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ADIRONDACK PULMONARY MEDICINE, P.C.

Company Details

Name: ADIRONDACK PULMONARY MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 07 Jun 1996 (29 years ago)
Entity Number: 2037423
ZIP code: 12801
County: Warren
Place of Formation: New York
Address: 92 BROAD STREET, GLENS FALLS, NY, United States, 12801
Principal Address: 92 BROAD ST, GLENS FALLS, NY, United States, 12801

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
ADIRONDACK PULMONARY MEDICINE, P.C. CASH BALANCE PLAN 2023 141793369 2024-10-12 ADIRONDACK PULMONARY MEDICINE, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5187939055
Plan sponsor’s address 92 BROAD STREET, GLENS FALLS, NY, 12801
ADIRONDACK PULMONARY MEDICINE, P.C. SAFE HARBOR 401(K) PROFIT SHARING PLAN 2023 141793369 2024-10-12 ADIRONDACK PULMONARY MEDICINE, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 5187939055
Plan sponsor’s address 92 BROAD STREET, GLENS FALLS, NY, 12801
ADIRONDACK PULMONARY MEDICINE, P.C. CASH BALANCE PLAN 2022 141793369 2023-10-07 ADIRONDACK PULMONARY MEDICINE, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5187939055
Plan sponsor’s address 92 BROAD STREET, GLENS FALLS, NY, 12801
ADIRONDACK PULMONARY MEDICINE, P.C. SAFE HARBOR 401(K) PROFIT SHARING PLAN 2022 141793369 2023-10-07 ADIRONDACK PULMONARY MEDICINE, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 5187939055
Plan sponsor’s address 92 BROAD STREET, GLENS FALLS, NY, 12801
ADIRONDACK PULMONARY MEDICINE, P.C. SAFE HARBOR 401(K) PROFIT SHARING PLAN 2021 141793369 2022-10-14 ADIRONDACK PULMONARY MEDICINE, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 5187939055
Plan sponsor’s address 92 BROAD STREET, GLENS FALLS, NY, 12801
ADIRONDACK PULMONARY MEDICINE, P.C. CASH BALANCE PLAN 2021 141793369 2022-10-14 ADIRONDACK PULMONARY MEDICINE, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5187939055
Plan sponsor’s address 92 BROAD STREET, GLENS FALLS, NY, 12801
ADIRONDACK PULMONARY MEDICINE, P.C. SAFE HARBOR 401(K) PROFIT SHARING PLAN 2020 141793369 2021-10-12 ADIRONDACK PULMONARY MEDICINE, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 5187939055
Plan sponsor’s address 92 BROAD STREET, GLENS FALLS, NY, 12801
ADIRONDACK PULMONARY MEDICINE, P.C. CASH BALANCE PLAN 2020 141793369 2021-10-12 ADIRONDACK PULMONARY MEDICINE, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5187939055
Plan sponsor’s address 92 BROAD STREET, GLENS FALLS, NY, 12801
ADIRONDACK PULMONARY MEDICINE, P.C. CASH BALANCE PLAN 2019 141793369 2020-10-14 ADIRONDACK PULMONARY MEDICINE, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5187939055
Plan sponsor’s address 92 BROAD STREET, GLENS FALLS, NY, 12801
ADIRONDACK PULMONARY MEDICINE, P.C. SAFE HARBOR 401(K) PROFIT SHARING PLAN 2019 141793369 2020-10-14 ADIRONDACK PULMONARY MEDICINE, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 5187939055
Plan sponsor’s address 92 BROAD STREET, GLENS FALLS, NY, 12801

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 92 BROAD STREET, GLENS FALLS, NY, United States, 12801

Chief Executive Officer

Name Role Address
SURENDRA K NEVATIA Chief Executive Officer 92 BROAD ST, GLENS FALLS, NY, United States, 12801

History

Start date End date Type Value
2008-06-16 2025-03-14 Address 92 BROAD ST, GLENS FALLS, NY, 12801, USA (Type of address: Chief Executive Officer)
1998-06-02 2008-06-16 Address 92 BROAD ST, GLENS FALLS, NY, 12801, USA (Type of address: Chief Executive Officer)
1996-06-07 2025-03-12 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1996-06-07 2025-03-14 Address 92 BROAD STREET, GLENS FALLS, NY, 12801, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250314003289 2025-03-12 CERTIFICATE OF DISSOLUTION-CANCELLATION 2025-03-12
200602061218 2020-06-02 BIENNIAL STATEMENT 2020-06-01
160601006488 2016-06-01 BIENNIAL STATEMENT 2016-06-01
140616006245 2014-06-16 BIENNIAL STATEMENT 2014-06-01
120716002947 2012-07-16 BIENNIAL STATEMENT 2012-06-01
100616002349 2010-06-16 BIENNIAL STATEMENT 2010-06-01
080616002374 2008-06-16 BIENNIAL STATEMENT 2008-06-01
060524002689 2006-05-24 BIENNIAL STATEMENT 2006-06-01
040630002195 2004-06-30 BIENNIAL STATEMENT 2004-06-01
020605002720 2002-06-05 BIENNIAL STATEMENT 2002-06-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6865368403 2021-02-11 0248 PPS 92 Broad St, Glens Falls, NY, 12801-4361
Loan Status Date 2022-04-07
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 47525
Loan Approval Amount (current) 47525
Undisbursed Amount 0
Franchise Name -
Lender Location ID 47268
Servicing Lender Name Glens Falls National Bank and Trust Company
Servicing Lender Address 250 Glen St, GLENS FALLS, NY, 12801-3505
Rural or Urban Indicator R
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Glens Falls, WARREN, NY, 12801-4361
Project Congressional District NY-21
Number of Employees 5
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 47268
Originating Lender Name Glens Falls National Bank and Trust Company
Originating Lender Address GLENS FALLS, NY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 48064.94
Forgiveness Paid Date 2022-03-29
2956567307 2020-04-29 0248 PPP 92 BROAD ST, GLENS FALLS, NY, 12801-4383
Loan Status Date 2021-11-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 32700
Loan Approval Amount (current) 32700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 47268
Servicing Lender Name Glens Falls National Bank and Trust Company
Servicing Lender Address 250 Glen St, GLENS FALLS, NY, 12801-3505
Rural or Urban Indicator R
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address GLENS FALLS, WARREN, NY, 12801-4383
Project Congressional District NY-21
Number of Employees 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 47268
Originating Lender Name Glens Falls National Bank and Trust Company
Originating Lender Address GLENS FALLS, NY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 33080.59
Forgiveness Paid Date 2021-07-02

Date of last update: 14 Mar 2025

Sources: New York Secretary of State