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  5. SPINE AND PAIN CONSULTANT, PLLC

SPINE AND PAIN CONSULTANT, PLLC

Company Details

Name: SPINE AND PAIN CONSULTANT, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 28 Aug 2008 (17 years ago)
Entity Number: 3714239
ZIP code: 10314
County: Richmond
Place of Formation: New York
Address: 369 Manor Road, STATEN ISLAND, NY, United States, 10314

Contact Details

Phone +1 516-587-5500

Phone +1 347-875-1808

Phone +1 718-667-3577

Phone +1 212-724-7246

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPINE AND PAIN CONSULTANT PLLC 401(K) PROFIT SHARING PLAN & TRUST 2023 263069729 2024-06-26 SPINE AND PAIN CONSULTANT PLLC 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541990
Sponsor’s telephone number 7186673577
Plan sponsor’s address 369 MANOR ROAD, STATEN ISLAND, NY, 10314

Signature of
Role Plan administrator
Date 2024-06-26
Name of individual signing ANTHONY F ZELTSER
SPINE AND PAIN CONSULTANT PLLC 401(K) PROFIT SHARING PLAN & TRUST 2022 263069729 2023-06-20 SPINE AND PAIN CONSULTANT PLLC 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541990
Sponsor’s telephone number 7186673577
Plan sponsor’s address 1534 VICTORY BLVD, STATEN ISLAND, NY, 103143548

Signature of
Role Plan administrator
Date 2023-06-20
Name of individual signing ANTHONY ZELTSER
SPINE AND PAIN CONSULTANT PLLC 401(K) PROFIT SHARING PLAN & TRUST 2021 263069729 2022-07-27 SPINE AND PAIN CONSULTANT PLLC 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541990
Sponsor’s telephone number 7186673577
Plan sponsor’s address 1534 VICTORY BLVD, STATEN ISLAND, NY, 103143548

Signature of
Role Plan administrator
Date 2022-07-27
Name of individual signing ANTHONY ZELTSER
SPINE AND PAIN CONSULTANT PLLC 401(K) PROFIT SHARING PLAN & TRUST 2020 263069729 2021-07-30 SPINE AND PAIN CONSULTANT PLLC 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541990
Sponsor’s telephone number 7186673577
Plan sponsor’s address 1534 VICTORY BLVD, STATEN ISLAND, NY, 103143548

Signature of
Role Plan administrator
Date 2021-07-30
Name of individual signing ANTHONY ZELTSER
SPINE AND PAIN CONSULTANT PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 263069729 2020-07-22 SPINE AND PAIN CONSULTANT PLLC 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541990
Sponsor’s telephone number 7186673577
Plan sponsor’s address 1534 VICTORY BLVD, STATEN ISLAND, NY, 103143548

Signature of
Role Plan administrator
Date 2020-07-22
Name of individual signing ANTHONY ZELTSER
SPINE AND PAIN CONSULTANT PLLC 401 K PROFIT SHARING PLAN TRUST 2018 263069729 2019-06-21 SPINE AND PAIN CONSULTANT PLLC 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541990
Sponsor’s telephone number 7186673577
Plan sponsor’s address 1534 VICTORY BLVD, STATEN ISLAND, NY, 103143548

Signature of
Role Plan administrator
Date 2019-06-21
Name of individual signing ANTHONY ZELTSER
SPINE AND PAIN CONSULTANT PLLC 401 K PROFIT SHARING PLAN TRUST 2017 263069729 2018-07-31 SPINE AND PAIN CONSULTANT PLLC 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541990
Sponsor’s telephone number 7186673577
Plan sponsor’s address 1534 VICTORY BLVD, STATEN ISLAND, NY, 103143548

Signature of
Role Plan administrator
Date 2018-07-31
Name of individual signing ANTHONY ZELTSER

DOS Process Agent

Name Role Address
SPINE AND PAIN CONSULTANT, PLLC DOS Process Agent 369 Manor Road, STATEN ISLAND, NY, United States, 10314

History

Start date End date Type Value
2011-02-28 2024-08-02 Address 1534 VICTORY BOULEVARD, STATEN ISLAND, NY, 10314, USA (Type of address: Service of Process)
2010-08-25 2011-02-28 Address 7 BURBANK AVENUE, STATEN ISLAND, NY, 10306, USA (Type of address: Service of Process)
2008-08-28 2010-08-25 Address 7 BURBANK AVE., STATEN ISLAND, NY, 10306, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240802000873 2024-08-02 BIENNIAL STATEMENT 2024-08-02
220310002945 2022-03-10 BIENNIAL STATEMENT 2020-08-01
150714006191 2015-07-14 BIENNIAL STATEMENT 2014-08-01
120807006663 2012-08-07 BIENNIAL STATEMENT 2012-08-01
110228000704 2011-02-28 CERTIFICATE OF CHANGE 2011-02-28
100825002428 2010-08-25 BIENNIAL STATEMENT 2010-08-01
081126000968 2008-11-26 CERTIFICATE OF PUBLICATION 2008-11-26
080828000117 2008-08-28 ARTICLES OF ORGANIZATION 2008-08-28

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8499198300 2021-01-29 0202 PPS 1534 Victory Blvd, Staten Island, NY, 10314-3548
Loan Status Date 2022-04-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 806750
Loan Approval Amount (current) 806750
Undisbursed Amount 0
Franchise Name -
Lender Location ID 188567
Servicing Lender Name Loan Source Incorporated
Servicing Lender Address 353 East 83rd Street Suite 3H, NEW YORK, NY, 10028
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, 10314-3548
Project Congressional District NY-11
Number of Employees 70
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 29599
Originating Lender Name Northeast Bank
Originating Lender Address LEWISTON, ME
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 815480.58
Forgiveness Paid Date 2022-03-14
5818037209 2020-04-27 0202 PPP 1534 Victory Boulevard, Staten Island, NY, 10314
Loan Status Date 2022-02-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 841495
Loan Approval Amount (current) 841495
Undisbursed Amount 0
Franchise Name -
Lender Location ID 188567
Servicing Lender Name Loan Source Incorporated
Servicing Lender Address 353 East 83rd Street Suite 3H, NEW YORK, NY, 10028
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, 10314-0001
Project Congressional District NY-11
Number of Employees 79
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 80354
Originating Lender Name Investors Bank, A Division of Citizens Bank National Association
Originating Lender Address Short Hills, NJ
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 852630.4
Forgiveness Paid Date 2021-08-31

Related by officers

No related officers

Related by address

369 Manor Road, STATEN ISLAND, NY, United States, 10314

1360 HYLAN BOULEVARD LLC

Date of last update: 28 Mar 2025

Sources: New York Secretary of State

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