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JASON M. GALLINA, M.D., P.C.

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Company Details

Name: JASON M. GALLINA, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 11 Apr 2008 (17 years ago)
Entity Number: 3657511
ZIP code: 10017
County: New York
Place of Formation: New York
Address: 820 2ND AVE, 7TH FLOOR SUITE 7A, NEW YORK, NY, United States, 10017

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
JASON GALLINA DOS Process Agent 820 2ND AVE, 7TH FLOOR SUITE 7A, NEW YORK, NY, United States, 10017

Chief Executive Officer

Name Role Address
JASON GALLINA MD Chief Executive Officer 820 2ND AVE, 7TH FLOOR SUITE 7A, NEW YORK, NY, United States, 10017

National Provider Identifier

NPI Number:
1518121052

Authorized Person:

Name:
JASON M GALLINA
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2126916370

Form 5500 Series

Employer Identification Number (EIN):
262787455
Plan Year:
2023
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
6

History

Start date End date Type Value
2025-01-06 2025-06-11 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-12-27 2025-01-06 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-11-15 2024-12-27 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-03-01 2024-11-15 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-01-10 2024-03-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
170428002029 2017-04-28 BIENNIAL STATEMENT 2016-04-01
100423002204 2010-04-23 BIENNIAL STATEMENT 2010-04-01
080411000625 2008-04-11 CERTIFICATE OF INCORPORATION 2008-04-11

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$79,727
Date Approved:
2020-06-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$79,727
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$81,111.15
Servicing Lender:
WebBank
Use of Proceeds:
Payroll: $79,727
Jobs Reported:
6
Initial Approval Amount:
$70,278
Date Approved:
2021-03-23
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$70,278
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$71,163.7
Servicing Lender:
Customers Bank
Use of Proceeds:
Payroll: $70,275
Utilities: $1

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State