Belle Mead Pharmacy Inc.

Spiegel & Utrera, P.A., P.C. Registered Agent	1 MAIDEN LN FL 5TH, NEW YORK, NY 10038
Ruby Masson DOS Process	196 N BELLE MEAD RD, EAST SETAUKET, NY 11733

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Form 5500

196 Belle Mead Rd. STE #8, East Setauket, Ny 11733 (631) 804-6860 EIN:45-2690241 Plan Admin:Sheetal Masson

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2021	Plan NameBELLE MEAD PHARMACY INC 401K PLAN Plan #001 Participants BOY/EOY2 / 0 Assets BOY/EOY$151,731 / $0	2021	BELLE MEAD PHARMACY INC 401K PLAN - Plan #001	2 / 0	$151,731 / $0
2020	Plan NameBELLE MEAD PHARMACY INC 401K PLAN Plan #001 Participants BOY/EOY2 / 3 Assets BOY/EOY$84,451 / $151,731	2020	BELLE MEAD PHARMACY INC 401K PLAN - Plan #001	2 / 3	$84,451 / $151,731
2019	Plan NameBELLE MEAD PHARMACY INC 401K PLAN Plan #001 Participants BOY/EOY2 / 2 Assets BOY/EOY$65,449 / $84,451	2019	BELLE MEAD PHARMACY INC 401K PLAN - Plan #001	2 / 2	$65,449 / $84,451

Benefit & Retirement Plans based on Form 5500.

PPP Loans

196 N Belle Mead Ave Ste 8, East Setauket, NY 11733-3477

Loan Date	Approved	Forgiven	Lender	Jobs
01/29/2021	Approved$35,402 Forgiven$35,781 LenderManufacturers and Traders Trust Company Jobs4	01/29/2021	$35,402	$35,781	Manufacturers and Traders Trust Company	4
04/10/2020	Approved$35,403 Forgiven$35,860 LenderManufacturers and Traders Trust Company Jobs3	04/10/2020	$35,403	$35,860	Manufacturers and Traders Trust Company	3

PPP Loans based on Paycheck Protection Program.

Person/City Match:Spiegel Utrera Pa Pc - New York, NY

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The following government agencies have contributed data:

New York Department of State U.S. Department of Labor U.S. Small Business Administration

Company Summary