAND STREET, BROOKLYN, NY, 11211

Signature of
Role Plan administrator
Date 2023-09-20
Name of individual signing ORLANDO DIAZ
WILLIAMSBURG ANIMAL CLINIC 401K PROFIT SHARING PLAN & TRUST 2021 260902176 2022-07-27 WILLIAMSBURG ANIMAL CLINIC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541940
Sponsor’s telephone number 7183022420
Plan sponsor’s address 760 GRAND STREET, BROOKLYN, NY, 11211

Signature of
Role Plan administrator
Date 2022-07-27
Name of individual signing ORLANDO DIAZ
WILLIAMSBURG ANIMAL CLINIC 401K PROFIT SHARING PLAN & TRUST 2021 260902176 2022-12-28 WILLIAMSBURG ANIMAL CLINIC 18
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541940
Sponsor’s telephone number 7183022420
Plan sponsor’s address 760 GRAND STREET, BROOKLYN, NY, 11211

Signature of
Role Plan administrator
Date 2022-12-28
Name of individual signing ORLANDO R DIAZ
Role Employer/plan sponsor
Date 2022-12-28
Name of individual signing ORLANDO R DIAZ
WILLIAMSBURG ANIMAL CLINIC 401K PROFIT SHARING PLAN & TRUST 2020 260902176 2021-07-29 WILLIAMSBURG ANIMAL CLINIC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541940
Sponsor’s telephone number 7183022420
Plan sponsor’s address 760 GRAND STREET, BROOKLYN, NY, 11211

Signature of
Role Plan administrator
Date 2021-07-29
Name of individual signing ORLANDO DIAZ
WILLIAMSBURG ANIMAL CLINIC 401K PROFIT SHARING PLAN & TRUST 2019 260902176 2020-06-30 WILLIAMSBURG ANIMAL CLINIC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541940
Sponsor’s telephone number 7183022420
Plan sponsor’s address 760 GRAND STREET, BROOKLYN, NY, 11211

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing ORLANDO DIAZ
WILLIAMSBURG ANIMAL CLINIC 401K PROFIT SHARING PLAN & TRUST 2018 260902176 2019-06-13 WILLIAMSBURG ANIMAL CLINIC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541940
Sponsor’s telephone number 7183022420
Plan sponsor’s address 760 GRAND STREET, BROOKLYN, NY, 11211

Signature of
Role Plan administrator
Date 2019-06-13
Name of individual signing ORLANDO DIAZ
WILLIAMSBURG ANIMAL CLINIC 401K PROFIT SHARING PLAN & TRUST 2017 260902176 2018-05-30 WILLIAMSBURG ANIMAL CLINIC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541940
Sponsor’s telephone number 7183022420
Plan sponsor’s address 760 GRAND STREET, BROOKLYN, NY, 11211

Signature of
Role Plan administrator
Date 2018-05-30
Name of individual signing ORLANDO DIAZ
WILLIAMSBURG ANIMAL CLINIC 401K PROFIT SHARING PLAN & TRUST 2016 260902176 2017-06-06 WILLIAMSBURG ANIMAL CLINIC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541940
Sponsor’s telephone number 7183022420
Plan sponsor’s address 760 GRAND STREET, BROOKLYN, NY, 11211

Signature of
Role Plan administrator
Date 2017-06-06
Name of individual signing ORLANDO DIAZ
WILLIAMSBURG ANIMAL CLINIC 401K PROFIT SHARING PLAN & TRUST 2015 260902176 2016-08-09 WILLIAMSBURG ANIMAL CLINIC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541940
Sponsor’s telephone number 7183022420
Plan sponsor’s address 760 GRAND AVENUE, BROOKLYN, NY, 11211

Signature of
Role Plan administrator
Date 2016-08-09
Name of individual signing ORLANDO DIAZ
WILLIAMSBURG ANIMAL CLINIC 401(K) PROFIT SHARING PLAN 2013 260902176 2014-10-09 WILLIAMSBURG ANIMAL CLINIC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541940
Sponsor’s telephone number 7183022420
Plan sponsor’s address 760 GRAND STREET, BROOKLYN, NY, 11211

Plan administrator’s name and address
Administrator’s EIN 260902176
Plan administrator’s name WILLIAMSBURG ANIMAL CLINIC
Plan administrator’s address 760 GRAND STREET, BROOKLYN, NY, 11211
Administrator’s telephone number 7183022420

Signature of
Role Plan administrator
Date 2014-10-09
Name of individual signing ORLANDO DIAZ

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 760 GRAND ST., BROOKLYN, NY, United States, 11211

Filings

Filing Number Date Filed Type Effective Date
211123001699 2021-11-23 BIENNIAL STATEMENT 2021-11-23
190903061958 2019-09-03 BIENNIAL STATEMENT 2019-09-01
180724006205 2018-07-24 BIENNIAL STATEMENT 2017-09-01
130909007682 2013-09-09 BIENNIAL STATEMENT 2013-09-01
110919002503 2011-09-19 BIENNIAL STATEMENT 2011-09-01
090921002620 2009-09-21 BIENNIAL STATEMENT 2009-09-01
080213000127 2008-02-13 CERTIFICATE OF PUBLICATION 2008-02-13
070912000703 2007-09-12 ARTICLES OF ORGANIZATION 2007-09-12

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3090337703 2020-05-01 0202 PPP 760 GRAND ST, BROOKLYN, NY, 11211
Loan Status Date 2021-09-30
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 177500
Loan Approval Amount (current) 177500
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 N
Business Age Description Existing or more than 2 years old
Project Address BROOKLYN, KINGS, NY, 11211-0001
Project Congressional District NY-07
Number of Employees 16
NAICS code 541940
Borrower Race White
Borrower Ethnicity 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 Male Owned
Veteran Non-Veteran
Forgiveness Amount 179756.52
Forgiveness Paid Date 2021-08-12
7119308508 2021-03-05 0202 PPS 760 Grand St, Brooklyn, NY, 11211-1848
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) 177500
Loan Approval Amount (current) 177500
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 Brooklyn, KINGS, NY, 11211-1848
Project Congressional District NY-07
Number of Employees 15
NAICS code 541940
Borrower Race White
Borrower Ethnicity 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 Non-Veteran
Forgiveness Amount 178664.5
Forgiveness Paid Date 2021-11-05

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Related by address

760 GRAND ST., BROOKLYN, NY, United States, 11211

MIL AMIGOS DE BALAGUER, INC.

Date of last update: 28 Mar 2025

Sources: New York Secretary of State

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