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12207
UNION SQUARE PHYSICIAN SERVICES, P.C.

UNION SQUARE PHYSICIAN SERVICES, P.C.

Company Details

Name:	UNION SQUARE PHYSICIAN SERVICES, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	28 Mar 2019 (6 years ago)
Entity Number:	5522822
ZIP code:	12207
County:	New York
Place of Formation:	New York
Activity Description:	Physician practice
Address:	80 State Street, Albany, NY, United States, 12207
Principal Address:	133 East 58th Street, Suite 512, New York, NY, United States, 10022

Contact Details

Phone +1 212-880-5494

Shares Details

Shares issued 100

Share Par Value 0

Type NO PAR VALUE

Activities

#621111 Offices of Physicians (except Mental Health Specialists)

Unique Entity ID

Expiration Date

Physical Address

Mailing Address

P9K1M6QJBF43

2023-04-29

255 ALHAMBRA CIR STE 700, CORAL GABLES, FL, 33134, 7407, USA

255 ALHAMBRA CIRCLE, SUITE 700, CORAL GABLES, FL, 33134, 5240, USA

Business Information

Congressional District	27
State/Country of Incorporation	NY, USA
Activation Date	2022-04-06
Initial Registration Date	2021-03-25
Entity Start Date	2019-03-28
Fiscal Year End Close Date	Dec 31

Service Classifications

NAICS Codes

325413, 541715, 621111, 621511

Points of Contacts

Electronic Business
Title	PRIMARY POC
Name	DONNY PEREZ
Address	255 ALHAMBRA CIRCLE, SUITE 700, CORAL GABLES, FL, 33134, USA

Government Business
Title	PRIMARY POC
Name	DONNY PEREZ
Address	255 ALHAMBRA CIRCLE, SUITE 700, CORAL GABLES, FL, 33134, USA

Past Performance	Information not Available

Agent

Name	Role	Address
CORPORATION SERVICE COMPANY	Agent	80 STATE ST., ALBANY, NY, 12207

DOS Process Agent

Name	Role	Address
CORPORATION SERVICE COMPANY	DOS Process Agent	80 State Street, Albany, NY, United States, 12207

Chief Executive Officer

Name	Role	Address
DONNY PEREZ DO	Chief Executive Officer	255 ALHAMBRA CIRCLE, SUITE 700, CORAL GABLES, FL, United States, 33134

History

Start date	End date	Type	Value
2025-03-18	2025-03-18	Address	255 ALHAMBRA CIRCLE, SUITE 700, CORAL GABLES, FL, 33134, USA (Type of address: Chief Executive Officer)
2023-03-14	2025-03-18	Address	255 ALHAMBRA CIRCLE, SUITE 700, CORAL GABLES, FL, 33134, USA (Type of address: Chief Executive Officer)
2023-03-14	2023-03-14	Address	255 ALHAMBRA CIRCLE, SUITE 700, CORAL GABLES, FL, 33134, USA (Type of address: Chief Executive Officer)
2023-03-14	2025-03-18	Address	80 State Street, Albany, NY, 12207, USA (Type of address: Service of Process)
2023-03-14	2025-03-18	Address	80 STATE ST., ALBANY, NY, 12207, USA (Type of address: Registered Agent)
2023-03-14	2025-03-18	Shares	Share type: NO PAR VALUE, Number of shares: 100, Par value: 0
2021-11-30	2023-03-14	Address	255 ALHAMBRA CIRCLE, SUITE 700, CORAL GABLES, FL, 33134, USA (Type of address: Chief Executive Officer)
2021-11-30	2023-03-14	Shares	Share type: NO PAR VALUE, Number of shares: 100, Par value: 0
2021-11-30	2023-03-14	Address	80 STATE ST., ALBANY, NY, 12207, USA (Type of address: Registered Agent)
2021-11-30	2023-03-14	Address	80 State Street, Albany, NY, 12207, USA (Type of address: Service of Process)
2019-07-22	2021-11-30	Address	22 W 23RD STREET, 5TH FLOOR, NEW YORK, NY, 10010, USA (Type of address: Service of Process)
2019-03-28	2021-11-30	Shares	Share type: NO PAR VALUE, Number of shares: 100, Par value: 0
2019-03-28	2019-07-22	Address	85 5TH AVENUE 8TH FLOOR, NEW YORK, NY, 10003, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
250318002498	2025-03-18	BIENNIAL STATEMENT	2025-03-18
230314001564	2023-03-14	BIENNIAL STATEMENT	2023-03-01
211130000690	2021-11-30	CERTIFICATE OF CHANGE BY ENTITY	2021-11-30
211014000588	2021-10-14	BIENNIAL STATEMENT	2021-10-14
190722000348	2019-07-22	CERTIFICATE OF CHANGE	2019-07-22
190328000116	2019-03-28	CERTIFICATE OF INCORPORATION	2019-03-28

Paycheck Protection Program

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

4830487104

2020-04-13

0202

PPP

85 5th Avenue 8th Floor, New York, NY, 10003

Loan Status Date	2021-06-23
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	128549.55
Loan Approval Amount (current)	128549.55
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	51009
Servicing Lender Name	First-Citizens Bank & Trust Company
Servicing Lender Address	100 E. Tryon Rd DAC - 90, Raleigh, NC, 27603-3581
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	New Business or 2 years or less
Project Address	New York, NEW YORK, NY, 10003-0001
Project Congressional District	NY-10
Number of Employees	51
NAICS code	622110
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	14569
Originating Lender Name	Silicon Valley Bridge Bank NA
Originating Lender Address	SANTA CLARA, CA
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	129924.32
Forgiveness Paid Date	2021-05-14

Date of last update: 05 May 2025

Sources: New York Secretary of State