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  5. ITCHIE STATFELD MD PLLC

ITCHIE STATFELD MD PLLC

Company Details

Name: ITCHIE STATFELD MD PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 29 Mar 2018 (7 years ago)
Entity Number: 5313646
ZIP code: 11211
County: Albany
Place of Formation: New York
Address: 531 BEDFORD AVENUE, BROOKLYN, NY, United States, 11211

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ITCHIE STATFELD, MD DEFINED BENEFIT PENSION PLAN 2021 113080600 2022-08-02 ITCHIE STATFELD, MD 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 7187825053
Plan sponsor’s address 531 BEDFORD AVENUE, BROOKLYN, NY, 11211

Signature of
Role Plan administrator
Date 2022-08-02
Name of individual signing ITCHIE STATFELD
ITCHIE STATFELD, MD DEFINED BENEFIT PENSION PLAN 2020 113080600 2021-10-11 ITCHIE STATFELD, MD 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 7187825053
Plan sponsor’s address 531 BEDFORD AVENUE, BROOKLYN, NY, 11211

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing ITCHIE STATFELD
ITCHIE STATFELD, MD DEFINED BENEFIT PENSION PLAN 2019 113080600 2020-10-14 ITCHIE STATFELD, MD 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 7187825053
Plan sponsor’s address 531 BEDFORD AVENUE, BROOKLYN, NY, 11211

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing ITCHIE STATFELD
ITCHIE STATFELD, MD DEFINED BENEFIT PENSION PLAN 2018 113080600 2019-10-10 ITCHIE STATFELD, MD 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 7187825053
Plan sponsor’s address 531 BEDFORD AVENUE, BROOKLYN, NY, 11211

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing ITCHIE STATFELD
ITCHIE STATFELD, MD DEFINED BENEFIT PENSION PLAN 2017 113080600 2018-10-11 ITCHIE STATFELD, MD 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 7187825053
Plan sponsor’s address 531 BEDFORD AVENUE, BROOKLYN, NY, 11211

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing ITCHIE STATFELD
ITCHIE STATFELD, MD DEFINED BENEFIT PENSION PLAN 2016 113080600 2017-10-18 ITCHIE STATFELD, MD 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 7187825053
Plan sponsor’s address 531 BEDFORD AVE, BROOKLYN, NY, 112118534

Signature of
Role Plan administrator
Date 2017-10-18
Name of individual signing ITCHIE STATFELD

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 531 BEDFORD AVENUE, BROOKLYN, NY, United States, 11211

Filings

Filing Number Date Filed Type Effective Date
181113000198 2018-11-13 CERTIFICATE OF PUBLICATION 2018-11-13
180329000358 2018-03-29 ARTICLES OF ORGANIZATION 2018-03-29

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3440078705 2021-03-31 0202 PPS 531 Bedford Ave, Brooklyn, NY, 11211-8534
Loan Status Date 2021-12-02
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 70130
Loan Approval Amount (current) 70130
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225775
Servicing Lender Name Community Federal Savings Bank
Servicing Lender Address 89-16 Jamaica Ave, NEW YORK CITY, NY, 11421-2040
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Brooklyn, KINGS, NY, 11211-8534
Project Congressional District NY-07
Number of Employees 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 225775
Originating Lender Name Community Federal Savings Bank
Originating Lender Address NEW YORK CITY, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 70562.47
Forgiveness Paid Date 2021-11-17
6521377210 2020-04-28 0202 PPP 531 BEDFORD AVE, BROOKLYN, NY, 11211
Loan Status Date 2021-04-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 60000
Loan Approval Amount (current) 60000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 113190
Servicing Lender Name American Express National Bank
Servicing Lender Address 115 West Towne Ridge Parkway, Sandy, UT, 84070
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address BROOKLYN, KINGS, NY, 11211-0001
Project Congressional District NY-07
Number of Employees 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 113190
Originating Lender Name American Express National Bank
Originating Lender Address Sandy, UT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 60529.32
Forgiveness Paid Date 2021-03-25

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Related by address

531 BEDFORD AVENUE, BROOKLYN, NY, United States, 11211

531 BEDFORD, LLC BAKERTOWN ROAD, LLC INTER-CARE MANAGEMENT SERVICES INC.

Date of last update: 24 Mar 2025

Sources: New York Secretary of State

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