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JAMESTOWN PEDIATRIC ASSOCIATES, LLP

Company Details

Name: JAMESTOWN PEDIATRIC ASSOCIATES, LLP
Jurisdiction: New York
Legal type: DOMESTIC REGISTERED LIMITED LIABILITY PARTNERSHIP
Status: Active
Date of registration: 26 Aug 1998 (27 years ago)
Entity Number: 2292087
ZIP code: 14701
County: Blank
Place of Formation: New York
Address: 816 FAIRMOUNT AVENUE, JAMESTOWN, NY, United States, 14701
Principal Address: 816 FAIRMOUNT AVE, JAMESTOWN, NY, United States, 14701

Contact Details

Phone +1 716-664-2589

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JAMESTOWN PEDIATRIC SAVINGS AND RETIREMENT PLAN 2022 161427271 2023-10-09 JAMESTOWN PEDIATRIC ASSOCIATES 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-02-01
Business code 621111
Sponsor’s telephone number 7166642589
Plan sponsor’s address 816 FAIRMOUNT AVE., JAMESTOWN, NY, 14701

Signature of

Role Plan administrator
Date 2023-10-09
Name of individual signing MARLENE S SWAN
Role Employer/plan sponsor
Date 2023-10-09
Name of individual signing MARLENE S SWAN
JAMESTOWN PEDIATRIC SAVINGS AND RETIREMENT PLAN 2021 161427271 2022-06-14 JAMESTOWN PEDIATRIC ASSOCIATES 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-02-01
Business code 621111
Sponsor’s telephone number 7166642589
Plan sponsor’s address 816 FAIRMOUNT AVE., JAMESTOWN, NY, 14701

Signature of

Role Plan administrator
Date 2022-06-14
Name of individual signing LYNN DUNHAM
Role Employer/plan sponsor
Date 2022-06-14
Name of individual signing MARLENE SWAN
JAMESTOWN PEDIATRIC SAVINGS AND RETIREMENT PLAN 2020 161427271 2021-09-07 JAMESTOWN PEDIATRIC ASSOCIATES 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-02-01
Business code 621111
Sponsor’s telephone number 7166642589
Plan sponsor’s address 816 FAIRMOUNT AVE., JAMESTOWN, NY, 14701

Signature of

Role Plan administrator
Date 2021-09-07
Name of individual signing LYNN DUNHAM
Role Employer/plan sponsor
Date 2021-09-07
Name of individual signing LYNN DUNHAM
JAMESTOWN PEDIATRIC SAVINGS AND RETIREMENT PLAN 2019 161427271 2020-10-15 JAMESTOWN PEDIATRIC ASSOCIATES 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-02-01
Business code 621111
Sponsor’s telephone number 7166642589
Plan sponsor’s address 816 FAIRMOUNT AVE., JAMESTOWN, NY, 14701

Signature of

Role Plan administrator
Date 2020-10-15
Name of individual signing MARLENE SWAN
JAMESTOWN PEDIATRIC SAVINGS AND RETIREMENT PLAN 2018 161427271 2019-10-07 JAMESTOWN PEDIATRIC ASSOCIATES 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-02-01
Business code 621111
Sponsor’s telephone number 7166642589
Plan sponsor’s address 816 FAIRMOUNT AVE., JAMESTOWN, NY, 14701

Signature of

Role Plan administrator
Date 2019-10-07
Name of individual signing LYNN DUNHAM
Role Employer/plan sponsor
Date 2019-10-07
Name of individual signing LYNN DUNHAM
JAMESTOWN PEDIATRIC SAVINGS AND RETIREMENT PLAN 2017 161427271 2018-06-22 JAMESTOWN PEDIATRIC ASSOCIATES 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-02-01
Business code 621111
Sponsor’s telephone number 7166642589
Plan sponsor’s address 816 FAIRMOUNT AVE., JAMESTOWN, NY, 14701

Signature of

Role Plan administrator
Date 2018-06-22
Name of individual signing MARLENE S SWAN
Role Employer/plan sponsor
Date 2018-06-22
Name of individual signing MARLENE SWAN
JAMESTOWN PEDIATRIC SAVINGS AND RETIREMENT PLAN 2016 161427271 2017-10-16 JAMESTOWN PEDIATRIC ASSOCIATES 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-02-01
Business code 621111
Sponsor’s telephone number 7166642589
Plan sponsor’s address 816 FAIRMOUNT AVE., JAMESTOWN, NY, 14701

Signature of

Role Plan administrator
Date 2017-10-16
Name of individual signing MARLENE SWAN
Role Employer/plan sponsor
Date 2017-10-16
Name of individual signing MARLENE SWAN
JAMESTOWN PEDIATRIC SAVINGS AND RETIREMENT PLAN 2015 161427271 2016-08-08 JAMESTOWN PEDIATRIC ASSOCIATES 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-02-01
Business code 621111
Sponsor’s telephone number 7166642589
Plan sponsor’s address 816 FAIRMOUNT AVENUE, JAMESTOWN, NY, 147012519

Signature of

Role Plan administrator
Date 2016-08-08
Name of individual signing LYNN DUNHAM
JAMESTOWN PEDIATRIC SAVINGS AND RETIREMENT PLAN 2014 161427271 2015-10-01 JAMESTOWN PEDIATRIC ASSOCIATES 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-02-01
Business code 621111
Sponsor’s telephone number 7166642589
Plan sponsor’s address 816 FAIRMOUNT AVENUE, JAMESTOWN, NY, 147012519

Signature of

Role Plan administrator
Date 2015-10-01
Name of individual signing LYNN DUNHAM
JAMESTOWN PEDIATRIC SAVINGS AND RETIREMENT PLAN 2013 161427271 2014-10-14 JAMESTOWN PEDIATRIC ASSOCIATES 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-02-01
Business code 621111
Sponsor’s telephone number 7166642589
Plan sponsor’s address 816 FAIRMOUNT AVENUE, JAMESTOWN, NY, 147012519

Signature of

Role Plan administrator
Date 2014-10-14
Name of individual signing LYNN DUNHAM

DOS Process Agent

Name Role Address
THE PARTNERSHIP DOS Process Agent 816 FAIRMOUNT AVENUE, JAMESTOWN, NY, United States, 14701

Filings

Filing Number Date Filed Type Effective Date
180621002058 2018-06-21 FIVE YEAR STATEMENT 2018-08-01
130724002055 2013-07-24 FIVE YEAR STATEMENT 2013-08-01
080715002594 2008-07-15 FIVE YEAR STATEMENT 2008-08-01
030722002101 2003-07-22 FIVE YEAR STATEMENT 2003-08-01
981109000121 1998-11-09 AFFIDAVIT OF PUBLICATION 1998-11-09
981109000118 1998-11-09 AFFIDAVIT OF PUBLICATION 1998-11-09
980826000144 1998-08-26 NOTICE OF REGISTRATION 1998-08-26

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4346687103 2020-04-13 0296 PPP 816 Fairmount Ave, JAMESTOWN, NY, 14701-2519
Loan Status Date 2021-07-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 502157
Loan Approval Amount (current) 502157
Undisbursed Amount 0
Franchise Name -
Lender Location ID 56102
Servicing Lender Name KeyBank National Association
Servicing Lender Address 127 Public Sq, CLEVELAND, OH, 44114-1217
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Unanswered
Project Address JAMESTOWN, CHAUTAUQUA, NY, 14701-2519
Project Congressional District NY-23
Number of Employees 32
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Partnership
Originating Lender ID 56102
Originating Lender Name KeyBank National Association
Originating Lender Address CLEVELAND, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 508017.79
Forgiveness Paid Date 2021-06-24
9531368603 2021-03-26 0296 PPS 816 Fairmount Ave, Jamestown, NY, 14701-2545
Loan Status Date 2021-11-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 415018
Loan Approval Amount (current) 415018
Undisbursed Amount 0
Franchise Name -
Lender Location ID 56102
Servicing Lender Name KeyBank National Association
Servicing Lender Address 127 Public Sq, CLEVELAND, OH, 44114-1217
Rural or Urban Indicator R
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Jamestown, CHAUTAUQUA, NY, 14701-2545
Project Congressional District NY-23
Number of Employees 31
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Partnership
Originating Lender ID 56102
Originating Lender Name KeyBank National Association
Originating Lender Address CLEVELAND, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 416996.44
Forgiveness Paid Date 2021-10-26

Date of last update: 31 Mar 2025

Sources: New York Secretary of State