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  5. IRONDEQUOIT INTERNAL MEDICINE, LLC

IRONDEQUOIT INTERNAL MEDICINE, LLC

Company Details

Name: IRONDEQUOIT INTERNAL MEDICINE, LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 04 Jan 2000 (25 years ago)
Entity Number: 2457399
ZIP code: 14617
County: Monroe
Place of Formation: New York
Address: 485 TITUS AVENUE, STE H, ROCHESTER, NY, United States, 14617

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
IRONDEQUOIT INTERNAL MEDICINE 401(K) PROFIT SHARING PLAN & TRUST 2023 161577198 2024-06-06 IRONDEQUOIT INTERNAL MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5853387149
Plan sponsor’s address LLC KHISHCHENKO LARISA MEM, 485 TITUS AVE STE H, ROCHESTER, NY, 146173544

Signature of
Role Plan administrator
Date 2024-06-06
Name of individual signing LARISA KHISHCHENKO
IRONDEQUOIT INTERNAL MEDICINE 401(K) PROFIT SHARING PLAN & TRUST 2022 161577198 2023-06-20 IRONDEQUOIT INTERNAL MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5853387149
Plan sponsor’s address LLC KHISHCHENKO LARISA MEM, 485 TITUS AVE STE H, ROCHESTER, NY, 146173544

Signature of
Role Plan administrator
Date 2023-06-20
Name of individual signing LARISA KHISHCHENKO
IRONDEQUOIT INTERNAL MEDICINE 401(K) PROFIT SHARING PLAN & TRUST 2021 161577198 2022-06-21 IRONDEQUOIT INTERNAL MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5853387149
Plan sponsor’s address LLC KHISHCHENKO LARISA MEM, 485 TITUS AVE STE H, ROCHESTER, NY, 146173544

Signature of
Role Plan administrator
Date 2022-06-21
Name of individual signing LARISA KHISHCHENKO
IRONDEQUOIT INTERNAL MEDICINE 401(K) PROFIT SHARING PLAN & TRUST 2020 161577198 2021-06-03 IRONDEQUOIT INTERNAL MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5853387149
Plan sponsor’s address LLC KHISHCHENKO LARISA MEM, 485 TITUS AVE STE H, ROCHESTER, NY, 146173544

Signature of
Role Plan administrator
Date 2021-06-03
Name of individual signing LARISA KHISHCHENKO
IRONDEQUOIT INTERNAL MEDICINE 401(K) PROFIT SHARING PLAN & TRUST 2019 161577198 2020-07-15 IRONDEQUOIT INTERNAL MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5853387149
Plan sponsor’s address LLC KHISHCHENKO LARISA MEM, 485 TITUS AVE STE H, ROCHESTER, NY, 146173544

Signature of
Role Plan administrator
Date 2020-07-15
Name of individual signing LARISA KHISHCHENKO
IRONDEQUOIT INTERNAL MEDICINE 401 K PROFIT SHARING PLAN TRUST 2018 161577198 2019-06-05 IRONDEQUOIT INTERNAL MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5853387149
Plan sponsor’s address LLC KHISHCHENKO LARISA MEM, 485 TITUS AVE STE H, ROCHESTER, NY, 146173544

Signature of
Role Plan administrator
Date 2019-06-05
Name of individual signing LARISA KHISHCHENKO
IRONDEQUOIT INTERNAL MEDICINE 401 K PROFIT SHARING PLAN TRUST 2017 161577198 2018-06-22 IRONDEQUOIT INTERNAL MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5853387149
Plan sponsor’s address LLC KHISHCHENKO LARISA MEM, 485 TITUS AVE STE H, ROCHESTER, NY, 146173544

Signature of
Role Plan administrator
Date 2018-06-22
Name of individual signing LARISA KHISHCHENKO
IRONDEQUOIT INTERNAL MEDICINE 401 K PROFIT SHARING PLAN TRUST 2016 161577198 2017-07-12 IRONDEQUOIT INTERNAL MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5853387149
Plan sponsor’s address LLC KHISHCHENKO LARISA MEM, 485 TITUS AVE STE H, ROCHESTER, NY, 146173544

Signature of
Role Plan administrator
Date 2017-07-12
Name of individual signing LARISA KHISHCHENKO
IRONDEQUOIT INTERNAL MEDICINE 401 K PROFIT SHARING PLAN TRUST 2015 161577198 2016-07-12 IRONDEQUOIT INTERNAL MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5853387149
Plan sponsor’s address LLC KHISHCHENKO LARISA MEM, 485 TITUS AVE STE H, ROCHESTER, NY, 146173544

Signature of
Role Plan administrator
Date 2016-07-12
Name of individual signing LARISA KHISHCHENKO
IRONDEQUOIT INTERNAL MEDICINE 401 K PROFIT SHARING PLAN TRUST 2014 161577198 2015-06-16 IRONDEQUOIT INTERNAL MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 5853387149
Plan sponsor’s address LLC KHISHCHENKO LARISA MEM, 485 TITUS AVE STE H, ROCHESTER, NY, 146173544

Signature of
Role Plan administrator
Date 2015-06-16
Name of individual signing LARISA KHISHCHENKO

DOS Process Agent

Name Role Address
IRONDEQUOIT INTERNAL MEDICINE, LLC DOS Process Agent 485 TITUS AVENUE, STE H, ROCHESTER, NY, United States, 14617

History

Start date End date Type Value
2014-01-09 2024-01-08 Address 485 TITUS AVENUE, STE H, ROCHESTER, NY, 14617, USA (Type of address: Service of Process)
2000-01-04 2014-01-09 Address 485 TITUS AVENUE, ROCHESTER, NY, 14617, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240108002512 2024-01-08 BIENNIAL STATEMENT 2024-01-08
200103061239 2020-01-03 BIENNIAL STATEMENT 2020-01-01
180102007392 2018-01-02 BIENNIAL STATEMENT 2018-01-01
160105007021 2016-01-05 BIENNIAL STATEMENT 2016-01-01
140109006010 2014-01-09 BIENNIAL STATEMENT 2014-01-01
120228002007 2012-02-28 BIENNIAL STATEMENT 2012-01-01
100217002552 2010-02-17 BIENNIAL STATEMENT 2010-01-01
080116002347 2008-01-16 BIENNIAL STATEMENT 2008-01-01
060110002189 2006-01-10 BIENNIAL STATEMENT 2006-01-01
031230002209 2003-12-30 BIENNIAL STATEMENT 2004-01-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8260107101 2020-04-15 0219 PPP 485 TITUS AVE, STE H, ROCHESTER, NY, 14617
Loan Status Date 2021-04-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 26665
Loan Approval Amount (current) 26665
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 ROCHESTER, MONROE, NY, 14617-0011
Project Congressional District NY-25
Number of Employees 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 46391
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address BUFFALO, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 26900.24
Forgiveness Paid Date 2021-03-09
6170308302 2021-01-26 0219 PPS 485 Titus Ave Ste H, Rochester, NY, 14617-3544
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) 25000
Loan Approval Amount (current) 25000
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 Rochester, MONROE, NY, 14617-3544
Project Congressional District NY-25
Number of Employees 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 46391
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address BUFFALO, NY
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 25145.21
Forgiveness Paid Date 2021-09-07

Related by officers

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State

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