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SAMUEL SHATKIN JR., M.D., PLLC

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Company Details

Name: SAMUEL SHATKIN JR., M.D., PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 25 Oct 2007 (18 years ago)
Entity Number: 3585152
ZIP code: 14226
County: Erie
Place of Formation: New York
Address: 2500 KENSINGTON AVENUE, AMHERST, NY, United States, 14226

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 2500 KENSINGTON AVENUE, AMHERST, NY, United States, 14226

National Provider Identifier

NPI Number:
1841436995

Authorized Person:

Name:
DR. SAMUEL SHATKIN JR.
Role:
DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
7168391701

Form 5500 Series

Employer Identification Number (EIN):
562677930
Plan Year:
2024
Number Of Participants:
24
Sponsors DBA Name:
SAMUEL SHATKIN JR.,MD, PLLC
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
31
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
18
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
191003060012 2019-10-03 BIENNIAL STATEMENT 2019-10-01
170403000455 2017-04-03 CERTIFICATE OF PUBLICATION 2017-04-03
151002006035 2015-10-02 BIENNIAL STATEMENT 2015-10-01
131010006387 2013-10-10 BIENNIAL STATEMENT 2013-10-01
111103002697 2011-11-03 BIENNIAL STATEMENT 2011-10-01

Paycheck Protection Program

Jobs Reported:
14
Initial Approval Amount:
$162,705
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$162,705
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$163,694.23
Servicing Lender:
Manufacturers and Traders Trust Company
Use of Proceeds:
Payroll: $126,705
Utilities: $16,000
Mortgage Interest: $0
Rent: $10,000
Refinance EIDL: $0
Healthcare: $10000
Debt Interest: $0
Jobs Reported:
14
Initial Approval Amount:
$152,322
Date Approved:
2021-01-23
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$152,322
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$153,277.66
Servicing Lender:
Manufacturers and Traders Trust Company
Use of Proceeds:
Payroll: $152,319
Utilities: $1

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State