| Name: | FORM AND FUNCTION PHYSICAL THERAPY P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 28 Jul 2011 (14 years ago) |
| Entity Number: | 4123556 |
| ZIP code: | 11756 |
| County: | Nassau |
| Place of Formation: | New York |
| Address: | 387 GARDINERS AVE., LEVITTOWN, NY, United States, 11756 |
| Principal Address: | 387 GARDINERS AVE, LEVITTOWN, NY, United States, 11756 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 387 GARDINERS AVE., LEVITTOWN, NY, United States, 11756 |
| Name | Role | Address |
|---|---|---|
| AMIR HANNA | Chief Executive Officer | 387 GARDINERS AVE, LEVITTOWN, NY, United States, 11756 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 130726002048 | 2013-07-26 | BIENNIAL STATEMENT | 2013-07-01 |
| 110728000029 | 2011-07-28 | CERTIFICATE OF INCORPORATION | 2011-07-28 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9612247303 | 2020-05-02 | 0235 | PPP | 55 JERICHO TPKE SUITE 306, JERICHO, NY, 11753-1013 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 26 Mar 2025
Sources: New York Secretary of State
