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UNITED CARE MEDICAL, PLLC

Company Details

Name: UNITED CARE MEDICAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 04 Aug 2008 (17 years ago)
Entity Number: 3704625
ZIP code: 10304
County: Kings
Place of Formation: New York
Address: 690 BAY STREET, STATEN ISLAND, NY, United States, 10304

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNITED CARE MEDICAL PLLC 2023 264428606 2024-12-30 UNITED CARE MEDICAL PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9172087240
Plan sponsor’s address P.O. BOX 50128, STATEN ISLAND, NY, 10305

Signature of

Role Plan administrator
Date 2024-12-30
Name of individual signing SERGE MENKIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-12-30
Name of individual signing SERGE MENKIN
Valid signature Filed with authorized/valid electronic signature
UNITED CARE MEDICAL PLLC 2022 264428606 2024-12-30 UNITED CARE MEDICAL PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9172087240
Plan sponsor’s address P.O. BOX 50128, STATEN ISLAND, NY, 10305

Signature of

Role Plan administrator
Date 2024-12-30
Name of individual signing SERGE MENKIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-12-30
Name of individual signing SERGE MENKIN
Valid signature Filed with authorized/valid electronic signature
UNITED CARE MEDICAL PLLC 2021 264428606 2022-05-04 UNITED CARE MEDICAL PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9172087240
Plan sponsor’s address P.O. BOX 50128, STATEN ISLAND, NY, 10305

Signature of

Role Plan administrator
Date 2022-05-04
Name of individual signing SERGE MENKEN
Role Employer/plan sponsor
Date 2022-05-04
Name of individual signing SERGE MENKEN
UNITED CARE MEDICAL PLLC 2020 264428606 2021-08-27 UNITED CARE MEDICAL PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9172087240
Plan sponsor’s address 554 TOMPKINS AVENUE, STATEN ISLAND, NY, 10305

Signature of

Role Plan administrator
Date 2021-08-27
Name of individual signing SERGE MENKEN
Role Employer/plan sponsor
Date 2021-08-27
Name of individual signing SERGE MENKEN
UNITED CARE MEDICAL PLLC 401K PROFIT SHARING PLAN 2019 264428606 2020-07-23 UNITED CARE MEDICAL PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9172087240
Plan sponsor’s address 690 BAY STREET, STATEN ISLAND, NY, 10304

Signature of

Role Plan administrator
Date 2020-07-23
Name of individual signing SERGE MENKEN
UNITED CARE MEDICAL PLLC 401K PROFIT SHARING PLAN 2018 264428606 2019-08-12 UNITED CARE MEDICAL PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9172087240
Plan sponsor’s address 690 BAY STREET, STATEN ISLAND, NY, 10304

Signature of

Role Plan administrator
Date 2019-08-12
Name of individual signing SERGE MENKEN
UNITED CARE MEDICAL PLLC 401K PROFIT SHARING PLAN 2017 264428606 2018-09-08 UNITED CARE MEDICAL PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9172087240
Plan sponsor’s address 690 BAY STREET, STATEN ISLAND, NY, 10304

Signature of

Role Plan administrator
Date 2018-09-08
Name of individual signing SERGE MENKEN
UNITED CARE MEDICAL PLLC 401K PROFIT SHARING PLAN 2016 264428606 2017-09-25 UNITED CARE MEDICAL PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9172087240
Plan sponsor’s address 690 BAY STREET, STATEN ISLAND, NY, 10304

Signature of

Role Plan administrator
Date 2017-09-25
Name of individual signing SERGE MENKEN
UNITED CARE MEDICAL PLLC 401K PROFIT SHARING PLAN 2015 264428606 2016-09-30 UNITED CARE MEDICAL PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9172087240
Plan sponsor’s address 690 BAY STREET, STATEN ISLAND, NY, 10304

Signature of

Role Plan administrator
Date 2016-09-30
Name of individual signing SERGE MENKEN

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 690 BAY STREET, STATEN ISLAND, NY, United States, 10304

Agent

Name Role Address
LAW OFFICES OF GABRIEL AND MOROFF, P.C. Agent 2 LINCOLN AVE SUITE 302, ROCKVILLE CENTRE, NY, 11570

History

Start date End date Type Value
2008-08-04 2018-08-28 Address 2729 CONEY ISLAND AVE, BROOKLYN, NY, 11235, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
201125000254 2020-11-25 CERTIFICATE OF CHANGE 2020-11-25
180828002013 2018-08-28 BIENNIAL STATEMENT 2018-08-01
081210000421 2008-12-10 CERTIFICATE OF PUBLICATION 2008-12-10
080804000680 2008-08-04 ARTICLES OF ORGANIZATION 2008-08-04

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1038767206 2020-04-15 0202 PPP 554 Tompkins Ave, STATEN ISLAND, NY, 10305
Loan Status Date 2021-08-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 51000
Loan Approval Amount (current) 51000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 49274
Servicing Lender Name Citibank, N.A.
Servicing Lender Address 5800 S. Corporate Place, Sioux Falls, SD, 57108
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address STATEN ISLAND, RICHMOND, NY, 10305-0001
Project Congressional District NY-11
Number of Employees 6
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 49274
Originating Lender Name Citibank, N.A.
Originating Lender Address Sioux Falls, SD
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 51638.92
Forgiveness Paid Date 2021-07-22
3414658600 2021-03-17 0202 PPS 554 Tompkins Ave, Staten Island, NY, 10305-1745
Loan Status Date 2021-12-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 51000
Loan Approval Amount (current) 51000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 49274
Servicing Lender Name Citibank, N.A.
Servicing Lender Address 5800 S. Corporate Place, Sioux Falls, SD, 57108
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Staten Island, RICHMOND, NY, 10305-1745
Project Congressional District NY-11
Number of Employees 6
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 49274
Originating Lender Name Citibank, N.A.
Originating Lender Address Sioux Falls, SD
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 51345.67
Forgiveness Paid Date 2021-11-24

Date of last update: 28 Mar 2025

Sources: New York Secretary of State