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KENMORE FAMILY MEDICINE LLP

Company Details

Name: KENMORE FAMILY MEDICINE LLP
Jurisdiction: New York
Legal type: DOMESTIC REGISTERED LIMITED LIABILITY PARTNERSHIP
Status: Active
Date of registration: 27 Oct 1995 (29 years ago)
Entity Number: 1968712
ZIP code: 14203
County: Blank
Place of Formation: New York
Principal Address: 2914 ELMWOOD AVE, KENMORE, NY, United States, 14217
Address: ATT JOHN J ZAK ESQ, 1800 ONE M & T PLAZA, BUFFALO, NY, United States, 14203

Contact Details

Phone +1 716-875-6700

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KENMORE FAMILY MEDICINE PROFIT SHARING PLAN 2023 161490418 2024-05-15 KENMORE FAMILY MEDICINE, LLP 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 7168756700
Plan sponsor’s address 2914 ELMWOOD AVENUE, KENMORE, NY, 14217

Signature of

Role Plan administrator
Date 2024-05-15
Name of individual signing LISA MENDONZA
Role Employer/plan sponsor
Date 2024-05-15
Name of individual signing LISA MENDONZA
KENMORE FAMILY MEDICINE PROFIT SHARING PLAN 2022 161490418 2023-07-24 KENMORE FAMILY MEDICINE, LLP 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 7168756700
Plan sponsor’s address 2914 ELMWOOD AVENUE, KENMORE, NY, 14217

Signature of

Role Plan administrator
Date 2023-07-20
Name of individual signing LISA MENDONZA MD
Role Employer/plan sponsor
Date 2023-07-20
Name of individual signing LISA MENDONZA MD
KENMORE FAMILY MEDICINE PROFIT SHARING PLAN 2021 161490418 2022-07-18 KENMORE FAMILY MEDICINE, LLP 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 7168756700
Plan sponsor’s address 2914 ELMWOOD AVENUE, KENMORE, NY, 14217

Signature of

Role Plan administrator
Date 2022-07-18
Name of individual signing LISA M MENDONZA
Role Employer/plan sponsor
Date 2022-07-18
Name of individual signing LISA M MENDONZA
KENMORE FAMILY MEDICINE PROFIT SHARING PLAN 2020 161490418 2021-07-09 KENMORE FAMILY MEDICINE, LLP 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 7168756700
Plan sponsor’s address 2914 ELMWOOD AVENUE, KENMORE, NY, 14217

Signature of

Role Plan administrator
Date 2021-07-09
Name of individual signing LISA MENDONZA MD
Role Employer/plan sponsor
Date 2021-07-09
Name of individual signing LISA MENDONZA MD
KENMORE FAMILY MEDICINE PROFIT SHARING PLAN 2019 161490418 2020-07-28 KENMORE FAMILY MEDICINE, LLP 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 7168756700
Plan sponsor’s address 2914 ELMWOOD AVENUE, KENMORE, NY, 14217

Signature of

Role Plan administrator
Date 2020-07-27
Name of individual signing DAVID SILVERSTEIN
Role Employer/plan sponsor
Date 2020-07-27
Name of individual signing DAVID SILVERSTEIN
KENMORE FAMILY MEDICINE PROFIT SHARING PLAN 2018 161490418 2019-07-29 KENMORE FAMILY MEDICINE, LLP 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 7168756700
Plan sponsor’s address 2914 ELMWOOD AVENUE, KENMORE, NY, 14217

Signature of

Role Plan administrator
Date 2019-07-29
Name of individual signing DAVID SILVERSTEIN
Role Employer/plan sponsor
Date 2019-07-29
Name of individual signing DAVID SILVERSTEIN
KENMORE FAMILY MEDICINE PROFIT SHARING PLAN 2017 161490418 2018-06-29 KENMORE FAMILY MEDICINE, LLP 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 7168756700
Plan sponsor’s address 2914 ELMWOOD AVENUE, KENMORE, NY, 14217

Signature of

Role Plan administrator
Date 2018-06-29
Name of individual signing DAVID SILVERSTEIN
Role Employer/plan sponsor
Date 2018-06-29
Name of individual signing DAVID SILVERSTEIN
KENMORE FAMILY MEDICINE PROFIT SHARING PLAN 2016 161490418 2017-07-25 KENMORE FAMILY MEDICINE, LLP 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 7168756700
Plan sponsor’s address 2914 ELMWOOD AVENUE, KENMORE, NY, 14217

Signature of

Role Plan administrator
Date 2017-07-25
Name of individual signing DAVID SILVERSTEIN
Role Employer/plan sponsor
Date 2017-07-25
Name of individual signing DAVID SILVERSTEIN
KENMORE FAMILY MEDICINE PROFIT SHARING PLAN 2015 161490418 2016-09-21 KENMORE FAMILY MEDICINE, LLP 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 7168756700
Plan sponsor’s address 2914 ELMWOOD AVENUE, KENMORE, NY, 14217

Signature of

Role Plan administrator
Date 2016-09-21
Name of individual signing DAVID SILVERSTEIN
Role Employer/plan sponsor
Date 2016-09-21
Name of individual signing DAVID SILVERSTEIN

DOS Process Agent

Name Role Address
C/O HODGSON RUSS ANDREWS WOODS & GOODYEAR LLP DOS Process Agent ATT JOHN J ZAK ESQ, 1800 ONE M & T PLAZA, BUFFALO, NY, United States, 14203

Filings

Filing Number Date Filed Type Effective Date
150909002011 2015-09-09 FIVE YEAR STATEMENT 2015-10-01
101004002640 2010-10-04 FIVE YEAR STATEMENT 2010-10-01
050926002352 2005-09-26 FIVE YEAR STATEMENT 2005-10-01
000927002347 2000-09-27 FIVE YEAR STATEMENT 2000-10-01
960105000217 1996-01-05 AFFIDAVIT OF PUBLICATION 1996-01-05
960105000212 1996-01-05 AFFIDAVIT OF PUBLICATION 1996-01-05
951027000365 1995-10-27 NOTICE OF REGISTRATION 1995-10-27

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9791667109 2020-04-15 0296 PPP 2914 Elmwood Avenue, Kenmore, NY, 14217
Loan Status Date 2021-10-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 246645
Loan Approval Amount (current) 394562
Undisbursed Amount 0
Franchise Name -
Lender Location ID 46391
Servicing Lender Name Manufacturers and Traders Trust Company
Servicing Lender Address One M & T Plaza, 15th Fl, BUFFALO, NY, 14203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Kenmore, ERIE, NY, 14217-0001
Project Congressional District NY-26
Number of Employees 31
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Partnership
Originating Lender ID 46391
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address BUFFALO, NY
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 399783.19
Forgiveness Paid Date 2021-08-23

Date of last update: 14 Mar 2025

Sources: New York Secretary of State