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  5. SR PSYCHOLOGICAL SERVICES, P.C.

SR PSYCHOLOGICAL SERVICES, P.C.

Company Details

Name: SR PSYCHOLOGICAL SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Jul 2012 (13 years ago)
Entity Number: 4271881
ZIP code: 10016
County: New York
Place of Formation: New York
Address: 303 FIFTH AVENUE, SUITE 502, NEW YORK, NY, United States, 10016

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
SR PSYCHOLOGICAL SERVICES, P.C. 401K 2023 455403027 2025-03-06 SR PSYCHOLOGICAL SERVICES, P.C. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621330
Sponsor’s telephone number 6463596685
Plan sponsor’s address 303 FIFTH AVE SUITE 502, NEW YORK, NY, 10016

Signature of
Role Plan administrator
Date 2025-03-06
Name of individual signing SHATIIECE RILEY
Valid signature Filed with authorized/valid electronic signature
SR PSYCHOLOGICAL SERVICES, P.C. 401K 2023 455403027 2024-10-26 SR PSYCHOLOGICAL SERVICES, P.C. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621330
Sponsor’s telephone number 6463596685
Plan sponsor’s address 303 FIFTH AVE SUITE 502, NEW YORK, NY, 10016

Signature of
Role Plan administrator
Date 2024-10-26
Name of individual signing SHATIIECE RILEY
Valid signature Filed with authorized/valid electronic signature
SR PSYCHOLOGICAL SERVICES, P.C. 401K 2022 455403027 2023-09-08 SR PSYCHOLOGICAL SERVICES, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621330
Sponsor’s telephone number 6463596685
Plan sponsor’s address 303 FIFTH AVE SUITE 502, NEW YORK, NY, 10016

Signature of
Role Plan administrator
Date 2023-09-08
Name of individual signing SHATIIECE RILEY
SR PSYCHOLOGICAL SERVICES, P.C. 401K 2021 455403027 2022-03-22 SR PSYCHOLOGICAL SERVICES, P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Sponsor’s telephone number 9177433475
Plan sponsor’s address 303 FIFTH AVE SUITE 1213, NEW YORK, NY, 10016

Signature of
Role Plan administrator
Date 2022-03-22
Name of individual signing SHATIECE RILEY
Role Employer/plan sponsor
Date 2022-03-22
Name of individual signing SHATIECE RILEY
SR PSYCHOLOGICAL SERVICES, P.C. 401K 2021 455403027 2022-07-26 SR PSYCHOLOGICAL SERVICES, P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 6463596685
Plan sponsor’s address 303 FIFTH AVE SUITE 1005, NEW YORK, NY, 10016

Signature of
Role Plan administrator
Date 2022-07-26
Name of individual signing SHATIIECE RILEY
SR PSYCHOLOGICAL SERVICES, P. C. 2021 455403027 2022-03-14 SR PSYCHOLOGICAL SERVICES, P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Sponsor’s telephone number 9177433475
Plan sponsor’s address 303 FIFTH AVE SUITE 1213, NEW YORK, NY, 10016

Signature of
Role Plan administrator
Date 2022-03-14
Name of individual signing SHATIECE RILEY
Role Employer/plan sponsor
Date 2022-03-14
Name of individual signing SHATIECE RILEY
SR PSYCHOLOGICAL SERVICES, P.C. 401K 2020 455403027 2022-03-14 SR PSYCHOLOGICAL SERVICES, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 6463596685
Plan sponsor’s address 303 FIFTH AVE SUITE 1005, NEW YORK, NY, 10016

Signature of
Role Plan administrator
Date 2022-03-14
Name of individual signing SHATIIECE RILEY
SR PSYCHOLOGICAL SERVICES, P.C. 401K 2020 455403027 2021-11-10 SR PSYCHOLOGICAL SERVICES, P.C. 6
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 6463596685
Plan sponsor’s address 303 FIFTH AVE SUITE 1005, NEW YORK, NY, 10016

Signature of
Role Plan administrator
Date 2021-11-10
Name of individual signing SHATIIECE RILEY
SR PSYCHOLOGICAL SERVICES, P.C. 401K 2019 455403027 2021-11-10 SR PSYCHOLOGICAL SERVICES, P.C. 6
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621330
Sponsor’s telephone number 6463596685
Plan sponsor’s address 303 FIFTH AVE SUITE 1005, NEW YORK, NY, 10016

Signature of
Role Plan administrator
Date 2021-11-10
Name of individual signing SHATIIECE RILEY
SR PSYCHOLOGICAL SERVICES, P.C. 401K 2019 455403027 2022-03-14 SR PSYCHOLOGICAL SERVICES, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621330
Sponsor’s telephone number 6463596685
Plan sponsor’s address 303 FIFTH AVE SUITE 1005, NEW YORK, NY, 10016

Signature of
Role Plan administrator
Date 2022-03-14
Name of individual signing SHATIIECE RILEY

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 303 FIFTH AVENUE, SUITE 502, NEW YORK, NY, United States, 10016

Agent

Name Role Address
sHATIECE RILEY Agent 303 FIFTH AVENUE, SUITE 502, NEW YORK, NY, 10016

History

Start date End date Type Value
2023-12-06 2023-12-20 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2012-07-17 2023-12-06 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2012-07-17 2023-12-13 Address 280 MADISON AVENUE SUITE 205, NEW YORK, NY, 10016, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231213022739 2023-12-06 CERTIFICATE OF CHANGE BY ENTITY 2023-12-06
120717000593 2012-07-17 CERTIFICATE OF INCORPORATION 2012-07-17

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4546667309 2020-04-29 0202 PPP 303 Fifth Avenue Suite 1802, New York, NY, 10016
Loan Status Date 2021-03-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 40797.71
Loan Approval Amount (current) 40797.71
Undisbursed Amount 0
Franchise Name -
Lender Location ID 529050
Servicing Lender Name Square Capital, LLC
Servicing Lender Address 1455 Market Street, Suite 600, San Francisco, CA, 94103
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address New York, NEW YORK, NY, 10016-0001
Project Congressional District NY-12
Number of Employees 11
NAICS code 621112
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 223542
Originating Lender Name Celtic Bank Corporation
Originating Lender Address SALT LAKE CITY, UT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 41108.44
Forgiveness Paid Date 2021-02-03
7913578505 2021-03-08 0202 PPS 303 5th Ave Ste 1802, New York, NY, 10016-6601
Loan Status Date 2022-09-08
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 40797.71
Loan Approval Amount (current) 40797.71
Undisbursed Amount 0
Franchise Name -
Lender Location ID 529050
Servicing Lender Name Square Capital, LLC
Servicing Lender Address 1455 Market Street, Suite 600, San Francisco, CA, 94103
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address New York, NEW YORK, NY, 10016-6601
Project Congressional District NY-12
Number of Employees 10
NAICS code 621112
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 529050
Originating Lender Name Square Capital, LLC
Originating Lender Address San Francisco, CA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 41378.94
Forgiveness Paid Date 2022-08-11

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Related by address

No related companies by address

Date of last update: 26 Mar 2025

Sources: New York Secretary of State

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