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  5. BASUK MEDICAL SERVICES PLLC

BASUK MEDICAL SERVICES PLLC

Company Details

Name: BASUK MEDICAL SERVICES PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 Nov 2012 (12 years ago)
Entity Number: 4323511
ZIP code: 11706
County: Suffolk
Place of Formation: New York
Address: 2011 UNION BOULEVARD SUITE 1, BAY SHORE, NY, United States, 11706

Contact Details

Phone +1 631-666-2900

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BASUK MEDICAL SERVICES PLLC PS PLAN 2023 461508984 2024-05-02 BASUK MEDICAL SERVICES, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 6316662900
Plan sponsor’s address 2011 UNION BOULEVARD, SUITE 1, BAY SHORE, NY, 11706

Signature of
Role Plan administrator
Date 2024-05-02
Name of individual signing EDWARD GOLDBERG
BASUK MEDICAL SERVICES PLLC PS PLAN 2022 461508984 2023-04-08 BASUK MEDICAL SERVICES, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 6316662900
Plan sponsor’s address 2011 UNION BOULEVARD, SUITE 1, BAY SHORE, NY, 11706

Signature of
Role Plan administrator
Date 2023-04-08
Name of individual signing EDWARD GOLDBERG
BASUK MEDICAL SERVICES PLLC PS PLAN 2021 461508984 2022-05-10 BASUK MEDICAL SERVICES, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 6316662900
Plan sponsor’s address 2011 UNION BOULEVARD, SUITE 1, BAY SHORE, NY, 11706

Signature of
Role Plan administrator
Date 2022-05-10
Name of individual signing EDWARD GOLDBERG
BASUK MEDICAL SERVICES PLLC PS PLAN 2020 461508984 2021-05-27 BASUK MEDICAL SERVICES, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 6316662900
Plan sponsor’s address 2011 UNION BOULEVARD, SUITE 1, BAY SHORE, NY, 11706

Signature of
Role Plan administrator
Date 2021-05-27
Name of individual signing EDWARD GOLDBERG
BASUK MEDICAL SERVICES PLLC PS PLAN 2019 461508984 2020-02-19 BASUK MEDICAL SERVICES, PLLC 11
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 6316662900
Plan sponsor’s address 2011 UNION BOULEVARD, SUITE 1, BAY SHORE, NY, 11706

Signature of
Role Plan administrator
Date 2020-02-19
Name of individual signing EDWARD GOLDBERG
BASUK MEDICAL SERVICES PLLC PS PLAN 2019 461508984 2021-05-21 BASUK MEDICAL SERVICES, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 6316662900
Plan sponsor’s address 2011 UNION BOULEVARD, SUITE 1, BAY SHORE, NY, 11706

Signature of
Role Plan administrator
Date 2021-05-21
Name of individual signing EDWARD GOLDBERG
BASUK MEDICAL SERVICES PLLC PS PLAN (FORMERLY PAMELA BASUK, MD PROFIT SHARING PLAN) 2018 461508984 2019-03-17 BASUK MEDICAL SERVICES, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 6316662900
Plan sponsor’s address 2011 UNION BOULEVARD, SUITE 1, BAY SHORE, NY, 11706

Signature of
Role Plan administrator
Date 2019-03-17
Name of individual signing EDWARD GOLDBERG
BASUK MEDICAL SERVICES PLLC PS PLAN (FORMERLY PAMELA BASUK, MD PROFIT SHARING PLAN) 2017 461508984 2018-02-16 BASUK MEDICAL SERVICES, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 6316662900
Plan sponsor’s address 2011 UNION BOULEVARD, SUITE 1, BAY SHORE, NY, 11706

Signature of
Role Plan administrator
Date 2018-02-16
Name of individual signing EDWARD GOLDBERG
BASUK MEDICAL SERVICES PLLC PS PLAN (FORMERLY PAMELA BASUK, MD PROFIT SHARING PLAN) 2016 461508984 2017-01-26 BASUK MEDICAL SERVICES, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 6316662900
Plan sponsor’s address 2011 UNION BOULEVARD, SUITE 1, BAY SHORE, NY, 11706

Signature of
Role Plan administrator
Date 2017-01-26
Name of individual signing EDWARD GOLDBERG
BASUK MEDICAL SERVICES PLLC PS PLAN (FORMERLY PAMELA BASUK, MD PROFIT SHARING PLAN) 2015 461508984 2016-05-19 BASUK MEDICAL SERVICES, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 6316662900
Plan sponsor’s address 2011 UNION BOULEVARD, SUITE 1, BAY SHORE, NY, 11706

Signature of
Role Plan administrator
Date 2016-05-19
Name of individual signing EDWARD GOLDBERG

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 2011 UNION BOULEVARD SUITE 1, BAY SHORE, NY, United States, 11706

Filings

Filing Number Date Filed Type Effective Date
130222000127 2013-02-22 CERTIFICATE OF PUBLICATION 2013-02-22
121123000237 2012-11-23 ARTICLES OF ORGANIZATION 2012-11-23

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8865968710 2021-04-08 0235 PPS 10 Lisa Dr, Huntingtn Sta, NY, 11746-5130
Loan Status Date 2021-11-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 130035
Loan Approval Amount (current) 130035
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Huntingtn Sta, SUFFOLK, NY, 11746-5130
Project Congressional District NY-01
Number of Employees 18
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 130743.96
Forgiveness Paid Date 2021-10-26
6655757702 2020-05-01 0235 PPP 2011 UNION BLVD STE 1, BAY SHORE, NY, 11706-8030
Loan Status Date 2021-06-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 130034
Loan Approval Amount (current) 130034
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description New Business or 2 years or less
Project Address BAY SHORE, SUFFOLK, NY, 11706-8030
Project Congressional District NY-02
Number of Employees 6
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 131309.4
Forgiveness Paid Date 2021-04-29

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State

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