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  5. WEIYAN TAN PHYSICIAN, P.C.

WEIYAN TAN PHYSICIAN, P.C.

Company Details

Name: WEIYAN TAN PHYSICIAN, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 04 Sep 2013 (12 years ago)
Entity Number: 4454365
ZIP code: 11797
County: Nassau
Place of Formation: New York
Address: 281 SYOSSET WOODBURY ROAD, WOODBURY, NY, United States, 11797

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
WEIYAN TAN PHYSICIAN P.C. PROFIT SHARING PLAN 2023 463596332 2024-09-19 WEIYAN TAN PHYSICIAN P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7184393284
Plan sponsor’s address 5618 7TH AVENUE, BROOKLYN, NY, 11220

Signature of
Role Plan administrator
Date 2024-09-19
Name of individual signing WEIYAN TAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-19
Name of individual signing WEIYAN TAN
Valid signature Filed with authorized/valid electronic signature
WEIYAN TAN PHYSICIAN P.C. DEFINED BENEFIT PLAN 2023 463596332 2024-09-19 WEIYAN TAN PHYSICIAN P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7184393284
Plan sponsor’s address 5618 7TH AVENUE, BROOKLYN, NY, 11220

Signature of
Role Plan administrator
Date 2024-09-19
Name of individual signing WEIYAN TAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-19
Name of individual signing WEIYAN TAN
Valid signature Filed with authorized/valid electronic signature
WEIYAN TAN PHYSICIAN P.C. DEFINED BENEFIT PLAN 2022 463596332 2023-10-04 WEIYAN TAN PHYSICIAN P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7184393284
Plan sponsor’s address 5618 7TH AVENUE, BROOKLYN, NY, 11220

Signature of
Role Plan administrator
Date 2023-10-04
Name of individual signing WEIYAN TAN
Role Employer/plan sponsor
Date 2023-10-04
Name of individual signing WEIYAN TAN
WEIYAN TAN PHYSICIAN P.C. PROFIT SHARING PLAN 2022 463596332 2023-10-04 WEIYAN TAN PHYSICIAN P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7184393284
Plan sponsor’s address 5618 7TH AVENUE, BROOKLYN, NY, 11220

Signature of
Role Plan administrator
Date 2023-10-04
Name of individual signing WEIYAN TAN
Role Employer/plan sponsor
Date 2023-10-04
Name of individual signing WEIYAN TAN
WEIYAN TAN PHYSICIAN P.C. PROFIT SHARING PLAN 2021 463596332 2022-07-23 WEIYAN TAN PHYSICIAN P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7184393284
Plan sponsor’s address 5618 7TH AVENUE, BROOKLYN, NY, 11220

Signature of
Role Plan administrator
Date 2022-07-23
Name of individual signing WEIYAN TAN
Role Employer/plan sponsor
Date 2022-07-23
Name of individual signing WEIYAN TAN
WEIYAN TAN PHYSICIAN P.C. DEFINED BENEFIT PLAN 2021 463596332 2022-07-23 WEIYAN TAN PHYSICIAN P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7184393284
Plan sponsor’s address 5618 7TH AVENUE, BROOKLYN, NY, 11220

Signature of
Role Plan administrator
Date 2022-07-23
Name of individual signing WEIYAN TAN
Role Employer/plan sponsor
Date 2022-07-23
Name of individual signing WEIYAN TAN
WEIYAN TAN PHYSICIAN P.C. PROFIT SHARING PLAN 2020 463596332 2021-06-17 WEIYAN TAN PHYSICIAN P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7184393284
Plan sponsor’s address 5618 7TH AVENUE, BROOKLYN, NY, 11220

Signature of
Role Plan administrator
Date 2021-06-17
Name of individual signing WEIYAN TAN
Role Employer/plan sponsor
Date 2021-06-17
Name of individual signing WEIYAN TAN
WEIYAN TAN PHYSICIAN P.C. DEFINED BENEFIT PLAN 2020 463596332 2021-06-17 WEIYAN TAN PHYSICIAN P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7184393284
Plan sponsor’s address 5618 7TH AVENUE, BROOKLYN, NY, 11220

Signature of
Role Plan administrator
Date 2021-06-17
Name of individual signing WEIYAN TAN
Role Employer/plan sponsor
Date 2021-06-17
Name of individual signing WEIYAN TAN
WEIYAN TAN PHYSICIAN P.C. PROFIT SHARING PLAN 2019 463596332 2020-05-22 WEIYAN TAN PHYSICIAN P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7184393284
Plan sponsor’s address 5618 7TH AVENUE, BROOKLYN, NY, 11220

Signature of
Role Plan administrator
Date 2020-05-22
Name of individual signing WEIYAN TAN
Role Employer/plan sponsor
Date 2020-05-22
Name of individual signing WEIYAN TAN
WEIYAN TAN PHYSICIAN P.C. DEFINED BENEFIT PLAN 2019 463596332 2020-05-22 WEIYAN TAN PHYSICIAN P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7184393284
Plan sponsor’s address 5618 7TH AVENUE, BROOKLYN, NY, 11220

Signature of
Role Plan administrator
Date 2020-05-22
Name of individual signing WEIYAN TAN
Role Employer/plan sponsor
Date 2020-05-22
Name of individual signing WEIYAN TAN

DOS Process Agent

Name Role Address
ATTN: WEIYAN TAN DOS Process Agent 281 SYOSSET WOODBURY ROAD, WOODBURY, NY, United States, 11797

Chief Executive Officer

Name Role Address
WEIYAN TAN Chief Executive Officer 281 SYOSSET WOODBURY ROAD, 281 SYOSSET WOODBURY ROAD, WOODBURY, NY, United States, 11797

History

Start date End date Type Value
2013-09-04 2024-03-29 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
220302000861 2022-03-02 BIENNIAL STATEMENT 2022-03-02
130904000414 2013-09-04 CERTIFICATE OF INCORPORATION 2013-09-04

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1518207702 2020-05-01 0202 PPP 5618 7TH AVE, BROOKLYN, NY, 11220
Loan Status Date 2021-05-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 100000
Loan Approval Amount (current) 100000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address BROOKLYN, KINGS, NY, 11220-0001
Project Congressional District NY-10
Number of Employees 9
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 100903.78
Forgiveness Paid Date 2021-03-30
3383348608 2021-03-16 0202 PPS 5618 7th Ave, Brooklyn, NY, 11220-3510
Loan Status Date 2021-12-21
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 89657
Loan Approval Amount (current) 89657
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Brooklyn, KINGS, NY, 11220-3510
Project Congressional District NY-10
Number of Employees 11
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 48270
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address COLUMBUS, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 90250.08
Forgiveness Paid Date 2021-11-16

Related by officers

No related officers

Related by address

281 SYOSSET WOODBURY ROAD, WOODBURY, NY, United States, 11797

MFWT REALTOR LLC

Date of last update: 26 Mar 2025

Sources: New York Secretary of State

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