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PARK AVENUE DENTAL MEDICINE, P.C.

PARK AVENUE DENTAL MEDICINE, P.C.

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Company Details

Name:	PARK AVENUE DENTAL MEDICINE, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	15 May 2012 (13 years ago)
Entity Number:	4245495
ZIP code:	10065
County:	New York
Place of Formation:	New York
Address:	125 E 64TH STREET, SUITE 1, NEW YORK, NY, United States, 10065
Principal Address:	125 EAST 64TH STREET, SUITE 1, NEW YORK, NY, United States, 10065

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
PARK AVENUE DENTAL MEDICINE, P.C.	DOS Process Agent	125 E 64TH STREET, SUITE 1, NEW YORK, NY, United States, 10065

Chief Executive Officer

Name	Role	Address
LYRIS MANSOOR, DDS	Chief Executive Officer	125 EAST 64TH STREET, SUITE 1, NEW YORK, NY, United States, 10065

Form 5500 Series

Employer Identification Number (EIN):

455306234

Plan Year:

2023

Number Of Participants:

14

Sponsors Telephone Number:

2124862233

File:

Plan Year:

2022

Number Of Participants:

12

Sponsors Telephone Number:

2124862233

File:

Plan Year:

2021

Number Of Participants:

10

Sponsors Telephone Number:

2124862233

File:

Plan Year:

2020

Number Of Participants:

9

Sponsors Telephone Number:

2124862233

File:

Plan Year:

2019

Number Of Participants:

8

Sponsors Telephone Number:

2124862233

File:

History

Start date	End date	Type	Value
2012-05-15	2014-05-07	Address	125 E 64TH STREET #302, NEW YORK, NY, 10065, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
140507007070	2014-05-07	BIENNIAL STATEMENT	2014-05-01
120515000378	2012-05-15	CERTIFICATE OF INCORPORATION	2012-05-15

USAspending Awards / Financial Assistance

Date:

2021-02-04

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:

78287.00

Total Face Value Of Loan:

78287.00

Date:

2020-05-02

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:

91620.00

Total Face Value Of Loan:

91620.00

Paycheck Protection Program

Jobs Reported:

12

Initial Approval Amount:

$91,620

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$91,620

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Female Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$92,492.93

Servicing Lender:

JPMorgan Chase Bank, National Association

Use of Proceeds:

Payroll: $83,833
Utilities: $1,000
Rent: $2,587
Healthcare: $4200

Jobs Reported:

5

Initial Approval Amount:

$78,287

Date Approved:

2021-02-04

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$78,287

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$78,787.82

Servicing Lender:

JPMorgan Chase Bank, National Association

Use of Proceeds:

Payroll: $78,281
Utilities: $1

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State