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  5. PARK AVENUE ENDOCRINOLOGY & NUTRITION, PLLC

PARK AVENUE ENDOCRINOLOGY & NUTRITION, PLLC

Company Details

Name: PARK AVENUE ENDOCRINOLOGY & NUTRITION, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 03 Apr 2014 (11 years ago)
Entity Number: 4556394
ZIP code: 12210
County: New York
Place of Formation: New York
Address: 99 WASHINGTON AVENUE, SUITE 805A, ALBANY, NY, United States, 12210

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PARK AVENUE ENDOCRINOLOGY & NUTRITION, PLLC 401(K) PLAN 2023 473380527 2024-07-24 PARK AVENUE ENDOCRINOLOGY & NUTRITION, PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2127727628
Plan sponsor’s address 103 EAST 75TH STREET, NEW YORK, NY, 10021

Signature of
Role Plan administrator
Date 2024-07-24
Name of individual signing CLIFTON JACKNESS
PARK AVENUE ENDOCRINOLOGY & NUTRITION, PLLC 401(K) PLAN 2022 473380527 2023-08-15 PARK AVENUE ENDOCRINOLOGY & NUTRITION, PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2127727628
Plan sponsor’s address 103 EAST 75TH STREET, NEW YORK, NY, 10021

Signature of
Role Plan administrator
Date 2023-08-15
Name of individual signing CLIFTON JACKNESS
PARK AVENUE ENDOCRINOLOGY & NUTRITION, PLLC 401(K) PLAN 2021 473380527 2022-06-16 PARK AVENUE ENDOCRINOLOGY & NUTRITION, PLLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2127727628
Plan sponsor’s address 103 EAST 75TH STREET, NEW YORK, NY, 10021

Signature of
Role Plan administrator
Date 2022-06-16
Name of individual signing CLIFTON JACKNESS
PARK AVENUE ENDOCRINOLOGY & NUTRITION, PLLC 401(K) PLAN 2020 473380527 2021-10-13 PARK AVENUE ENDOCRINOLOGY & NUTRITION, PLLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2127727628
Plan sponsor’s address 103 EAST 75TH STREET, NEW YORK, NY, 10021

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing CLIFTON JACKNESS
PARK AVENUE ENDOCRINOLOGY & NUTRITION, PLLC 401(K) PLAN 2019 473380527 2020-09-14 PARK AVENUE ENDOCRINOLOGY & NUTRITION, PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2127727628
Plan sponsor’s address 103 EAST 75TH STREET, NEW YORK, NY, 10021

Signature of
Role Plan administrator
Date 2020-09-14
Name of individual signing CLIFTON JACKNESS
PARK AVENUE ENDOCRINOLOGY & NUTRITION, PLLC 401(K) PLAN 2018 473380527 2019-10-03 PARK AVENUE ENDOCRINOLOGY & NUTRITION, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2127727628
Plan sponsor’s address 103 EAST 75TH STREET, NEW YORK, NY, 10021

Signature of
Role Plan administrator
Date 2019-10-03
Name of individual signing CLIFTON JACKNESS

DOS Process Agent

Name Role Address
C/O DELANEY CORPORATE SERVICES, LTD DOS Process Agent 99 WASHINGTON AVENUE, SUITE 805A, ALBANY, NY, United States, 12210

Filings

Filing Number Date Filed Type Effective Date
140605000609 2014-06-05 CERTIFICATE OF PUBLICATION 2014-06-05
140403001012 2014-04-03 ARTICLES OF ORGANIZATION 2014-04-03

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7088457703 2020-05-01 0202 PPP 103 East 75th Street, New York, NY, 10021
Loan Status Date 2021-08-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 302700
Loan Approval Amount (current) 302700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 49274
Servicing Lender Name Citibank, N.A.
Servicing Lender Address 5800 S. Corporate Place, Sioux Falls, SD, 57108
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, 10021-0001
Project Congressional District NY-12
Number of Employees 21
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Partnership
Originating Lender ID 49274
Originating Lender Name Citibank, N.A.
Originating Lender Address Sioux Falls, SD
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 306307.17
Forgiveness Paid Date 2021-07-14

Related by officers

C/O DELANEY CORPORATE SERVICES, LTD

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Related by address

99 WASHINGTON AVENUE, SUITE 805A, ALBANY, NY, United States, 12210

18-22 EASTDALE AVENUE, LLC 19 S. WASHINGTON ST., LLC 20TH CENTURY DISTRIBUTION LTD 21 WESTAGE DRIVE HOLDINGS, LLC 21 WESTAGE DRIVE, LLC 23 EASTDALE AVENUE, LLC 24-26 EASTDALE AVENUE, LLC 2532 ROUTE 22 CAMBRIDGE LLC 26 CLINTON AVE, LLC 261 RUTLAND RD, LLC

Date of last update: 25 Mar 2025

Sources: New York Secretary of State

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