PROVIDER ONE CORP.

Company Details

Name:	PROVIDER ONE CORP.
Jurisdiction:	New York
Legal type:	FOREIGN BUSINESS CORPORATION
Status:	Active
Date of registration:	13 Jan 2020 (5 years ago)
Entity Number:	5687396
ZIP code:	13210
County:	Onondaga
Place of Formation:	Delaware
Address:	532 CUMBERLAND AVE, SYRACUSE, NY, United States, 13210

Name	Role	Address
THE CORPORATION	DOS Process Agent	532 CUMBERLAND AVE, SYRACUSE, NY, United States, 13210

Filing Number	Date Filed	Type	Effective Date
200113000633	2020-01-13	APPLICATION OF AUTHORITY	2020-01-13

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

5147167309

2020-04-30

0248

PPP

532 CUMBERLAND AVE, SYRACUSE, NY, 13210-2622

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)	4443
Loan Approval Amount (current)	4443
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	N
Business Age Description	New Business or 2 years or less
Project Address	SYRACUSE, ONONDAGA, NY, 13210-2622
Project Congressional District	NY-22
Number of Employees	2
NAICS code	622110
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	9551
Originating Lender Name	Bank of America, National Association
Originating Lender Address	CHARLOTTE, NC
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	4328.08
Forgiveness Paid Date	2021-03-24

Date of last update: 23 Mar 2025