VICTORIA E. SHACK, DDS, P.C.

Company Details

Name:	VICTORIA E. SHACK, DDS, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	26 Feb 2016 (9 years ago)
Entity Number:	4902813
ZIP code:	11776
County:	Suffolk
Place of Formation:	New York
Address:	3 MEDICAL DRIVE, STE D, PORT JEFF STATION, NY, United States, 11776
Principal Address:	3 Medical Dr, STE D, Port Jefferson Station, NY, United States, 11776

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Name	Role	Address
VICTORIA E. SHACK, DDS, P.C.	DOS Process Agent	3 MEDICAL DRIVE, STE D, PORT JEFF STATION, NY, United States, 11776

Name	Role	Address
VICTORIA SHACK	Chief Executive Officer	3 MEDICAL DR, STE D, PORT JEFFERSON STATION, NY, United States, 11776

Start date	End date	Type	Value
2023-07-12	2023-07-13	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2016-02-26	2023-07-12	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2016-02-26	2023-07-12	Address	3 MEDICAL DRIVE, PORT JEFF STATION, NY, 11776, USA (Type of address: Service of Process)

Filing Number	Date Filed	Type	Effective Date
230712004792	2023-07-12	BIENNIAL STATEMENT	2022-02-01
160226000124	2016-02-26	CERTIFICATE OF INCORPORATION	2016-02-26

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

9397078804

2021-04-23

0235

PPS

3 Medical Dr Ste D, Port Jefferson Station, NY, 11776-1597

Loan Status Date	2021-12-16
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	31305
Loan Approval Amount (current)	31305
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	N
Business Age Description	Existing or more than 2 years old
Project Address	Port Jefferson Station, SUFFOLK, NY, 11776-1597
Project Congressional District	NY-01
Number of Employees	6
NAICS code	621210
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	9551
Originating Lender Name	Bank of America, National Association
Originating Lender Address	CHARLOTTE, NC
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	31467.96
Forgiveness Paid Date	2021-11-03

6423017704

2020-05-01

0235

PPP

3 MEDICAL DR STE D, PORT JEFF STA, NY, 11776-1597

Loan Status Date	2021-06-18
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	32314
Loan Approval Amount (current)	32314
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	N
Business Age Description	New Business or 2 years or less
Project Address	PORT JEFF STA, SUFFOLK, NY, 11776-1597
Project Congressional District	NY-01
Number of Employees	6
NAICS code	621210
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	9551
Originating Lender Name	Bank of America, National Association
Originating Lender Address	CHARLOTTE, NC
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	31630.18
Forgiveness Paid Date	2021-05-20

Date of last update: 25 Mar 2025