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AMBULATORY SURGERY CENTER OF GREATER NEW YORK, LLC

Company Details

Name: AMBULATORY SURGERY CENTER OF GREATER NEW YORK, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 02 Jul 2009 (16 years ago)
Entity Number: 3829624
ZIP code: 10469
County: Bronx
Place of Formation: New York
Address: 1101 Pelham Parkway North, BRONX, NY, United States, 10469

Contact Details

Phone +1 718-515-3500

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMBULATORY SURGERY CENTER OF GREATER NEW YORK, LLC 401(K) PLAN 2023 133418924 2024-08-16 AMBULATORY SURGERY CENTER OF GREATER NEW YORK, LLC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621493
Sponsor’s telephone number 7185153500
Plan sponsor’s address 1101 PELHAM PARKWAY NORTH, BRONX, NY, 10469

Signature of

Role Plan administrator
Date 2024-08-16
Name of individual signing ERIN P DUFFY
AMBULATORY SURGERY CENTER OF GREATER NEW YORK, LLC 401(K) PLAN 2022 133418924 2023-10-04 AMBULATORY SURGERY CENTER OF GREATER NEW YORK, LLC 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621493
Sponsor’s telephone number 7185153500
Plan sponsor’s address 1101 PELHAM PARKWAY NORTH, BRONX, NY, 10469

Signature of

Role Plan administrator
Date 2023-10-04
Name of individual signing JEROME H. LEVY
Role Employer/plan sponsor
Date 2023-07-24
Name of individual signing ERIN P DUFFY
AMBULATORY SURGERY CENTER OF GREATER NEW YORK, LLC 401(K) PLAN 2021 133418924 2022-07-01 AMBULATORY SURGERY CENTER OF GREATER NEW YORK, LLC 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621493
Sponsor’s telephone number 7185153500
Plan sponsor’s address 1101 PELHAM PARKWAY NORTH, BRONX, NY, 10469

Signature of

Role Plan administrator
Date 2022-07-01
Name of individual signing JEROME H. LEVY, M.D.
Role Employer/plan sponsor
Date 2022-06-30
Name of individual signing ERIN P DUFFY
AMBULATORY SURGERY CENTER OF GREATER NEW YORK, LLC 401(K) PLAN 2020 133418924 2021-10-13 AMBULATORY SURGERY CENTER OF GREATER NEW YORK, LLC 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621493
Sponsor’s telephone number 7185153500
Plan sponsor’s address 1101 PELHAM PARKWAY NORTH, BRONX, NY, 10469

Signature of

Role Plan administrator
Date 2021-10-13
Name of individual signing JEROME H. LEVY, M.D.
Role Employer/plan sponsor
Date 2021-10-12
Name of individual signing ERIN P DUFFY
AMBULATORY SURGERY CENTER OF GREATER NEW YORK, LLC 401(K) PLAN 2019 133418924 2020-10-13 AMBULATORY SURGERY CENTER OF GREATER NEW YORK, LLC 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621493
Sponsor’s telephone number 7185153500
Plan sponsor’s address 1101 PELHAM PARKWAY NORTH, BRONX, NY, 10469

Signature of

Role Plan administrator
Date 2020-10-13
Name of individual signing JEROME LEVY
Role Employer/plan sponsor
Date 2020-10-13
Name of individual signing ERIN DUFFY
AMBULATORY SURGERY CENTER OF GREATER NEW YORK, LLC 401(K) PLAN 2018 133418924 2019-10-07 AMBULATORY SURGERY CENTER OF GREATER NEW YORK, LLC 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621493
Sponsor’s telephone number 7185153500
Plan sponsor’s address 1101 PELHAM PARKWAY NORTH, BRONX, NY, 10469

Signature of

Role Plan administrator
Date 2019-10-07
Name of individual signing JEROME H. LEVY
Role Employer/plan sponsor
Date 2019-10-07
Name of individual signing ERIN P DUFFY
AMBULATORY SURGERY CENTER OF GREATER NEW YORK, LLC 401(K) PLAN 2017 133418924 2018-09-14 AMBULATORY SURGERY CENTER OF GREATER NEW YORK, LLC 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621493
Sponsor’s telephone number 7185153500
Plan sponsor’s address 1101 PELHAM PARKWAY NORTH, BRONX, NY, 10469

Signature of

Role Plan administrator
Date 2018-09-14
Name of individual signing JEROME H. LEVY MD
AMBULATORY SURGERY CENTER OF GREATER NEW YORK, LLC 401(K) PLAN 2016 133418924 2017-04-03 AMBULATORY SURGERY CENTER OF GREATER NEW YORK, LLC 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621493
Sponsor’s telephone number 7185153500
Plan sponsor’s address 1101 PELHAM PARKWAY NORTH, BRONX, NY, 10469

Signature of

Role Plan administrator
Date 2017-04-03
Name of individual signing JEROME H. LEVY, M.D.
AMBULATORY SURGERY CENTER OF GREATER NEW YORK, LLC 401(K) PLAN 2015 133418924 2016-07-18 AMBULATORY SURGERY CENTER OF GREATER NEW YORK, LLC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621493
Sponsor’s telephone number 7185153500
Plan sponsor’s address 1101 PELHAM PARKWAY NORTH, BRONX, NY, 10469

Signature of

Role Plan administrator
Date 2016-07-18
Name of individual signing JEROME H. LEVY, M.D.
AMBULATORY SURGERY CENTER OF GREATER NEW YORK, LLC 401(K) PLAN 2014 133418924 2015-05-13 AMBULATORY SURGERY CENTER OF GREATER NEW YORK, LLC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621493
Sponsor’s telephone number 7185153500
Plan sponsor’s address 1101 PELHAM PARKWAY NORTH, BRONX, NY, 10469

Signature of

Role Plan administrator
Date 2015-05-13
Name of individual signing JEROME H. LEVY, M.D.

DOS Process Agent

Name Role Address
AMBULATORY SURGERY CENTER OF GREATER NEW YORK LLC DOS Process Agent 1101 Pelham Parkway North, BRONX, NY, United States, 10469

History

Start date End date Type Value
2015-07-02 2024-12-06 Address ATTN: TATYANA ELGART, 1101 PELHAM PARKWAY N, BRONX, NY, 10469, USA (Type of address: Service of Process)
2009-07-21 2015-07-02 Address ATTN: LESLIE J. LEVINE, ESQ., 1010 NORTHERN BLVD. STE 400, GREAT NECK, NY, 11021, USA (Type of address: Service of Process)
2009-07-02 2009-07-21 Address ATTN: LESLIE J LEVINE ESQ, 1010 NORTHERN BLVD STE 400, GREAT NECK, NY, 11021, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
241206004149 2024-12-06 BIENNIAL STATEMENT 2024-12-06
211027002486 2021-10-27 BIENNIAL STATEMENT 2021-10-27
190710060977 2019-07-10 BIENNIAL STATEMENT 2019-07-01
170705007338 2017-07-05 BIENNIAL STATEMENT 2017-07-01
150702006837 2015-07-02 BIENNIAL STATEMENT 2015-07-01
140902006452 2014-09-02 BIENNIAL STATEMENT 2013-07-01
110816002544 2011-08-16 BIENNIAL STATEMENT 2011-07-01
090917000824 2009-09-17 CERTIFICATE OF PUBLICATION 2009-09-17
090915000367 2009-09-15 CERTIFICATE OF AMENDMENT 2009-09-15
090721000269 2009-07-21 CERTIFICATE OF MERGER 2009-07-21

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8162848310 2021-01-29 0202 PPS 1101 Pelham Pkwy N, Bronx, NY, 10469-5411
Loan Status Date 2022-05-25
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 395637
Loan Approval Amount (current) 395637
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 Bronx, BRONX, NY, 10469-5411
Project Congressional District NY-15
Number of Employees 45
NAICS code 621493
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
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 400200.37
Forgiveness Paid Date 2022-04-07
6297707207 2020-04-27 0202 PPP 1101 Pelham Parkway North, Bronx, NY, 10469
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) 540500
Loan Approval Amount (current) 540500
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 Bronx, BRONX, NY, 10469-0001
Project Congressional District NY-15
Number of Employees 50
NAICS code 621493
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 43251
Originating Lender Name Peapack-Gladstone Bank
Originating Lender Address BEDMINSTER, NJ
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 547548.71
Forgiveness Paid Date 2021-08-25

Date of last update: 27 Mar 2025

Sources: New York Secretary of State