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LETTRICK FAMILY MEDICINE PLLC

Company Details

Name: LETTRICK FAMILY MEDICINE PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 03 Jan 2012 (13 years ago)
Entity Number: 4183128
ZIP code: 12061
County: Rensselaer
Place of Formation: New York
Address: 3 BLUE MOUNTAIN TRAIL, EAST GREENBUSH, NY, United States, 12061

Contact Details

Phone +1 518-477-1191

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 3 BLUE MOUNTAIN TRAIL, EAST GREENBUSH, NY, United States, 12061

National Provider Identifier

NPI Number:
1164793808

Authorized Person:

Name:
DR. MICHAEL A LETTRICK
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5184771255

Form 5500 Series

Employer Identification Number (EIN):
454222056
Plan Year:
2023
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
7
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
140109006166 2014-01-09 BIENNIAL STATEMENT 2014-01-01
120814000526 2012-08-14 CERTIFICATE OF PUBLICATION 2012-08-14
120103000576 2012-01-03 ARTICLES OF ORGANIZATION 2012-01-03

USAspending Awards / Financial Assistance

Date:
2020-04-11
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
112600.00
Total Face Value Of Loan:
112600.00

Paycheck Protection Program

Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
112600
Current Approval Amount:
112600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
113454.53

Date of last update: 26 Mar 2025

Sources: New York Secretary of State