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  5. MENDON PEDIATRICS, PLLC

MENDON PEDIATRICS, PLLC

Company Details

Name: MENDON PEDIATRICS, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 30 Dec 1998 (26 years ago)
Entity Number: 2329737
ZIP code: 14506
County: Monroe
Place of Formation: New York
Address: 30 ASSEMBLY DRIVE STE 101, PO BOX 488, MENDON, NY, United States, 14506

Contact Details

Phone +1 585-624-4520

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
FQ6BRMQBA613 2025-04-18 30 ASSEMBLY DR STE 101, MENDON, NY, 14506, 9608, USA 30 ASSEMBLY DRIVE, SUITE 101, MENDON, NY, 14506, USA

Business Information
Division Name MENDON PEDIATRICS, PLLC
Congressional District 25
State/Country of Incorporation NY, USA
Activation Date 2024-04-25
Initial Registration Date 2024-04-12
Entity Start Date 1999-01-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621111

Points of Contacts
Electronic Business
Title PRIMARY POC
Name LISA M EVANS
Role OFFICE MANAGER
Address 30 ASSEMBLY DRIVE, SUITE 101, MENDON, NY, 14506, USA
Government Business
Title PRIMARY POC
Name LISA M EVANS
Role OFFICE MANAGER
Address 30 ASSEMBLY DRIVE, SUITE 101, MENDON, NY, 14506, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MENDON PEDIATRICS, PLLC 401(K) PLAN 2023 161577420 2024-05-29 MENDON PEDIATRICS, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5856244520
Plan sponsor’s address 30 ASSEMBLY DR STE 101, MENDON, NY, 14506

Signature of
Role Plan administrator
Date 2024-05-28
Name of individual signing JENNIFER LESIC
MENDON PEDIATRICS, PLLC 401(K) PLAN 2022 161577420 2023-07-03 MENDON PEDIATRICS, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5856244520
Plan sponsor’s address 30 ASSEMBLY DR STE 101, MENDON, NY, 14506

Signature of
Role Plan administrator
Date 2023-07-02
Name of individual signing JENNIFER LESIC
MENDON PEDIATRICS, PLLC 401(K) PLAN 2021 161577420 2022-07-31 MENDON PEDIATRICS, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5856244520
Plan sponsor’s address 30 ASSEMBLY DR STE 101, MENDON, NY, 14506

Signature of
Role Plan administrator
Date 2022-07-31
Name of individual signing JENNIFER LESIC
MENDON PEDIATRICS, PLLC 401(K) PLAN 2020 161577420 2021-07-01 MENDON PEDIATRICS, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5856244520
Plan sponsor’s address 30 ASSEMBLY DR STE 101, MENDON, NY, 14506

Signature of
Role Plan administrator
Date 2021-07-01
Name of individual signing JENNIFER LESIC
MENDON PEDIATRICS, PLLC 401(K) PLAN 2019 161577420 2020-08-30 MENDON PEDIATRICS, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5856244520
Plan sponsor’s address 30 ASSEMBLY DR STE 101, MENDON, NY, 14506

Signature of
Role Plan administrator
Date 2020-08-30
Name of individual signing JENNIFER LESIC
MENDON PEDIATRICS, PLLC 401(K) PLAN 2018 161577420 2019-06-29 MENDON PEDIATRICS, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5856244520
Plan sponsor’s address 30 ASSEMBLY DR STE 101, MENDON, NY, 14506

Signature of
Role Plan administrator
Date 2019-06-29
Name of individual signing JENNIFER LESIC
MENDON PEDIATRICS, PLLC 401(K) PLAN 2017 161577420 2018-09-06 MENDON PEDIATRICS, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5856244520
Plan sponsor’s address 30 ASSEMBLY DR STE 101, MENDON, NY, 14506

Signature of
Role Plan administrator
Date 2018-09-03
Name of individual signing JENNIFER LESIC
MENDON PEDIATRICS, PLLC 401(K) PLAN 2016 161577420 2017-07-29 MENDON PEDIATRICS, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5856244520
Plan sponsor’s address 30 ASSEMBLY DR STE 101, MENDON, NY, 14506

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing JENNIFER LESIC
MENDON PEDIATRICS, PLLC 401(K) PLAN 2015 161577420 2016-09-29 MENDON PEDIATRICS, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5856244520
Plan sponsor’s address 30 ASSEMBLY DR STE 101, MENDON, NY, 14506

Signature of
Role Plan administrator
Date 2016-09-29
Name of individual signing JENNIFER LESIC
MENDON PEDIATRICS, PLLC 401(K) PLAN 2014 161577420 2015-09-22 MENDON PEDIATRICS, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5856244520
Plan sponsor’s address 30 ASSEMBLY DR STE 101, MENDON, NY, 14506

Signature of
Role Plan administrator
Date 2015-09-22
Name of individual signing JENNIFER LESIC

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 30 ASSEMBLY DRIVE STE 101, PO BOX 488, MENDON, NY, United States, 14506

History

Start date End date Type Value
2006-12-05 2010-12-14 Address 30 ASSEMBLY DRIVE_STE 101, PO BOX 488, MENDON, NY, 14506, 0488, USA (Type of address: Service of Process)
2001-01-09 2006-12-05 Address 30 ASSEMBLY DRIVE, SUITE 105, MENDON, NY, 14506, 0488, USA (Type of address: Service of Process)
1998-12-30 2001-01-09 Address 30 ASSEMBLY DRIVE, MENDON, NY, 14506, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
181231006098 2018-12-31 BIENNIAL STATEMENT 2018-12-01
141231006052 2014-12-31 BIENNIAL STATEMENT 2014-12-01
121231006113 2012-12-31 BIENNIAL STATEMENT 2012-12-01
101214002668 2010-12-14 BIENNIAL STATEMENT 2010-12-01
081125002498 2008-11-25 BIENNIAL STATEMENT 2008-12-01
061205002238 2006-12-05 BIENNIAL STATEMENT 2006-12-01
041216002129 2004-12-16 BIENNIAL STATEMENT 2004-12-01
010109002243 2001-01-09 BIENNIAL STATEMENT 2000-12-01
990817000223 1999-08-17 AFFIDAVIT OF PUBLICATION 1999-08-17
990817000221 1999-08-17 AFFIDAVIT OF PUBLICATION 1999-08-17

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6653897008 2020-04-07 0219 PPP 30 Assembly Drive Suite 101, MENDON, NY, 14506-9602
Loan Status Date 2021-02-05
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 72100
Loan Approval Amount (current) 72100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 47007
Servicing Lender Name The Canandaigua National Bank and Trust Company
Servicing Lender Address 72 S Main St, CANANDAIGUA, NY, 14424-1905
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MENDON, MONROE, NY, 14506-9602
Project Congressional District NY-25
Number of Employees 13
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Professional Association
Originating Lender ID 47007
Originating Lender Name The Canandaigua National Bank and Trust Company
Originating Lender Address CANANDAIGUA, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 72648.76
Forgiveness Paid Date 2021-01-20

U.S. Small Business Administration Profile

Status User ID Name of Firm Trade Name UEI Address
Active P3264297 MENDON PEDIATRICS, PLLC - FQ6BRMQBA613 30 ASSEMBLY DR STE 101, MENDON, NY, 14506-9608
Capabilities Statement Link -
Phone Number 585-624-4520
Fax Number 585-624-4829
E-mail Address levans@mendonpediatrics.com
WWW Page www.mendonpediatrics.com
E-Commerce Website -
Contact Person LISA EVANS
County Code (3 digit) 055
Congressional District 25
Metropolitan Statistical Area 6840
CAGE Code 9VPA7
Year Established 1999
Accepts Government Credit Card Yes
Legal Structure Corporation
Ownership and Self-Certifications -
Business Development Servicing Office BUFFALO DISTRICT OFFICE (SBA office code 0296)
Capabilities Narrative (none given)
Special Equipment/Materials (none given)
Business Type Percentages (none given)
Keywords (none given)
Quality Assurance Standards (none given)
Electronic Data Interchange capable -

SBA Federal Certifications
HUBZone Certified No
Women Owned Certified No
Women Owned Pending No
Economically Disadvantaged Women Owned Certified No
Economically Disadvantaged Women Owned Pending No
Veteran-Owned Small Business Certified No
Veteran-Owned Small Business Joint Venture No
Service-Disabled Veteran-Owned Small Business Certified No
Service-Disabled Veteran-Owned Small Business Joint Venture No

Bonding Levels
Description Construction Bonding Level (per contract)
Level (none given)
Description Construction Bonding Level (aggregate)
Level (none given)
Description Service Bonding Level (per contract)
Level (none given)
Description Service Bonding Level (aggregate)
Level (none given)

NAICS Codes with Size Determinations by NAICS
Primary Yes
Code 621111
NAICS Code's Description Offices of Physicians (except Mental Health Specialists)
Buy Green Yes

Export Profile (Trade Mission Online)
Exporter Firm hasn't answered this question yet
Export Business Activities (none given)
Exporting to (none given)
Desired Export Business Relationships (none given)
Description of Export Objective(s) (none given)

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Related by address

No related companies by address

Date of last update: 31 Mar 2025

Sources: New York Secretary of State

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