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  5. INSPIRA DERMATOLOGY PLLC

INSPIRA DERMATOLOGY PLLC

Company Details

Name: INSPIRA DERMATOLOGY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 30 Dec 2016 (8 years ago)
Entity Number: 5060051
ZIP code: 11354
County: Queens
Place of Formation: New York
Address: 136-36 39TH AVE, 5TH FLOOR, FLUSHING, NY, United States, 11354

Contact Details

Phone +1 718-509-6475

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INSPIRA DERMATOLOGY, PLLC CASH BALANCE PLAN 2023 815015163 2024-08-27 INSPIRA DERMATOLOGY, PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 7187626462
Plan sponsor’s address 136-33 37TH AVENUE UNIT 4A, FLUSHING, NY, 11354

Signature of
Role Plan administrator
Date 2024-08-27
Name of individual signing DR. WAI PING CHAN
INSPIRA DERMATOLOGY, PLLC 401(K) PLAN 2023 815015163 2024-07-20 INSPIRA DERMATOLOGY, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621399
Sponsor’s telephone number 7187626462
Plan sponsor’s address 136-33 37TH AVENUE UNIT 4A, FLUSHING, NY, 11354

Signature of
Role Plan administrator
Date 2024-07-20
Name of individual signing DR. WAI PING CHAN
INSPIRA DERMATOLOGY, PLLC CASH BALANCE PLAN 2022 815015163 2023-05-24 INSPIRA DERMATOLOGY, PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 7187626462
Plan sponsor’s address 136-33 37TH AVENUE UNIT 4A, FLUSHING, NY, 11354

Signature of
Role Plan administrator
Date 2023-05-24
Name of individual signing DR. WAI PING CHAN
INSPIRA DERMATOLOGY, PLLC 401(K) PLAN 2022 815015163 2023-05-20 INSPIRA DERMATOLOGY, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621399
Sponsor’s telephone number 7187626462
Plan sponsor’s address 136-33 37TH AVENUE UNIT 4A, FLUSHING, NY, 11354

Signature of
Role Plan administrator
Date 2023-05-20
Name of individual signing DR. WAI PING CHAN
INSPIRA DERMATOLOGY, PLLC 401(K) PLAN 2021 815015163 2022-09-12 INSPIRA DERMATOLOGY, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621399
Sponsor’s telephone number 7187626462
Plan sponsor’s address 136-33 37TH AVENUE UNIT 4A, FLUSHING, NY, 11354

Signature of
Role Plan administrator
Date 2022-09-12
Name of individual signing DR. WAI PING CHAN
INSPIRA DERMATOLOGY, PLLC CASH BALANCE PLAN 2021 815015163 2022-09-09 INSPIRA DERMATOLOGY, PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 7187626462
Plan sponsor’s address 136-33 37TH AVENUE UNIT 4A, FLUSHING, NY, 11354

Signature of
Role Plan administrator
Date 2022-09-09
Name of individual signing DR. WAI PING CHAN

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 136-36 39TH AVE, 5TH FLOOR, FLUSHING, NY, United States, 11354

Filings

Filing Number Date Filed Type Effective Date
170313000709 2017-03-13 CERTIFICATE OF PUBLICATION 2017-03-13
161230000669 2016-12-30 ARTICLES OF ORGANIZATION 2016-12-30

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6735418407 2021-02-10 0202 PPS 13633 37th Ave Ste 4A, Flushing, NY, 11354-4562
Loan Status Date 2021-09-25
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 39987
Loan Approval Amount (current) 39987
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 Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Flushing, QUEENS, NY, 11354-4562
Project Congressional District NY-06
Number of Employees 6
NAICS code 621111
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 40177.62
Forgiveness Paid Date 2021-08-04
5400417709 2020-05-01 0202 PPP 13633 37TH AVE STE 4A, FLUSHING, NY, 11354-4562
Loan Status Date 2021-04-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 18395
Loan Approval Amount (current) 39830
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 Y
LMI Y
Business Age Description New Business or 2 years or less
Project Address FLUSHING, QUEENS, NY, 11354-4562
Project Congressional District NY-06
Number of Employees 6
NAICS code 621111
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 20112.5
Forgiveness Paid Date 2021-03-01

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State

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