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RV PHARMA, LLC

Company Details

Name: RV PHARMA, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 07 Nov 2011 (13 years ago)
Entity Number: 4162784
ZIP code: 11741
County: Suffolk
Place of Formation: New York
Address: 721 Broadway Avenue, Holbrook, NY, United States, 11741

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RV PHARMA LLC 2023 453765178 2024-07-15 RV PHARMA LLC 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-06-01
Business code 423990
Sponsor’s telephone number 6317307724
Plan sponsor’s address 721 BROADWAY AVENUE, HOLBROOK, NY, 11741

Signature of

Role Plan administrator
Date 2024-07-15
Name of individual signing CHUNNEI LEE
RV PHARMA LLC 2022 453765178 2023-07-19 RV PHARMA LLC 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-06-01
Business code 423990
Sponsor’s telephone number 6317307724
Plan sponsor’s address 721 BROADWAY AVENUE, HOLBROOK, NY, 11741

Signature of

Role Plan administrator
Date 2023-07-19
Name of individual signing CHUNNEI LEE
RV PHARMA LLC 2021 453765178 2023-02-06 RV PHARMA LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-06-01
Business code 423990
Sponsor’s telephone number 6317307724
Plan sponsor’s address 721 BROADWAY AVENUE, HOLBROOK, NY, 11741

Signature of

Role Plan administrator
Date 2023-02-06
Name of individual signing CHUNNEI LEE
RV PHARMA LLC 2020 453765178 2022-01-06 RV PHARMA LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-06-01
Business code 423990
Sponsor’s telephone number 6316644098
Plan sponsor’s address 721 BROADWAY AVENUE, HOLBROOK, NY, 11741

Signature of

Role Plan administrator
Date 2022-01-06
Name of individual signing CHUNNEI LEE
RV PHARMA LLC 2019 453765178 2022-01-06 RV PHARMA LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-06-01
Business code 423990
Sponsor’s telephone number 6316644098
Plan sponsor’s address 721 BROADWAY AVENUE, HOLBROOK, NY, 11741

Signature of

Role Plan administrator
Date 2022-01-06
Name of individual signing CHUNNEI LEE
RV PHARMA LLC 2018 453765178 2019-10-15 RV PHARMA LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-04-01
Business code 423990
Sponsor’s telephone number 9179024459
Plan sponsor’s address 1209 SPRUCE DR, HOLBROOK, NY, 11741

Signature of

Role Plan administrator
Date 2019-10-15
Name of individual signing JENNY LEE
RV PHARMA LLC 2017 453765178 2018-10-11 RV PHARMA LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-04-01
Business code 423990
Sponsor’s telephone number 9179024459
Plan sponsor’s address 165 ORVILLE DR, BOHEMIA, NY, 11716

Signature of

Role Plan administrator
Date 2018-10-11
Name of individual signing JENNY LEE

DOS Process Agent

Name Role Address
RAJESH BHASIN DOS Process Agent 721 Broadway Avenue, Holbrook, NY, United States, 11741

History

Start date End date Type Value
2011-11-07 2024-01-02 Address 1209 SPRUCE DRIVE, HOLBROOK, NY, 11741, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240102005582 2024-01-02 BIENNIAL STATEMENT 2024-01-02
230112003655 2023-01-12 BIENNIAL STATEMENT 2021-11-01
171113006445 2017-11-13 BIENNIAL STATEMENT 2017-11-01
131223006200 2013-12-23 BIENNIAL STATEMENT 2013-11-01
120125001073 2012-01-25 CERTIFICATE OF PUBLICATION 2012-01-25
111107000668 2011-11-07 ARTICLES OF ORGANIZATION 2011-11-07

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1142547700 2020-05-01 0235 PPP 165 ORVILLE DR, BOHEMIA, NY, 11716
Loan Status Date 2021-05-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 121225
Loan Approval Amount (current) 121225
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 Y
Business Age Description Existing or more than 2 years old
Project Address BOHEMIA, SUFFOLK, NY, 11716-0001
Project Congressional District NY-02
Number of Employees 12
NAICS code 424210
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Sole Proprietorship
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 122373.4
Forgiveness Paid Date 2021-04-15

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
4154246 Intrastate Non-Hazmat 2023-11-07 - - 2 1 Private(Property)
Legal Name RV PHARMA LLC
DBA Name -
Physical Address 721 BROADWAY AVE STE 3 , HOLBROOK, NY, 11741-4968, US
Mailing Address 721 BROADWAY AVE STE 3 , HOLBROOK, NY, 11741-4968, US
Phone (631) 730-7724
Fax -
E-mail FRANCESCA@RVPHARMA.COM

Safety Measurement System - All Transportation

Total Number of Inspections for the measurement period (24 months) 0
Driver Fitness BASIC Serious Violation Indicator No
Vehicle Maintenance BASIC Acute/Critical Indicator No
Unsafe Driving BASIC Acute/Critical Indicator No
Driver Fitness BASIC Roadside Performance measure value 0
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value 0
Total Number of Driver Inspections for the measurment period 0
Vehicle Maintenance BASIC Roadside Performance measure value 0
Total Number of Vehicle Inspections for the measurement period 0
Controlled Substances and Alcohol BASIC Roadside Performance measure value 0
Unsafe Driving BASIC Roadside Performance Measure Value 0
Number of inspections with at least one Driver Fitness BASIC violation 0
Number of inspections with at least one Hours-of-Service BASIC violation 0
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation 0
Number of inspections with at least one Vehicle Maintenance BASIC violation 0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation 0
Number of inspections with at least one Controlled Substances and Alcohol BASIC violation 0
Number of inspections with at least one Unsafe Driving BASIC violation 0
3722791 Intrastate Non-Hazmat 2023-03-24 163555 2022 1 3 Private(Property)
Legal Name RV PHARMA LLC
DBA Name -
Physical Address 721 BROADWAY AVE UNIT 3, HOLBROOK, NY, 11741, US
Mailing Address 721 BROADWAY AVE UNIT 3, HOLBROOK, NY, 11741, US
Phone (631) 730-7724
Fax (631) 247-6923
E-mail FRANCESCA@RVPHARMA.COM

Safety Measurement System - All Transportation

Total Number of Inspections for the measurement period (24 months) 0
Driver Fitness BASIC Serious Violation Indicator No
Vehicle Maintenance BASIC Acute/Critical Indicator No
Unsafe Driving BASIC Acute/Critical Indicator No
Driver Fitness BASIC Roadside Performance measure value 0
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value 0
Total Number of Driver Inspections for the measurment period 0
Vehicle Maintenance BASIC Roadside Performance measure value 0
Total Number of Vehicle Inspections for the measurement period 0
Controlled Substances and Alcohol BASIC Roadside Performance measure value 0
Unsafe Driving BASIC Roadside Performance Measure Value 0
Number of inspections with at least one Driver Fitness BASIC violation 0
Number of inspections with at least one Hours-of-Service BASIC violation 0
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation 0
Number of inspections with at least one Vehicle Maintenance BASIC violation 0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation 0
Number of inspections with at least one Controlled Substances and Alcohol BASIC violation 0
Number of inspections with at least one Unsafe Driving BASIC violation 0

Date of last update: 26 Mar 2025

Sources: New York Secretary of State