SAMUEL PARK MD, PLLC

Company Details

Name:	SAMUEL PARK MD, PLLC
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status:	Active
Date of registration:	22 Sep 2016 (9 years ago)
Entity Number:	5012399
ZIP code:	11501
County:	Nassau
Place of Formation:	New York
Address:	160 1ST ST UNIT 551, MINEOLA, NY, United States, 11501

Name	Role	Address
SAMUEL PARK	Agent	160 1ST ST UNIT 551, MINEOLA, NY, 11501

Name	Role	Address
THE LLC	DOS Process Agent	160 1ST ST UNIT 551, MINEOLA, NY, United States, 11501

Start date	End date	Type	Value
2016-09-22	2019-09-24	Address	7014 13TH AVENUE, SUITE 202, BROOKLYN, NY, 11228, USA (Type of address: Service of Process)

Filing Number	Date Filed	Type	Effective Date
200908061409	2020-09-08	BIENNIAL STATEMENT	2020-09-01
190924000712	2019-09-24	CERTIFICATE OF CHANGE	2019-09-24
190722000833	2019-07-22	CERTIFICATE OF CHANGE	2019-07-22
190524060088	2019-05-24	BIENNIAL STATEMENT	2018-09-01
170317000195	2017-03-17	CERTIFICATE OF PUBLICATION	2017-03-17
160922000328	2016-09-22	ARTICLES OF ORGANIZATION	2016-09-22

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

9506757702

2020-05-01

0202

PPP

160 1st St Unit 551, Mineola, NY, 10016

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)	20832
Loan Approval Amount (current)	20832
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	122043
Servicing Lender Name	WebBank
Servicing Lender Address	215 S State St, Ste 1000, SALT LAKE CITY, UT, 84111-2336
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Unanswered
Project Address	Mineola, NEW YORK, NY, 10016-0001
Project Congressional District	NY-12
Number of Employees	1
NAICS code	-
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Subchapter S Corporation
Originating Lender ID	122043
Originating Lender Name	WebBank
Originating Lender Address	SALT LAKE CITY, UT
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	21046.69
Forgiveness Paid Date	2021-05-11

3095878609

2021-03-16

0235

PPS

160 1st St Unit 551, Mineola, NY, 11501-5025

Loan Status Date	2021-11-23
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	20833
Loan Approval Amount (current)	20833
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	121536
Servicing Lender Name	Customers Bank
Servicing Lender Address	40 General Warren Blvd, Malvern, PA, 19355
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	Mineola, NASSAU, NY, 11501-5025
Project Congressional District	NY-03
Number of Employees	1
NAICS code	622110
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Subchapter S Corporation
Originating Lender ID	122043
Originating Lender Name	WebBank
Originating Lender Address	SALT LAKE CITY, UT
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	20955.14
Forgiveness Paid Date	2021-11-03

Date of last update: 24 Mar 2025