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  5. PLASTIC SURGERY GROUP OF ROCHESTER, LLC

PLASTIC SURGERY GROUP OF ROCHESTER, LLC

Company Details

Name: PLASTIC SURGERY GROUP OF ROCHESTER, LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 01 Jul 1999 (26 years ago)
Entity Number: 2394125
ZIP code: 14625
County: Monroe
Place of Formation: New York
Address: 10 HAGEN DR, STE 310, ROCHESTER, NY, United States, 14625

Contact Details

Phone +1 585-922-5840

Phone +1 585-368-4879

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PLASTIC SURGERY GROUP OF ROCHESTER CASH BALANCE PLAN 2023 161568143 2024-09-25 PLASTIC SURGERY GROUP OF ROCHESTER, LLC 26
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 5852491950
Plan sponsor’s address 360 LINDEN OAKS, SUITE 310, ROCHESTER, NY, 14625

Signature of
Role Plan administrator
Date 2024-09-25
Name of individual signing DAVID REFERMAT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-25
Name of individual signing DAVID REFERMAT
Valid signature Filed with authorized/valid electronic signature
THE PLASTIC SURGERY GROUP OF ROCHESTER, LLC 401(K) PLAN 2023 161568143 2024-09-25 PLASTIC SURGERY GROUP OF ROCHESTER, LLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 5852491950
Plan sponsor’s address 360 LINDEN OAKS, SUITE 310, ROCHESTER, NY, 14625

Signature of
Role Plan administrator
Date 2024-09-25
Name of individual signing DAVID REFERMAT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-25
Name of individual signing DAVID REFERMAT
Valid signature Filed with authorized/valid electronic signature
THE PLASTIC SURGERY GROUP OF ROCHESTER, LLC 401(K) PLAN 2022 161568143 2023-06-08 PLASTIC SURGERY GROUP OF ROCHESTER, LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 5852491950
Plan sponsor’s address 360 LINDEN OAKS, SUITE 310, ROCHESTER, NY, 14625

Signature of
Role Plan administrator
Date 2023-06-08
Name of individual signing MARK DAVENPORT
Role Employer/plan sponsor
Date 2023-06-08
Name of individual signing MARK DAVENPORT
PLASTIC SURGERY GROUP OF ROCHESTER CASH BALANCE PLAN 2022 161568143 2023-10-16 PLASTIC SURGERY GROUP OF ROCHESTER, LLC 26
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 5852491950
Plan sponsor’s address 360 LINDEN OAKS, SUITE 310, ROCHESTER, NY, 14625

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing MARK DAVENPORT
Role Employer/plan sponsor
Date 2023-10-16
Name of individual signing MARK DAVENPORT
THE PLASTIC SURGERY GROUP OF ROCHESTER, LLC 401(K) PLAN 2021 161568143 2022-07-14 PLASTIC SURGERY GROUP OF ROCHESTER, LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 5852491950
Plan sponsor’s address 360 LINDEN OAKS, SUITE 310, ROCHESTER, NY, 14625

Signature of
Role Plan administrator
Date 2022-07-14
Name of individual signing MARK DAVENPORT
Role Employer/plan sponsor
Date 2022-07-14
Name of individual signing MARK DAVENPORT
PLASTIC SURGERY GROUP OF ROCHESTER CASH BALANCE PLAN 2021 161568143 2022-07-14 PLASTIC SURGERY GROUP OF ROCHESTER, LLC 25
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 5852491950
Plan sponsor’s address 360 LINDEN OAKS, SUITE 310, ROCHESTER, NY, 14625

Signature of
Role Plan administrator
Date 2022-07-14
Name of individual signing MARK DAVENPORT
Role Employer/plan sponsor
Date 2022-07-14
Name of individual signing MARK DAVENPORT
PLASTIC SURGERY GROUP OF ROCHESTER CASH BALANCE PLAN 2020 161568143 2021-07-29 PLASTIC SURGERY GROUP OF ROCHESTER, LLC 25
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 5852491950
Plan sponsor’s address 360 LINDEN OAKS, SUITE 310, ROCHESTER, NY, 14625

Signature of
Role Plan administrator
Date 2021-07-29
Name of individual signing MARK DAVENPORT
Role Employer/plan sponsor
Date 2021-07-29
Name of individual signing MARK DAVENPORT
PLASTIC SURGERY GROUP OF ROCHESTER CASH BALANCE PLAN 2020 161568143 2021-07-29 PLASTIC SURGERY GROUP OF ROCHESTER, LLC 25
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 5852491950
Plan sponsor’s address 360 LINDEN OAKS, SUITE 310, ROCHESTER, NY, 14625

Signature of
Role Plan administrator
Date 2021-07-29
Name of individual signing MARK DAVENPORT
Role Employer/plan sponsor
Date 2021-07-29
Name of individual signing MARK DAVENPORT
PLASTIC SURGERY GROUP OF ROCHESTER CASH BALANCE PLAN 2019 161568143 2020-07-23 PLASTIC SURGERY GROUP OF ROCHESTER, LLC 24
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 5852491950
Plan sponsor’s address 360 LINDEN OAKS, SUITE 310, ROCHESTER, NY, 14625

Signature of
Role Plan administrator
Date 2020-07-22
Name of individual signing MARK DAVENPORT
Role Employer/plan sponsor
Date 2020-07-22
Name of individual signing MARK DAVENPORT

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 10 HAGEN DR, STE 310, ROCHESTER, NY, United States, 14625

History

Start date End date Type Value
1999-07-01 2005-08-04 Address 1445 PORTLAND AVENUE, STE. G01, ROCHESTER, NY, 14621, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
150318000158 2015-03-18 CERTIFICATE OF AMENDMENT 2015-03-18
130807002186 2013-08-07 BIENNIAL STATEMENT 2013-07-01
110830002881 2011-08-30 BIENNIAL STATEMENT 2011-07-01
090729002583 2009-07-29 BIENNIAL STATEMENT 2009-07-01
070731002026 2007-07-31 BIENNIAL STATEMENT 2007-07-01
050804002171 2005-08-04 BIENNIAL STATEMENT 2005-07-01
030905002174 2003-09-05 BIENNIAL STATEMENT 2003-07-01
990903000340 1999-09-03 AFFIDAVIT OF PUBLICATION 1999-09-03
990903000335 1999-09-03 AFFIDAVIT OF PUBLICATION 1999-09-03
990701000004 1999-07-01 ARTICLES OF ORGANIZATION 1999-07-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4833967003 2020-04-04 0219 PPP 360 LINDEN OAKS Suite 310, ROCHESTER, NY, 14625-2806
Loan Status Date 2021-01-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 302700
Loan Approval Amount (current) 302700
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 ROCHESTER, MONROE, NY, 14625-2806
Project Congressional District NY-25
Number of Employees 25
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
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 304558.24
Forgiveness Paid Date 2020-11-24
4616188310 2021-01-23 0219 PPS 360 Linden Oaks Ste 310, Rochester, NY, 14625-2814
Loan Status Date 2021-10-07
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 302774
Loan Approval Amount (current) 302774
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 Rochester, MONROE, NY, 14625-2814
Project Congressional District NY-25
Number of Employees 25
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
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 304750.44
Forgiveness Paid Date 2021-09-28

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State

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