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IRONDEQUOIT INTERNAL MEDICINE, LLC

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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 (26 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

DOS Process Agent

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

National Provider Identifier

NPI Number:
1245375708

Authorized Person:

Name:
DR. LARISA KHISHCHENKO
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
5853387304

Form 5500 Series

Employer Identification Number (EIN):
161577198
Plan Year:
2024
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
5
Sponsors Telephone Number:

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

USAspending Awards / Financial Assistance

Date:
2021-01-26
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
25000.00
Total Face Value Of Loan:
25000.00
Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
26665.00
Total Face Value Of Loan:
26665.00

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$26,665
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$26,665
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$26,900.24
Servicing Lender:
Manufacturers and Traders Trust Company
Use of Proceeds:
Payroll: $21,332
Utilities: $1,911
Mortgage Interest: $0
Rent: $3,422
Refinance EIDL: $0
Healthcare: $0
Debt Interest: $0
Jobs Reported:
4
Initial Approval Amount:
$25,000
Date Approved:
2021-01-26
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$25,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$25,145.21
Servicing Lender:
Manufacturers and Traders Trust Company
Use of Proceeds:
Payroll: $24,996
Utilities: $1

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State