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  5. QUEENS HOME CARE, INC.

QUEENS HOME CARE, INC.

Company Details

Name: QUEENS HOME CARE, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 06 Oct 2011 (14 years ago)
Entity Number: 4150812
ZIP code: 11375
County: Queens
Place of Formation: New York
Address: 67-12 YELLOWSTONE BOULEVARD, S, STE. A6, Forest Hills, NY, United States, 11375
Principal Address: 67-12 YELLOWSTONE BLVD, SUITE A6, FOREST HILLS, NY, United States, 11375

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
QUEENS HOME CARE, INC. 401(K) PROFIT SHARING PLAN 2022 453574824 2023-09-16 QUEENS HOME CARE, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 5163048407
Plan sponsor’s address 67-12 YELLOWSTONE BLVD, SUITE A6, FOREST HILLS, NY, 11375
QUEENS HOME CARE, INC. 401(K) PROFIT SHARING PLAN 2021 453574824 2022-07-19 QUEENS HOME CARE, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 5163048407
Plan sponsor’s address 67-12 YELLOWSTONE BLVD, SUITE A6, FOREST HILLS, NY, 11375
QUEENS HOME CARE, INC. 401(K) PROFIT SHARING PLAN 2020 453574824 2021-07-21 QUEENS HOME CARE, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 5163048407
Plan sponsor’s address 67-12 YELLOWSTONE BLVD, SUITE A6, FOREST HILLS, NY, 11375
QUEENS HOME CARE, INC. 401(K) PROFIT SHARING PLAN 2019 453574824 2020-09-18 QUEENS HOME CARE, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 5163048407
Plan sponsor’s address 67-12 YELLOWSTONE BLVD, SUITE A6, FOREST HILLS, NY, 11375
QUEENS HOME CARE, INC. 401(K) PROFIT SHARING PLAN 2018 453574824 2019-09-24 QUEENS HOME CARE, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 5163048407
Plan sponsor’s address 67-12 YELLOWSTONE BLVD, SUITE A6, FOREST HILLS, NY, 11375
QUEENS HOME CARE, INC. 401(K) PROFIT SHARING PLAN 2017 453574824 2018-04-26 QUEENS HOME CARE, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 5163048407
Plan sponsor’s address 67-12 YELLOWSTONE BLVD, SUITE A6, FOREST HILLS, NY, 11375
QUEENS HOME CARE, INC. 401(K) PROFIT SHARING PLAN 2016 453574824 2017-09-14 QUEENS HOME CARE, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 5163048407
Plan sponsor’s address 67-12 YELLOWSTONE BLVD, SUITE A6, FOREST HILLS, NY, 11375
QUEENS HOME CARE, INC. 401(K) PROFIT SHARING PLAN 2015 453574824 2016-09-08 QUEENS HOME CARE, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 5163048407
Plan sponsor’s address 67-12 YELLOWSTONE BLVD, SUITE A6, FOREST HILLS, NY, 11375

DOS Process Agent

Name Role Address
QUEENS HOME CARE, INC. DOS Process Agent 67-12 YELLOWSTONE BOULEVARD, S, STE. A6, Forest Hills, NY, United States, 11375

Chief Executive Officer

Name Role Address
ILAN DAVID Chief Executive Officer 67-12 YELLOWSTONE BLVD, SUITE A6, FOREST HILLS, NY, United States, 11375

History

Start date End date Type Value
2016-09-08 2017-10-05 Address 67-12 YELLOWSTONE BLVD., STE. A6, FOREST HILLS, NY, 11375, USA (Type of address: Service of Process)
2013-10-24 2017-10-05 Address 102-40A 67TH DRIVE, SUITE C2, FOREST HILLS, NY, 11375, USA (Type of address: Chief Executive Officer)
2013-10-24 2017-10-05 Address 102-40A 67TH DRIVE, SUITE C2, FOREST HILLS, NY, 11375, USA (Type of address: Principal Executive Office)
2013-10-24 2016-09-08 Address 102-40A 67TH DRIVE, C2, FOREST HILLS, NY, 11375, USA (Type of address: Service of Process)
2011-10-06 2013-10-24 Address 16 PARKWAY DRIVE, SYOSSET, NY, 11791, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
221109003825 2022-11-09 BIENNIAL STATEMENT 2021-10-01
171005006275 2017-10-05 BIENNIAL STATEMENT 2017-10-01
160908000743 2016-09-08 CERTIFICATE OF CHANGE 2016-09-08
151014006079 2015-10-14 BIENNIAL STATEMENT 2015-10-01
131024006413 2013-10-24 BIENNIAL STATEMENT 2013-10-01
111006000699 2011-10-06 CERTIFICATE OF INCORPORATION 2011-10-06

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8651417304 2020-05-01 0202 PPP 6712 YELLOWSTONE BLVD, FOREST HILLS, NY, 11375-2319
Loan Status Date 2021-03-04
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 247100
Loan Approval Amount (current) 247100
Undisbursed Amount 0
Franchise Name Home Instead/Home Instead Senior Care
Lender Location ID 42371
Servicing Lender Name Arbor Bank
Servicing Lender Address 911 Central Ave, NEBRASKA CITY, NE, 68410-2334
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address FOREST HILLS, QUEENS, NY, 11375-2319
Project Congressional District NY-06
Number of Employees 48
NAICS code 621610
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 42371
Originating Lender Name Arbor Bank
Originating Lender Address NEBRASKA CITY, NE
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 249069.94
Forgiveness Paid Date 2021-02-17
8075878310 2021-01-29 0202 PPS 6712 Yellowstone Blvd Ste A6, Forest Hills, NY, 11375-2319
Loan Status Date 2021-09-25
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 263095
Loan Approval Amount (current) 263095
Undisbursed Amount 0
Franchise Name -
Lender Location ID 42371
Servicing Lender Name Arbor Bank
Servicing Lender Address 911 Central Ave, NEBRASKA CITY, NE, 68410-2334
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Forest Hills, QUEENS, NY, 11375-2319
Project Congressional District NY-06
Number of Employees 36
NAICS code 621610
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 42371
Originating Lender Name Arbor Bank
Originating Lender Address NEBRASKA CITY, NE
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 264629.72
Forgiveness Paid Date 2021-08-31

Related by officers

No related officers

Related by address

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State

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