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  5. MASSAPEQUA PT & PTA, PLLC

MASSAPEQUA PT & PTA, PLLC

Company Details

Name: MASSAPEQUA PT & PTA, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 28 Jan 2011 (14 years ago)
Entity Number: 4048237
ZIP code: 11755
County: Nassau
Place of Formation: New York
Address: 18 HAMILTON PLACE, LAKE GROVE, NY, United States, 11755

Contact Details

Phone +1 631-648-8835

Phone +1 516-454-6387

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MASSAPEQUA PT & PTA, PLLC 401(K) PROFIT SHARING PLAN 2023 274733079 2024-09-09 MASSAPEQUA PT & PTA, PLLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621340
Sponsor’s telephone number 6312852026
Plan sponsor’s address 18 HAMILTON PLACE, LAKE GROVE, NY, 11755

Signature of
Role Plan administrator
Date 2024-09-09
Name of individual signing ANN DOUGLAS
Valid signature Filed with authorized/valid electronic signature
MASSAPEQUA PT & PTA, PLLC 401(K) PROFIT SHARING PLAN 2022 274733079 2023-06-28 MASSAPEQUA PT & PTA, PLLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621340
Sponsor’s telephone number 6312852026
Plan sponsor’s address 18 HAMILTON PLACE, LAKE GROVE, NY, 11755

Signature of
Role Plan administrator
Date 2023-06-28
Name of individual signing ANN DOUGLAS
MASSAPEQUA PT & PTA, PLLC 401(K) PROFIT SHARING PLAN 2021 274733079 2022-07-27 MASSAPEQUA PT & PTA, PLLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621340
Sponsor’s telephone number 6312852026
Plan sponsor’s address 18 HAMILTON PLACE, LAKE GROVE, NY, 11755

Signature of
Role Plan administrator
Date 2022-07-27
Name of individual signing ANN DOUGLAS
MASSAPEQUA PT & PTA, PLLC 401(K) PROFIT SHARING PLAN 2020 274733079 2021-05-12 MASSAPEQUA PT & PTA, PLLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621340
Sponsor’s telephone number 6312852026
Plan sponsor’s address 18 HAMILTON PLACE, LAKE GROVE, NY, 11755

Signature of
Role Plan administrator
Date 2021-05-12
Name of individual signing ANN DOUGLAS
MASSAPEQUA PT & PTA, PLLC 401(K) PROFIT SHARING PLAN 2019 274733079 2020-06-11 MASSAPEQUA PT & PTA, PLLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621340
Sponsor’s telephone number 6312852026
Plan sponsor’s address 18 HAMILTON PLACE, LAKE GROVE, NY, 11755

Signature of
Role Plan administrator
Date 2020-06-11
Name of individual signing ANN DOUGLAS
MASSAPEQUA PT & PTA, PLLC 401(K) PROFIT SHARING PLAN 2018 274733079 2019-08-15 MASSAPEQUA PT & PTA, PLLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621340
Sponsor’s telephone number 6312852026
Plan sponsor’s address 18 HAMILTON PLACE, LAKE GROVE, NY, 11755

Signature of
Role Plan administrator
Date 2019-08-15
Name of individual signing ANN DOUGLAS
MASSAPEQUA PT & PTA, PLLC 401(K) PROFIT SHARING PLAN 2017 274733079 2018-09-17 MASSAPEQUA PT & PTA, PLLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621340
Sponsor’s telephone number 6312852026
Plan sponsor’s address 11 HAMILTON PLACE, LAKE GROVE, NY, 11755

Signature of
Role Plan administrator
Date 2018-09-17
Name of individual signing ANN DOUGLAS
MASSAPEQUA PT & PTA, PLLC 401(K) PROFIT SHARING PLAN 2016 274733079 2017-07-21 MASSAPEQUA PT & PTA, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621340
Sponsor’s telephone number 6316765212
Plan sponsor’s DBA name PEQUA PHYSICAL & AQUATIC THERAPY
Plan sponsor’s address 18 HAMILTON PLACE, LAKEGROVE, NY, 11755

Signature of
Role Plan administrator
Date 2017-07-21
Name of individual signing ANN DOUGLAS
Role Employer/plan sponsor
Date 2017-07-21
Name of individual signing JOHN DOUGLAS
MASSAPEQUA PT & PTA, PLLC 401(K) PROFIT SHARING PLAN 2015 274733079 2016-07-13 MASSAPEQUA PT & PTA, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621340
Sponsor’s telephone number 6316765212
Plan sponsor’s DBA name PEQUA PHYSICAL & AQUATIC THERAPY
Plan sponsor’s address 18 HAMILTON PLACE, LAKEGROVE, NY, 11755

Signature of
Role Plan administrator
Date 2016-07-13
Name of individual signing JOHN DOUGLAS
Role Employer/plan sponsor
Date 2016-07-13
Name of individual signing JOHN DOUGLAS
MASSAPEQUA PT & PTA, PLLC 401(K) PROFIT SHARING PLAN 2014 274733079 2015-07-02 MASSAPEQUA PT & PTA, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621340
Sponsor’s telephone number 6316765212
Plan sponsor’s address 18 HAMILTON PLACE, LAKEGROVE, NY, 11755

Signature of
Role Plan administrator
Date 2015-07-02
Name of individual signing JOHN DOUGLAS
Role Employer/plan sponsor
Date 2015-07-02
Name of individual signing JOHN DOUGLAS

DOS Process Agent

Name Role Address
MASSAPEQUA PT & PTA, PLLC DOS Process Agent 18 HAMILTON PLACE, LAKE GROVE, NY, United States, 11755

History

Start date End date Type Value
2015-02-11 2025-01-08 Address 18 HAMILTON PLACE, LAKE GROVE, NY, 11755, USA (Type of address: Service of Process)
2011-01-28 2015-02-11 Address 400 GARDEN CITY PLAZA, SUITE 405, GARDEN CITY, NY, 11530, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250108002178 2025-01-08 BIENNIAL STATEMENT 2025-01-08
230131003211 2023-01-31 BIENNIAL STATEMENT 2023-01-01
210802001595 2021-08-02 BIENNIAL STATEMENT 2021-08-02
150211006194 2015-02-11 BIENNIAL STATEMENT 2015-01-01
130129002195 2013-01-29 BIENNIAL STATEMENT 2013-01-01
110427000949 2011-04-27 CERTIFICATE OF PUBLICATION 2011-04-27
110128000068 2011-01-28 ARTICLES OF ORGANIZATION 2011-01-28

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2992927109 2020-04-11 0235 PPP 18 HAMILTON PL, LAKE GROVE, NY, 11755-1915
Loan Status Date 2021-07-23
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 128750
Loan Approval Amount (current) 128750
Undisbursed Amount 0
Franchise Name -
Lender Location ID 29805
Servicing Lender Name TD Bank, National Association
Servicing Lender Address 2035 Limestone Rd, WILMINGTON, DE, 19808-5529
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address LAKE GROVE, SUFFOLK, NY, 11755-1915
Project Congressional District NY-01
Number of Employees 21
NAICS code 621340
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 29805
Originating Lender Name TD Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Male Owned
Veteran Veteran
Forgiveness Amount 130209.17
Forgiveness Paid Date 2021-06-03

Related by officers

No related officers

Related by address

18 HAMILTON PLACE, LAKE GROVE, NY, United States, 11755

JA FAMILY PROPERTIES, LLC LAKE GROVE MANAGEMENT COMPANY LLC

Date of last update: 09 Mar 2025

Sources: New York Secretary of State

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