| Name: | CHAMPION CARE, LLC |
| Jurisdiction: | New York |
| Legal type: | FOREIGN LIMITED LIABILITY COMPANY |
| Status: | Active |
| Date of registration: | 01 May 2017 (8 years ago) |
| Entity Number: | 5129041 |
| ZIP code: | 11580 |
| County: | Nassau |
| Place of Formation: | Delaware |
| Address: | 99 west hawthorne avenue, suite 408, VALLEY STREAM, NY, United States, 11580 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHAMPION CARE, LLC 401(K) PLAN | 2017 | 814194408 | 2018-10-11 | CHAMPION CARE, LLC | 0 | |||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2018-10-11 |
| Name of individual signing | GRETCHEN GARTLEY LOZANO |
| Role | Employer/plan sponsor |
| Date | 2018-10-11 |
| Name of individual signing | GRETCHEN GARTLEY LOZANO |
| Name | Role | Address |
|---|---|---|
| platinum agent services llc | DOS Process Agent | 99 west hawthorne avenue, suite 408, VALLEY STREAM, NY, United States, 11580 |
| Name | Role | Address |
|---|---|---|
| platinum agent services llc | Agent | 99 west hawthorne avenue, suite 408, VALLEY STREAM, NY, 11580 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2017-05-01 | 2021-09-15 | Address | 25 ROBERT PITT DRIVE, SUITE 204, MONSEY, NY, 10952, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 210915000143 | 2021-09-14 | CERTIFICATE OF CHANGE BY ENTITY | 2021-09-14 |
| 210506061353 | 2021-05-06 | BIENNIAL STATEMENT | 2021-05-01 |
| 210506062846 | 2021-05-06 | BIENNIAL STATEMENT | 2021-05-01 |
| 170501000817 | 2017-05-01 | APPLICATION OF AUTHORITY | 2017-05-01 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3742317105 | 2020-04-12 | 0235 | PPP | 165 N Village Ave, Suite 126, Rockville Centre, NY, 11570-3700 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 24 Mar 2025
Sources: New York Secretary of State
