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  5. BARRY MILES BELGOROD, M.D., P.C.

BARRY MILES BELGOROD, M.D., P.C.

Company Details

Name: BARRY MILES BELGOROD, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Mar 1982 (43 years ago)
Entity Number: 757184
ZIP code: 10065
County: New York
Place of Formation: New York
Address: 115 E 61ST STREET, NEW YORK, NY, United States, 10065

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BARRY MILES BELGOROD M.D., P.C. RETIREMENT PLAN 2023 133109268 2024-11-07 BARRY MILES BELGOROD M.D. P.C. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-03-01
Business code 621111
Sponsor’s telephone number 2127532020
Plan sponsor’s address 115 EAST 61ST STREET, STE 1C, NEW YORK, NY, 100658183

Signature of
Role Plan administrator
Date 2024-11-07
Name of individual signing BARRY MILES BELGOROD
Valid signature Filed with authorized/valid electronic signature
BARRY MILES BELGOROD M.D., P.C. RETIREMENT PLAN 2022 133109268 2023-09-14 BARRY MILES BELGOROD M.D. P.C. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-03-01
Business code 621111
Sponsor’s telephone number 2127532020
Plan sponsor’s address 115 EAST 61ST STREET, STE 1C, NEW YORK, NY, 100658183

Signature of
Role Plan administrator
Date 2023-09-14
Name of individual signing BARRY MILES BELGOROD
BARRY MILES BELGOROD M.D., P.C. RETIREMENT PLAN 2021 133109268 2022-12-01 BARRY MILES BELGOROD M.D. P.C. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-03-01
Business code 621111
Sponsor’s telephone number 2127532020
Plan sponsor’s address 115 EAST 61ST STREET, STE 1C, NEW YORK, NY, 100658183

Signature of
Role Plan administrator
Date 2022-12-01
Name of individual signing BARRY MILES BELGOROD
BARRY MILES BELGOROD M.D., P.C. RETIREMENT PLAN 2020 133109268 2021-04-05 BARRY MILES BELGOROD M.D. P.C. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-03-01
Business code 621111
Sponsor’s telephone number 2127532020
Plan sponsor’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183

Plan administrator’s name and address
Administrator’s EIN 133109268
Plan administrator’s name BARRY MILES BELGOROD M.D. P.C.
Plan administrator’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183
Administrator’s telephone number 2127532020

Signature of
Role Plan administrator
Date 2021-04-05
Name of individual signing BARRY MILES BELGOROD
BARRY MILES BELGOROD M.D., P.C. RETIREMENT PLAN 2019 133109268 2020-06-25 BARRY MILES BELGOROD M.D. P.C. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-03-01
Business code 621111
Sponsor’s telephone number 2127532020
Plan sponsor’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183

Plan administrator’s name and address
Administrator’s EIN 133109268
Plan administrator’s name BARRY MILES BELGOROD M.D. P.C.
Plan administrator’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183
Administrator’s telephone number 2127532020

Signature of
Role Plan administrator
Date 2020-06-25
Name of individual signing BARRY MILES BELGOROD
BARRY MILES BELGOROD M.D., P.C. RETIREMENT PLAN 2018 133109268 2019-05-11 BARRY MILES BELGOROD M.D. P.C. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-03-01
Business code 621111
Sponsor’s telephone number 2127532020
Plan sponsor’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183

Plan administrator’s name and address
Administrator’s EIN 133109268
Plan administrator’s name BARRY MILES BELGOROD M.D. P.C.
Plan administrator’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183
Administrator’s telephone number 2127532020

Signature of
Role Plan administrator
Date 2019-05-11
Name of individual signing BARRY MILES BELGOROD
BARRY MILES BELGOROD M.D., P.C. RETIREMENT PLAN 2017 133109268 2018-09-17 BARRY MILES BELGOROD M.D. P.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-03-01
Business code 621111
Sponsor’s telephone number 2127532020
Plan sponsor’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183

Plan administrator’s name and address
Administrator’s EIN 133109268
Plan administrator’s name BARRY MILES BELGOROD M.D. P.C.
Plan administrator’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183
Administrator’s telephone number 2127532020

Signature of
Role Plan administrator
Date 2018-09-17
Name of individual signing BARRY MILES BELGOROD
BARRY MILES BELGOROD M.D., P.C. RETIREMENT PLAN 2016 133109268 2017-09-18 BARRY MILES BELGOROD M.D. P.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-03-01
Business code 621111
Sponsor’s telephone number 2127532020
Plan sponsor’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183

Plan administrator’s name and address
Administrator’s EIN 133109268
Plan administrator’s name BARRY MILES BELGOROD M.D. P.C.
Plan administrator’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183
Administrator’s telephone number 2127532020

Signature of
Role Plan administrator
Date 2017-09-18
Name of individual signing BARRY MILES BELGOROD
BARRY MILES BELGOROD M.D., P.C. RETIREMENT PLAN 2015 133109268 2016-09-15 BARRY MILES BELGOROD M.D. P.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-03-01
Business code 621111
Sponsor’s telephone number 2127532020
Plan sponsor’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183

Plan administrator’s name and address
Administrator’s EIN 133109268
Plan administrator’s name BARRY MILES BELGOROD M.D. P.C.
Plan administrator’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183
Administrator’s telephone number 2127532020

Signature of
Role Plan administrator
Date 2016-09-15
Name of individual signing BARRY MILES BELGOROD
BARRY MILES BELGOROD M.D., P.C. RETIREMENT PLAN 2014 133109268 2015-09-15 BARRY MILES BELGOROD M.D. P.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-03-01
Business code 621111
Sponsor’s telephone number 2127532020
Plan sponsor’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183

Plan administrator’s name and address
Administrator’s EIN 133109268
Plan administrator’s name BARRY MILES BELGOROD M.D. P.C.
Plan administrator’s address 115 EAST 61ST STREET, NEW YORK, NY, 100658183
Administrator’s telephone number 2127532020

Signature of
Role Plan administrator
Date 2015-09-15
Name of individual signing BARRY MILES BELGOROD

Chief Executive Officer

Name Role Address
BARRY BELGOROD Chief Executive Officer 115 E 61ST STREET, NEW YORK, NY, United States, 10065

DOS Process Agent

Name Role Address
BARRY BELGOROD DOS Process Agent 115 E 61ST STREET, NEW YORK, NY, United States, 10065

History

Start date End date Type Value
1993-04-27 2010-04-01 Address 115 EAST 61 STREET, NEW YORK, NY, 10021, USA (Type of address: Chief Executive Officer)
1993-04-27 2010-04-01 Address 115 EAST 61 STREET, NEW YORK, NY, 10021, USA (Type of address: Principal Executive Office)
1993-04-27 2010-04-01 Address 115 EAST 61 STREET, NEW YORK, NY, 10021, USA (Type of address: Service of Process)
1982-03-15 1993-04-27 Address 115 E. 61ST ST., NEW YORK, NY, 10021, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140509002155 2014-05-09 BIENNIAL STATEMENT 2014-03-01
120413002027 2012-04-13 BIENNIAL STATEMENT 2012-03-01
100401002013 2010-04-01 BIENNIAL STATEMENT 2010-03-01
080306002168 2008-03-06 BIENNIAL STATEMENT 2008-03-01
060405002538 2006-04-05 BIENNIAL STATEMENT 2006-03-01
040322002975 2004-03-22 BIENNIAL STATEMENT 2004-03-01
020318002228 2002-03-18 BIENNIAL STATEMENT 2002-03-01
000316002132 2000-03-16 BIENNIAL STATEMENT 2000-03-01
980313002370 1998-03-13 BIENNIAL STATEMENT 1998-03-01
940408002402 1994-04-08 BIENNIAL STATEMENT 1994-03-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6835438508 2021-03-04 0202 PPS 115 E 61st St Ste 1C, New York, NY, 10065-8184
Loan Status Date 2022-03-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 32447
Loan Approval Amount (current) 32447
Undisbursed Amount 0
Franchise Name -
Lender Location ID 121536
Servicing Lender Name Customers Bank
Servicing Lender Address 40 General Warren Blvd, Malvern, PA, 19355
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address New York, NEW YORK, NY, 10065-8184
Project Congressional District NY-12
Number of Employees 3
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 121536
Originating Lender Name Customers Bank
Originating Lender Address Malvern, PA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 32618.57
Forgiveness Paid Date 2021-09-28
2135277404 2020-05-05 0202 PPP 115 E 61st St Ste 1C, New York, NY, 10065
Loan Status Date 2022-03-23
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 71647
Loan Approval Amount (current) 71647
Undisbursed Amount 0
Franchise Name -
Lender Location ID 456756
Servicing Lender Name Cross River Bank
Servicing Lender Address 885 Teaneck Rd, TEANECK, NJ, 07666-4546
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address New York, NEW YORK, NY, 10065-0001
Project Congressional District NY-12
Number of Employees 3
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 529113
Originating Lender Name Kabbage, Inc.
Originating Lender Address Atlanta, GA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 72738.39
Forgiveness Paid Date 2021-11-17

Related by officers

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Related by address

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Date of last update: 17 Mar 2025

Sources: New York Secretary of State

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