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  5. KOINONIA PRIMARY CARE, INC.

KOINONIA PRIMARY CARE, INC.

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Company Details

Name: KOINONIA PRIMARY CARE, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 14 Feb 2012 (13 years ago)
Entity Number: 4202811
ZIP code: 12206
County: Albany
Place of Formation: New York
Address: 553 CLINTON AVE, ALBNAY, NY, United States, 12206

Contact Details

Phone +1 518-689-0282

Fax +1 518-689-0282

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 553 CLINTON AVE, ALBNAY, NY, United States, 12206

Unique Entity ID

CAGE Code:
761C4
UEI Expiration Date:
2017-06-17

Business Information

Activation Date:
2016-06-17
Initial Registration Date:
2014-07-18

Commercial and government entity program

CAGE number:
761C4
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-03-10
CAGE Expiration:
2022-06-17

Contact Information

POC:
ROBERT J. PAEGLOW II

National Provider Identifier

NPI Number:
1023389533
Link:
View on NPI website

Authorized Person:

Name:
DR. ROBERT JOHN PAEGLOW
Role:
PRESIDENT
Phone:
5186890282

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Phone:
+1 518-689-0282
Fax:
5186890283

History

Start date End date Type Value
2012-02-14 2013-04-30 Address 553 CLINTON AVENUE, ALBANY, NY, 12206, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130430000333 2013-04-30 CERTIFICATE OF AMENDMENT 2013-04-30
120214000846 2012-02-14 CERTIFICATE OF INCORPORATION 2012-02-14

USAspending Awards / Financial Assistance

Date:
2020-04-19
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-15
Link:
View on USAspending
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:
154000.00
Total Face Value Of Loan:
154000.00

Tax Exempt

Employer Identification Number (EIN) :
45-3448794
In Care Of Name:
% ADMINISTRATOR
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
2013-07
National Taxonomy Of Exempt Entities:
Health Care: Ambulatory Health Center, Community Clinic
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Link:
Download file

Paycheck Protection Program

Jobs Reported:
11
Initial Approval Amount:
$154,000
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$154,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$155,578.5
Servicing Lender:
Chemung Canal Trust Company
Use of Proceeds:
Payroll: $154,000

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State

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