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  5. OLIVE C. OSBORNE, MD, PLLC

OLIVE C. OSBORNE, MD, PLLC

Company Details

Name: OLIVE C. OSBORNE, MD, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 20 Jun 2011 (14 years ago)
Entity Number: 4108945
ZIP code: 10469
County: Bronx
Place of Formation: New York
Address: 2426 EASTCHESTER ROAD, SUITE 203, BRONX, NY, United States, 10469

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OLIVE C OSBORNE MD PLLC 401(K) PROFIT SHARING PLAN & TRUST 2023 352416882 2024-07-19 OLIVE C OSBORNE MD PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 7187087142
Plan sponsor’s address 2426 EASTCHESTER RD STE 203, BRONX, NY, 10469

Signature of
Role Plan administrator
Date 2024-07-19
Name of individual signing OLIVE OSBORNE, M.D.
OLIVE C OSBORNE MD PLLC 401(K) PROFIT SHARING PLAN & TRUST 2020 352416882 2022-04-21 OLIVE C OSBORNE MD PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-08-10
Business code 621112
Sponsor’s telephone number 7187087142
Plan sponsor’s address 2426 EASTCHESTER RD STE 203, BRONX, NY, 10469

Signature of
Role Plan administrator
Date 2022-04-21
Name of individual signing OLIVE C OSBORNE
OLIVE C OSBORNE MD PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 352416882 2020-07-14 OLIVE C OSBORNE MD PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-08-10
Business code 621112
Sponsor’s telephone number 7187087142
Plan sponsor’s address 2426 EASTCHESTER RD STE 203, BRONX, NY, 10469

Signature of
Role Plan administrator
Date 2020-07-14
Name of individual signing OLIVE C OSBORNE
OLIVE C OSBORNE MD PLLC 401 K PROFIT SHARING PLAN TRUST 2018 352416882 2019-07-23 OLIVE C OSBORNE MD PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-08-10
Business code 621112
Sponsor’s telephone number 7187087142
Plan sponsor’s address 2426 EASTCHESTER RD STE 203, BRONX, NY, 10469

Signature of
Role Plan administrator
Date 2019-07-23
Name of individual signing OLIVE C OSBORNE
OLIVE C OSBORNE MD PLLC 401 K PROFIT SHARING PLAN TRUST 2018 352416882 2019-07-23 OLIVE C OSBORNE MD PLLC 5
Three-digit plan number (PN) 001
Effective date of plan 2011-08-10
Business code 621112
Sponsor’s telephone number 7187087142
Plan sponsor’s address 2426 EASTCHESTER RD STE 203, BRONX, NY, 10469

Signature of
Role Plan administrator
Date 2019-07-23
Name of individual signing OLIVE C OSBORNE
OLIVE C OSBORNE MD PLLC 401 K PROFIT SHARING PLAN TRUST 2017 352416882 2018-07-26 OLIVE C OSBORNE MD PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-08-10
Business code 621112
Sponsor’s telephone number 7187087142
Plan sponsor’s address 2426 EASTCHESTER RD STE 203, BRONX, NY, 10469

Signature of
Role Plan administrator
Date 2018-07-26
Name of individual signing OLIVE C OSBORNE
OLIVE C OSBORNE MD PLLC 401 K PROFIT SHARING PLAN TRUST 2016 352416882 2017-07-26 OLIVE C OSBORNE MD PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-08-10
Business code 621210
Sponsor’s telephone number 7187087142
Plan sponsor’s address 2426 EASTCHESTER RD STE 203, BRONX, NY, 10469

Signature of
Role Plan administrator
Date 2017-07-26
Name of individual signing OLIVE OSBORNE
OLIVE C OSBORNE MD PLLC 401 K PROFIT SHARING PLAN TRUST 2015 352416882 2016-07-26 OLIVE C. OSBORNE, MD PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621112
Sponsor’s telephone number 9148442606
Plan sponsor’s address 2426 EASTCHESTER ROAD, SUITE 203, BRONX, NY, 10469

Signature of
Role Plan administrator
Date 2016-07-26
Name of individual signing OLIVE OSBORNE
OLIVE C OSBORNE MD PLLC 401 K PROFIT SHARING PLAN TRUST 2014 352416882 2015-07-21 OLIVE C OSBORNE, MD PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621112
Sponsor’s telephone number 7187087042
Plan sponsor’s address 2426 EASTCHESTER ROAD, SUITE 203, BRONX, NY, 10469

Signature of
Role Plan administrator
Date 2015-07-21
Name of individual signing OLIVE C OSBORNE
OLIVE C OSBORNE MD PLLC 401 K PROFIT SHARING PLAN TRUST 2012 352416882 2013-07-10 OLIVE C OSBORNE, MD, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541990
Sponsor’s telephone number 9148442606
Plan sponsor’s address 2426 EASTCHESTER ROAD, SUITE 203, BRONX, NY, 10469

Signature of
Role Plan administrator
Date 2013-07-10
Name of individual signing OLIVE C OSBORNE, MD, PLLC

DOS Process Agent

Name Role Address
OLIVE C. OSBORNE, MD, PLLC DOS Process Agent 2426 EASTCHESTER ROAD, SUITE 203, BRONX, NY, United States, 10469

History

Start date End date Type Value
2011-06-20 2015-06-04 Address 120 MAIN ST., HUNTINGTON, NY, 11743, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210607061104 2021-06-07 BIENNIAL STATEMENT 2021-06-01
190604061773 2019-06-04 BIENNIAL STATEMENT 2019-06-01
170607006161 2017-06-07 BIENNIAL STATEMENT 2017-06-01
150604006184 2015-06-04 BIENNIAL STATEMENT 2015-06-01
130612006122 2013-06-12 BIENNIAL STATEMENT 2013-06-01
111006000866 2011-10-06 CERTIFICATE OF PUBLICATION 2011-10-06
110620000518 2011-06-20 ARTICLES OF ORGANIZATION 2011-06-20

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3184637700 2020-05-01 0202 PPP 2426 EASTCHESTER RD STE 203, BRONX, NY, 10469
Loan Status Date 2021-09-30
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 33260
Loan Approval Amount (current) 33260
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 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 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 33676.49
Forgiveness Paid Date 2021-08-05
5621388702 2021-04-02 0202 PPS 2426 Eastchester Rd Ste 203, Bronx, NY, 10469-5950
Loan Status Date 2022-08-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 29225
Loan Approval Amount (current) 29225
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 N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Bronx, BRONX, NY, 10469-5950
Project Congressional District NY-14
Number of Employees 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 48270
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address COLUMBUS, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 29589.37
Forgiveness Paid Date 2022-07-08

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State

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