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  5. PREMIER ORTHOPEDIC SUPPLY INC.

PREMIER ORTHOPEDIC SUPPLY INC.

Company Details

Name: PREMIER ORTHOPEDIC SUPPLY INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 11 Jan 2008 (17 years ago)
Entity Number: 3616416
ZIP code: 11788
County: Nassau
Place of Formation: New York
Address: 40-08 OSER AVE, HAUPPAUGE, NY, United States, 11788

Shares Details

Shares issued 100

Share Par Value 0.01

Type PAR VALUE

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
D6GJWS87GU59 2024-04-11 40 OSER AVE, SUITE 8, HAUPPAUGE, NY, 11788, 3807, USA 40 OSER AVE, SUITE 8, HAUPPAUGE, NY, 11788, 3807, USA

Business Information
Congressional District 01
State/Country of Incorporation NY, USA
Activation Date 2023-04-24
Initial Registration Date 2008-02-16
Entity Start Date 2008-01-11
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 339113, 423450

Points of Contacts
Electronic Business
Title PRIMARY POC
Name ROSA GRUE
Role VP
Address 40-08 OSER AVE, HAUPPAUGE, NY, 11788, USA
Title ALTERNATE POC
Name ANTHONY GRUE
Address 1014 GRAND BLVD STE 4, DEER PARK, NY, 11729, USA
Government Business
Title PRIMARY POC
Name ROSA GRUE
Role VP
Address 40-08 OSER AVE, HAUPPAUGE, NY, 11788, USA
Past Performance
Title PRIMARY POC
Name ANTHONY GRUE
Role PRESIDENT
Address 1014 GRAND BLVD STE 4, BRENTWOOD, NY, 11717, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
4ZUN0 Active Non-Manufacturer 2008-02-20 2024-04-11 2028-04-24 2024-04-11

Contact Information
POC ROSA GRUE
Phone +1 631-831-5344
Fax +1 631-901-1301
Address 40 OSER AVE, HAUPPAUGE, SUFFOLK, NY, 11788 3807, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PREMIER ORTHOPEDIC SUPPLY, INC. RETIREMENT PLAN 2023 331201404 2024-12-23 PREMIER ORTHOPEDIC SUPPLY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 339110
Sponsor’s telephone number 6319011300
Plan sponsor’s address 40-08 OSER AVENUE, HAUPPAUGE, NY, 11788

Signature of
Role Plan administrator
Date 2024-12-23
Name of individual signing RICHARD SCHIAVELLO
Valid signature Filed with authorized/valid electronic signature
PREMIER ORTHOPEDIC SUPPLY, INC. RETIREMENT PLAN 2023 331201404 2025-02-14 PREMIER ORTHOPEDIC SUPPLY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 339110
Sponsor’s telephone number 6319011300
Plan sponsor’s address 40-08 OSER AVENUE, HAUPPAUGE, NY, 11788

Signature of
Role Plan administrator
Date 2025-02-14
Name of individual signing RICHARD SCHIAVELLO
Valid signature Filed with authorized/valid electronic signature
PREMIER ORTHOPEDIC SUPPLY, INC. RETIREMENT PLAN 2022 331201404 2023-07-25 PREMIER ORTHOPEDIC SUPPLY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 339110
Sponsor’s telephone number 6319011300
Plan sponsor’s address 40-08 OSER AVENUE, HAUPPAUGE, NY, 11788

Signature of
Role Plan administrator
Date 2023-07-25
Name of individual signing RICHARD SCHIAVELLO
PREMIER ORTHOPEDIC SUPPLY, INC. RETIREMENT PLAN 2021 331201404 2022-07-06 PREMIER ORTHOPEDIC SUPPLY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 339110
Sponsor’s telephone number 6319011300
Plan sponsor’s address 40-08 OSER AVENUE, HAUPPAUGE, NY, 11788

Signature of
Role Plan administrator
Date 2022-07-06
Name of individual signing RICHARD SCHIAVELLO
PREMIER ORTHOPEDIC SUPPLY, INC. RETIREMENT PLAN 2020 331201404 2021-06-01 PREMIER ORTHOPEDIC SUPPLY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 339110
Sponsor’s telephone number 6319011300
Plan sponsor’s address 1014 GRAND BOULEVARD, UNIT 4, DEER PARK, NY, 11729

Signature of
Role Plan administrator
Date 2021-06-01
Name of individual signing RICHARD SCHIAVELLO
PREMIER ORTHOPEDIC SUPPLY, INC. RETIREMENT PLAN 2019 331201404 2020-06-25 PREMIER ORTHOPEDIC SUPPLY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 339110
Sponsor’s telephone number 6319011300
Plan sponsor’s address 1014 GRAND BOULEVARD, UNIT 4, DEER PARK, NY, 11729

Signature of
Role Plan administrator
Date 2020-06-25
Name of individual signing RICHARD SCHIAVELLO
PREMIER ORTHOPEDIC SUPPLY, INC. RETIREMENT PLAN 2018 331201404 2019-04-11 PREMIER ORTHOPEDIC SUPPLY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 339110
Sponsor’s telephone number 6319011300
Plan sponsor’s address 1014 GRAND BOULEVARD, UNIT 4, DEER PARK, NY, 11729

Signature of
Role Plan administrator
Date 2019-04-11
Name of individual signing RICHARD SCHIAVELLO
PREMIER ORTHOPEDIC SUPPLY, INC. RETIREMENT PLAN 2017 331201404 2018-07-20 PREMIER ORTHOPEDIC SUPPLY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 339110
Sponsor’s telephone number 6319011300
Plan sponsor’s address 1014 GRAND BOULEVARD, UNIT 4, DEER PARK, NY, 11729

Signature of
Role Plan administrator
Date 2018-07-20
Name of individual signing RICHARD SCHIAVELLO
PREMIER ORTHOPEDIC SUPPLY, INC. RETIREMENT PLAN 2016 331201404 2017-04-17 PREMIER ORTHOPEDIC SUPPLY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 339110
Sponsor’s telephone number 6319011300
Plan sponsor’s address 1014 GRAND BOULEVARD, UNIT 4, DEER PARK, NY, 11729

Signature of
Role Plan administrator
Date 2017-04-17
Name of individual signing RICHARD SCHIAVELLO
PREMIER ORTHOPEDIC SUPPLY, INC. RETIREMENT PLAN 2015 331201404 2016-05-25 PREMIER ORTHOPEDIC SUPPLY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 339110
Sponsor’s telephone number 6319011300
Plan sponsor’s address 6 CAIN DRIVE, BRENTWOOD, NY, 11717

Signature of
Role Plan administrator
Date 2016-05-25
Name of individual signing RICHARD SCHIAVELLO

Chief Executive Officer

Name Role Address
ROSA GRUE Chief Executive Officer 40-08 OSER AVE, HAUPPAUGE, NY, United States, 11788

Agent

Name Role
Registered Agent Revoked Agent

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 40-08 OSER AVE, HAUPPAUGE, NY, United States, 11788

History

Start date End date Type Value
2025-02-27 2025-02-27 Address 1201 2ND AVE, NEW HYDE PARK, NY, 11040, USA (Type of address: Chief Executive Officer)
2025-01-21 2025-02-27 Address 40-08 OSER AVE, HAUPPAUGE, NY, 11788, USA (Type of address: Service of Process)
2025-01-21 2025-01-21 Address 1201 2ND AVE, NEW HYDE PARK, NY, 11040, USA (Type of address: Chief Executive Officer)
2025-01-21 2025-01-21 Address 40-08 OSER AVE, HAUPPAUGE, NY, 11788, USA (Type of address: Chief Executive Officer)
2025-01-21 2025-02-26 Shares Share type: PAR VALUE, Number of shares: 100, Par value: 0.01
2025-01-21 2025-02-27 Address 40-08 OSER AVE, HAUPPAUGE, NY, 11788, USA (Type of address: Chief Executive Officer)
2025-01-21 2025-02-27 Address 1201 2ND AVE, NEW HYDE PARK, NY, 11040, USA (Type of address: Registered Agent)
2010-02-16 2025-01-21 Address 1201 2ND AVE, NEW HYDE PARK, NY, 11040, USA (Type of address: Chief Executive Officer)
2010-02-16 2025-01-21 Address 169 COMMACK RD, PMB 387 STE H, COMMACK, NY, 11725, USA (Type of address: Service of Process)
2008-01-11 2025-01-21 Shares Share type: PAR VALUE, Number of shares: 100, Par value: 0.01

Filings

Filing Number Date Filed Type Effective Date
250227001296 2025-02-26 CERTIFICATE OF CHANGE BY ENTITY 2025-02-26
250121003724 2025-01-21 BIENNIAL STATEMENT 2025-01-21
140306002032 2014-03-06 BIENNIAL STATEMENT 2014-01-01
120223002119 2012-02-23 BIENNIAL STATEMENT 2012-01-01
100216002283 2010-02-16 BIENNIAL STATEMENT 2010-01-01
080111000447 2008-01-11 CERTIFICATE OF INCORPORATION 2008-01-11

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD HHSI245201000158P 2009-09-30 2010-08-30 2010-08-30
Unique Award Key CONT_AWD_HHSI245201000158P_7527_-NONE-_-NONE-
Awarding Agency Department of Health and Human Services
Link View Page

Description
Title TAS::75 0390::TAS M38886 PC-1 EMERGENCY ORDER RDD 11 03 09 PREMIER ORTHOPEDIC SUPPLY
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes Q513: ORTHOPEDIC SERVICES

Recipient Details
Recipient PREMIER ORTHOPEDIC SUPPLY INC.
UEI D6GJWS87GU59
Legacy DUNS 809444818
Recipient Address UNITED STATES, 1201 2ND AVE, NEW HYDE PARK, 110404925
PO AWARD HHSI245201001843P 2010-07-21 2010-09-30 2010-09-30
Unique Award Key CONT_AWD_HHSI245201001843P_7527_-NONE-_-NONE-
Awarding Agency Department of Health and Human Services
Link View Page

Description
Title TAS::75 0390::TAS M40812 PREMIER ORTHOPEDIC SUPPLY INC 809444818
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details
Recipient PREMIER ORTHOPEDIC SUPPLY INC.
UEI D6GJWS87GU59
Legacy DUNS 809444818
Recipient Address UNITED STATES, 169 COMMACK RD, COMMACK, 117253442
PO AWARD HHSI245201001568P 2010-06-09 2010-09-30 2010-09-30
Unique Award Key CONT_AWD_HHSI245201001568P_7527_-NONE-_-NONE-
Awarding Agency Department of Health and Human Services
Link View Page

Description
Title TAS::75 0390::TAS M40487 GRSSC PREMIER ORTHOPEDIC SUPPLY 809444818
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details
Recipient PREMIER ORTHOPEDIC SUPPLY INC.
UEI D6GJWS87GU59
Legacy DUNS 809444818
Recipient Address UNITED STATES, 169 COMMACK RD, COMMACK, 117253442
PO AWARD HHSI245201001445P 2010-05-19 2010-06-03 2010-06-03
Unique Award Key CONT_AWD_HHSI245201001445P_7527_-NONE-_-NONE-
Awarding Agency Department of Health and Human Services
Link View Page

Description
Title TAS::75 0390::TAS
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes 6530: HOSP FURNITURE,EQ,UTENSILS & SUP

Recipient Details
Recipient PREMIER ORTHOPEDIC SUPPLY INC.
UEI D6GJWS87GU59
Legacy DUNS 809444818
Recipient Address UNITED STATES, 169 COMMACK RD, COMMACK, 117253442
PO AWARD HHSI245201001241P 2010-04-10 2010-09-30 2010-09-30
Unique Award Key CONT_AWD_HHSI245201001241P_7527_-NONE-_-NONE-
Awarding Agency Department of Health and Human Services
Link View Page

Description
Title TAS::75 0390::TAS M40080 PREMIER ORTHOPEDIC SUPPLY ORDER
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details
Recipient PREMIER ORTHOPEDIC SUPPLY INC.
UEI D6GJWS87GU59
Legacy DUNS 809444818
Recipient Address UNITED STATES, 1201 2ND AVE, NEW HYDE PARK, 110404925
PO AWARD HHSI245201000987P 2010-02-26 2010-03-25 2010-03-25
Unique Award Key CONT_AWD_HHSI245201000987P_7527_-NONE-_-NONE-
Awarding Agency Department of Health and Human Services
Link View Page

Description
Title TAS::75 0390::TAS MED AND SURGICAL INSTRUMENT
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details
Recipient PREMIER ORTHOPEDIC SUPPLY INC.
UEI D6GJWS87GU59
Legacy DUNS 809444818
Recipient Address UNITED STATES, 1201 2ND AVE, NEW HYDE PARK, 110404925
PO AWARD HHSI2452010PCGR011LHMP 2010-01-28 2010-09-30 2010-09-30
Unique Award Key CONT_AWD_HHSI2452010PCGR011LHMP_7527_-NONE-_-NONE-
Awarding Agency Department of Health and Human Services
Link View Page

Description
Title TAS::75 0390::TAS 39376CC10L130
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details
Recipient PREMIER ORTHOPEDIC SUPPLY INC.
UEI D6GJWS87GU59
Legacy DUNS 809444818
Recipient Address UNITED STATES, 169 COMMACK RD, COMMACK, 117253442
PO AWARD HHSI245201000529P 2009-12-22 2010-01-15 2010-01-15
Unique Award Key CONT_AWD_HHSI245201000529P_7527_-NONE-_-NONE-
Awarding Agency Department of Health and Human Services
Link View Page

Description
Title TAS::75 0390::TAS MED & SURGICAL INSTRUMENTS,EQ & SUP
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details
Recipient PREMIER ORTHOPEDIC SUPPLY INC.
UEI D6GJWS87GU59
Legacy DUNS 809444818
Recipient Address UNITED STATES, 1201 2ND AVE, NEW HYDE PARK, 110404925
PO AWARD HHSI2452010PCGR008FBMP 2009-10-19 2010-09-30 2010-09-30
Unique Award Key CONT_AWD_HHSI2452010PCGR008FBMP_7527_-NONE-_-NONE-
Awarding Agency Department of Health and Human Services
Link View Page

Description
Title TAS::75 0390::TAS ORTHOPEDIC SUPPLIES
NAICS Code 339114: DENTAL EQUIPMENT AND SUPPLIES MANUFACTURING
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details
Recipient PREMIER ORTHOPEDIC SUPPLY INC.
UEI D6GJWS87GU59
Legacy DUNS 809444818
Recipient Address UNITED STATES, 169 COMMACK RD, COMMACK, 117253442
PO AWARD HHSI245201101162P 2011-09-01 2011-09-30 2011-09-30
Unique Award Key CONT_AWD_HHSI245201101162P_7527_-NONE-_-NONE-
Awarding Agency Department of Health and Human Services
Link View Page

Description
Title M43844 PREMIER ORTHOPEDIC SUPPLY 809444818
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details
Recipient PREMIER ORTHOPEDIC SUPPLY INC.
UEI D6GJWS87GU59
Legacy DUNS 809444818
Recipient Address UNITED STATES, 169 COMMACK RD, COMMACK, 117253442

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8941017104 2020-04-15 0235 PPP 1014 GRAND BLVD Unit 4, Deer park, NY, 11729
Loan Status Date 2021-03-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 90372
Loan Approval Amount (current) 90372
Undisbursed Amount 0
Franchise Name -
Lender Location ID 46391
Servicing Lender Name Manufacturers and Traders Trust Company
Servicing Lender Address One M & T Plaza, 15th Fl, BUFFALO, NY, 14203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Deer park, SUFFOLK, NY, 11729-0001
Project Congressional District NY-02
Number of Employees 8
NAICS code 339113
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 46391
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address BUFFALO, NY
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 90908.76
Forgiveness Paid Date 2021-02-16

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Related by address

No related companies by address

Date of last update: 28 Mar 2025

Sources: New York Secretary of State

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