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BACK TO FORM PHYSICAL THERAPY P.C.

Company Details

Name: BACK TO FORM PHYSICAL THERAPY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 Oct 2015 (9 years ago)
Entity Number: 4837008
ZIP code: 10025
County: New York
Place of Formation: New York
Address: 485 CENTRAL PARK WEST, APT 3F, NEW YORK, NY, United States, 10025
Principal Address: 18 EAST 41ST STREET, SUITE 406, NEW YORK, NY, United States, 10017

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
C/O KYLE WARNER DOS Process Agent 485 CENTRAL PARK WEST, APT 3F, NEW YORK, NY, United States, 10025

Chief Executive Officer

Name Role Address
KYLE WARNER Chief Executive Officer 485 CENTRAL PARK WEST, APT 3F, NEW YORK, NY, United States, 10025

History

Start date End date Type Value
2015-10-20 2019-07-15 Address 314 EAST 30TH STREET, NEW YORK, NY, 10016, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
191003060024 2019-10-03 BIENNIAL STATEMENT 2019-10-01
190715060076 2019-07-15 BIENNIAL STATEMENT 2017-10-01
151020000475 2015-10-20 CERTIFICATE OF INCORPORATION 2015-10-20

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3579388404 2021-02-05 0202 PPS 485 Central Park W Apt 3F, New York, NY, 10025-3360
Loan Status Date 2021-12-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 47590
Loan Approval Amount (current) 47590
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 New York, NEW YORK, NY, 10025-3360
Project Congressional District NY-13
Number of Employees 3
NAICS code 621340
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 48270
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address COLUMBUS, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 47952.74
Forgiveness Paid Date 2021-11-16
2093737706 2020-05-01 0202 PPP 485 CENTRAL PARK W APT 3F, NEW YORK, NY, 10025
Loan Status Date 2021-04-24
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 47552
Loan Approval Amount (current) 47552
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 NEW YORK, NEW YORK, NY, 10025-0001
Project Congressional District NY-13
Number of Employees 3
NAICS code 621340
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 47974
Forgiveness Paid Date 2021-03-24

Date of last update: 25 Mar 2025

Sources: New York Secretary of State