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STONY BROOK UROLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION

Company Details

Name: STONY BROOK UROLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 04 May 1983 (42 years ago)
Entity Number: 839621
ZIP code: 11794
County: Suffolk
Place of Formation: New York
Principal Address: HEALTH SCIENCE CENTER LEVEL 5, ROOM 048 SUNY AT STONY BROOK, STONY BROOK, NY, United States, 11794
Address: HEALTH SCIENCES CTR L5 RM 048, STONY BROOK UNIVERSITY, STONY BROOK, NY, United States, 11794

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
WAYNE C. WALTZER, M.D. Chief Executive Officer PO BOX 1554, STONY BROOK, NY, United States, 11790

DOS Process Agent

Name Role Address
STONY BROOK UROLOGY, UFPC / CLINICAL PRACTICE MANAGEMENT PLAN DOS Process Agent HEALTH SCIENCES CTR L5 RM 048, STONY BROOK UNIVERSITY, STONY BROOK, NY, United States, 11794

History

Start date End date Type Value
2022-03-18 2023-07-20 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1993-07-07 2006-06-23 Address BOX AK, STONY BROOK, NY, 11790, USA (Type of address: Service of Process)
1993-04-12 1993-07-07 Address PO BOX 1554, STONY BROOK, NY, 11790, USA (Type of address: Chief Executive Officer)
1993-04-12 1993-07-07 Address HEALTH SCIENCE CENTER-LEVEL 5, ROOM 048 - SUNY AT STONY BROOK, STONY BROOK, NY, 11794, USA (Type of address: Principal Executive Office)
1983-05-04 2022-03-18 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1983-05-04 1993-07-07 Address P.O. BOX AK, STONY BROOK, NY, 11790, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
060623000191 2006-06-23 CERTIFICATE OF REINCORPORATION 2006-06-23
050714002059 2005-07-14 BIENNIAL STATEMENT 2005-05-01
030610002574 2003-06-10 BIENNIAL STATEMENT 2003-05-01
010620002341 2001-06-20 BIENNIAL STATEMENT 2001-05-01
990823002515 1999-08-23 BIENNIAL STATEMENT 1999-05-01
970619002301 1997-06-19 BIENNIAL STATEMENT 1997-05-01
930707002411 1993-07-07 BIENNIAL STATEMENT 1993-05-01
930412002882 1993-04-12 BIENNIAL STATEMENT 1992-05-01
A976862-6 1983-05-04 CERTIFICATE OF INCORPORATION 1983-05-04

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
11-2644371 Corporation Unconditional Exemption PO BOX 1554, STONY BROOK, NY, 11790-0988 2008-02
In Care of Name % SB CLINICAL PRAC MGMT PLAN I
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organization that operates for the benefit of a college or university and is owned or operated by a governmental unit 170(b)(1)(A)(iv)
Tax Period 2023-06
Asset 1,000,000 to 4,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Jun
Asset Amount 2886442
Income Amount 15517244
Form 990 Revenue Amount 15517244
National Taxonomy of Exempt Entities Health Care: Hospitals and Related Primary Medical Care Facilities
Sort Name -

Publication 78 Data

Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name STONY BROOK UROLOGY UNIVERSITY FACULTY PRACTICE CORPORATION
EIN 11-2644371
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name STONY BROOK UROLOGY UNIVERSITY FACULTY PRACTICE CORPORATION
EIN 11-2644371
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name STONY BROOK UROLOGY UNIVERSITY FACULTY PRACTICE CORPORATION
EIN 11-2644371
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name STONY BROOK UROLOGY UNIVERSITY FACULTY PRACTICE CORPORATION
EIN 11-2644371
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name STONY BROOK UROLOGY UNIVERSITY FACULTY PRACTICE CORPORATION
EIN 11-2644371
Tax Period 201706
Filing Type E
Return Type 990
File View File
Organization Name STONY BROOK UROLOGY UNIVERSITY FACULTY PRACTICE CORPORATION
EIN 11-2644371
Tax Period 201606
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6437047703 2020-05-01 0235 PPP 24 Research Way Ste 1000 444-1910/6270, Stony Brook, NY, 11794
Loan Status Date 2021-07-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 366903
Loan Approval Amount (current) 366903
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 N
LMI N
Business Age Description New Business or 2 years or less
Project Address Stony Brook, SUFFOLK, NY, 11794-0001
Project Congressional District NY-01
Number of Employees 19
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 369325.57
Forgiveness Paid Date 2020-12-31

Date of last update: 17 Mar 2025

Sources: New York Secretary of State