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SAMPLE SHOES INC.

SAMPLE SHOES INC.

Company Details

Name:	SAMPLE SHOES INC.
Jurisdiction:	New York
Legal type:	DOMESTIC BUSINESS CORPORATION
Status:	Active
Date of registration:	22 Sep 2008 (17 years ago)
Entity Number:	3723385
ZIP code:	10040
County:	Kings
Place of Formation:	New York
Address:	1567 ST NICHOLAS AVE, NEW YORK, NY, United States, 10040

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
PARVIZ GOLSHAN	DOS Process Agent	1567 ST NICHOLAS AVE, NEW YORK, NY, United States, 10040

Chief Executive Officer

Name	Role	Address
PARVIZ GOLSHAN	Chief Executive Officer	1567 ST NICHOLAS AVE, NEW YORK, NY, United States, 10040

History

Start date	End date	Type	Value
2008-09-22	2010-10-15	Address	237 W. 35TH STREET #702A, NEW YORK, NY, 10001, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
101015003095	2010-10-15	BIENNIAL STATEMENT	2010-09-01
080922000648	2008-09-22	CERTIFICATE OF INCORPORATION	2008-09-22

Inspections

Date	Inspection Object	Address	Grade	Type	Institution	Desctiption
2019-06-19	No data	1567 SAINT NICHOLAS AVE, Manhattan, NEW YORK, NY, 10040	Violation Issued	Inspectorate of the Department of Consumer and Workers' Rights Protection	Department of Consumer and Worker Protection	No data
2017-08-24	No data	1567 SAINT NICHOLAS AVE, Manhattan, NEW YORK, NY, 10040	No Violation Issued	Inspectorate of the Department of Consumer and Workers' Rights Protection	Department of Consumer and Worker Protection	No data
2016-08-05	No data	1567 SAINT NICHOLAS AVE, Manhattan, NEW YORK, NY, 10040	Violation Issued	Inspectorate of the Department of Consumer and Workers' Rights Protection	Department of Consumer and Worker Protection	No data

Fine And Fees

Fee Sequence Id	Fee type	Status	Date	Amount	Description
3100578	CL VIO	INVOICED	2019-10-07	260	CL - Consumer Law Violation
3051996	CL VIO	CREDITED	2019-06-28	175	CL - Consumer Law Violation
2398692	CL VIO	CREDITED	2016-08-15	175	CL - Consumer Law Violation

Issued Charges

Date	Outcome	Charge	Charge count	Counts sellted	Counts guilty	Counts not guilty
2019-06-19	No data	REFUND POLICY NOT POSTED	1	No data	1	1
2016-08-05	Pleaded	REFUND POLICY NOT POSTED	1	1	No data	No data

Paycheck Protection Program

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

3388968409

2021-02-04

0202

PPS

1567 Saint Nicholas Ave, New York, NY, 10040-4261

Loan Status Date	2021-12-18
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	4512
Loan Approval Amount (current)	4512
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	48270
Servicing Lender Name	JPMorgan Chase Bank, National Association
Servicing Lender Address	1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator	U
Hubzone	Y
LMI	Y
Business Age Description	Existing or more than 2 years old
Project Address	New York, NEW YORK, NY, 10040-4261
Project Congressional District	NY-13
Number of Employees	1
NAICS code	448210
Borrower Race	Asian
Borrower Ethnicity	Not Hispanic or Latino
Business Type	Corporation
Originating Lender ID	48270
Originating Lender Name	JPMorgan Chase Bank, National Association
Originating Lender Address	COLUMBUS, OH
Gender	Male Owned
Veteran	Non-Veteran
Forgiveness Amount	4544.67
Forgiveness Paid Date	2021-11-01

9262147307

2020-05-01

0202

PPP

1567 SAINT NICHOLAS AVE, NEW YORK, NY, 10040

Loan Status Date	2021-05-22
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	4500
Loan Approval Amount (current)	4500
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	48270
Servicing Lender Name	JPMorgan Chase Bank, National Association
Servicing Lender Address	1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator	U
Hubzone	Y
LMI	Y
Business Age Description	Existing or more than 2 years old
Project Address	NEW YORK, NEW YORK, NY, 10040-0001
Project Congressional District	NY-13
Number of Employees	1
NAICS code	448210
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	194093
Originating Lender Name	JPMorgan Chase Bank, National Association
Originating Lender Address	CHICAGO, IL
Gender	Male Owned
Veteran	Non-Veteran
Forgiveness Amount	4540.43
Forgiveness Paid Date	2021-04-01

Date of last update: 27 Mar 2025

Sources: New York Secretary of State