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BLUE SHIELD MEDICAL SUPPLY NY, INC.

Company Details

Name: BLUE SHIELD MEDICAL SUPPLY NY, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 01 Aug 2012 (13 years ago)
Entity Number: 4278097
ZIP code: 11236
County: Kings
Place of Formation: New York
Address: 10704 AVENUE J, BROOKLYN, NY, United States, 11236

Contact Details

Phone +1 516-812-3947

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 10704 AVENUE J, BROOKLYN, NY, United States, 11236

Licenses

Number Status Type Date End date
2004876-DCA Inactive Business 2014-03-17 2017-03-15

History

Start date End date Type Value
2012-08-01 2022-02-17 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
120801000519 2012-08-01 CERTIFICATE OF INCORPORATION 2012-08-01

Fine And Fees

Fee Sequence Id Fee type Status Date Amount Description
2019113 RENEWAL INVOICED 2015-03-16 200 Dealer in Products for the Disabled License Renewal
1615813 LICENSE INVOICED 2014-03-10 150 Dealer in Products for the Disabled License Fee

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1842918309 2021-01-20 0235 PPS 420 Sunrise Hwy, Lynbrook, NY, 11563-3012
Loan Status Date 2022-01-21
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 41600
Loan Approval Amount (current) 41600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 531105
Servicing Lender Name Liberty SBF Holdings LLC
Servicing Lender Address 1500 JFK Boulevard, Suite 250, Philadelphia, PA, 19102
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Lynbrook, NASSAU, NY, 11563-3012
Project Congressional District NY-04
Number of Employees 2
NAICS code 423450
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 531105
Originating Lender Name Liberty SBF Holdings LLC
Originating Lender Address Philadelphia, PA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 41931.66
Forgiveness Paid Date 2021-11-16
1575428004 2020-06-22 0235 PPP 420 SUNRISE HIGHWAY, LYNBROOK, NY, 11563-3012
Loan Status Date 2021-05-15
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 41600
Loan Approval Amount (current) 41600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 223542
Servicing Lender Name Celtic Bank Corporation
Servicing Lender Address 268 S State St, Ste 300, SALT LAKE CITY, UT, 84111-5314
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address LYNBROOK, NASSAU, NY, 11563-3012
Project Congressional District NY-04
Number of Employees 2
NAICS code 423450
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 41935.08
Forgiveness Paid Date 2021-04-14

Date of last update: 26 Mar 2025

Sources: New York Secretary of State