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  5. PORTLAND PEDIATRIC GROUP, LLP

PORTLAND PEDIATRIC GROUP, LLP

Company Details

Name: PORTLAND PEDIATRIC GROUP, LLP
Jurisdiction: New York
Legal type: DOMESTIC REGISTERED LIMITED LIABILITY PARTNERSHIP
Status: Active
Date of registration: 19 Dec 2001 (23 years ago)
Entity Number: 2710155
ZIP code: 14617
County: Blank
Place of Formation: New York
Address: 1700 HUDSON AVENUE, ROCHESTER, NY, United States, 14617

Contact Details

Phone +1 585-872-3390

Phone +1 585-342-5694

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PORTLAND PEDIATRIC GROUP, LLP 401(K) PROFIT SHARING PLAN 2023 160951183 2024-09-30 PORTLAND PEDIATRIC GROUP, LLP 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5853425665
Plan sponsor’s mailing address 1700 HUDSON AVE, ROCHESTER, NY, 146175155
Plan sponsor’s address 1700 HUDSON AVE, ROCHESTER, NY, 146175155

Number of participants as of the end of the plan year
Active participants 9
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 7
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 13
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2024-09-30
Name of individual signing RODERICK DAVIS
Valid signature Filed with authorized/valid electronic signature
PORTLAND PEDIATRIC GROUP, LLP 401(K) PROFIT SHARING PLAN 2022 160951183 2023-06-29 PORTLAND PEDIATRIC GROUP, LLP 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5853425665
Plan sponsor’s mailing address 1700 HUDSON AVE, ROCHESTER, NY, 146175155
Plan sponsor’s address 1700 HUDSON AVE, ROCHESTER, NY, 146175155

Number of participants as of the end of the plan year
Active participants 10
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 5
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 12
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2023-06-29
Name of individual signing RODERICK DAVIS
Valid signature Filed with authorized/valid electronic signature
PORTLAND PEDIATRIC GROUP, LLP 401(K) PROFIT SHARING PLAN 2021 160951183 2022-06-16 PORTLAND PEDIATRIC GROUP, LLP 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5853425665
Plan sponsor’s mailing address 1700 HUDSON AVE, ROCHESTER, NY, 146175155
Plan sponsor’s address 1700 HUDSON AVE, ROCHESTER, NY, 146175155

Number of participants as of the end of the plan year
Active participants 11
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 5
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 14
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2022-06-16
Name of individual signing RODERICK DAVIS
Valid signature Filed with authorized/valid electronic signature
PORTLAND PEDIATRIC GROUP, LLP 401(K) PROFIT SHARING PLAN 2020 160951183 2021-09-04 PORTLAND PEDIATRIC GROUP, LLP 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5853425665
Plan sponsor’s mailing address 1700 HUDSON AVE, ROCHESTER, NY, 146175155
Plan sponsor’s address 1700 HUDSON AVE, ROCHESTER, NY, 146175155

Number of participants as of the end of the plan year
Active participants 11
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 6
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 16
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2021-09-04
Name of individual signing RODERICK DAVIS
Valid signature Filed with authorized/valid electronic signature
PORTLAND PEDIATRIC GROUP, LLP 401(K) PROFIT SHARING PLAN 2019 160951183 2020-07-09 PORTLAND PEDIATRIC GROUP, LLP 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5853425665
Plan sponsor’s mailing address 1700 HUDSON AVE, ROCHESTER, NY, 146175155
Plan sponsor’s address 1700 HUDSON AVE, ROCHESTER, NY, 146175155

Number of participants as of the end of the plan year
Active participants 13
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 4
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 15
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2020-07-09
Name of individual signing RODERICK DAVIS
Valid signature Filed with authorized/valid electronic signature
PORTLAND PEDIATRIC GROUP, LLP 401(K) PROFIT SHARING PLAN 2018 160951183 2019-07-25 PORTLAND PEDIATRIC GROUP, LLP 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5853425665
Plan sponsor’s address 1700 HUDSON AVE, ROCHESTER, NY, 146175155
PORTLAND PEDIATRIC GROUP, LLP 401K PROFIT SHARING PLAN 2017 160951183 2018-05-31 PORTLAND PEDIATRIC GROUP, LLP 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5853425665
Plan sponsor’s address 1700 HUDSON AVE, ROCHESTER, NY, 146175104

Plan administrator’s name and address
Administrator’s EIN 160951183
Plan administrator’s name PORTLAND PEDIATRIC GROUP, LLP
Plan administrator’s address 1700 HUDSON AVE, ROCHESTER, NY, 146175104
Administrator’s telephone number 5853425665

Signature of
Role Plan administrator
Date 2018-05-31
Name of individual signing RODERICK DAVIS
PORTLAND PEDIATRIC GROUP, LLP 401K PROFIT SHARING PLAN 2016 160951183 2017-07-31 PORTLAND PEDIATRIC GROUP, LLP 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5853425665
Plan sponsor’s address 1700 HUDSON AVE, ROCHESTER, NY, 146175104

Plan administrator’s name and address
Administrator’s EIN 160951183
Plan administrator’s name PORTLAND PEDIATRIC GROUP, LLP
Plan administrator’s address 1700 HUDSON AVE, ROCHESTER, NY, 146175104
Administrator’s telephone number 5853425665

Signature of
Role Plan administrator
Date 2017-07-31
Name of individual signing RODERICK DAVIS
PORTLAND PEDIATRIC GROUP, LLP 401K PROFIT SHARING PLAN 2015 160951183 2016-07-08 PORTLAND PEDIATRIC GROUP, LLP 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5853425665
Plan sponsor’s address 1700 HUDSON AVE, ROCHESTER, NY, 146175104

Plan administrator’s name and address
Administrator’s EIN 160951183
Plan administrator’s name PORTLAND PEDIATRIC GROUP, LLP
Plan administrator’s address 1700 HUDSON AVE, ROCHESTER, NY, 146175104
Administrator’s telephone number 5853425665

Signature of
Role Plan administrator
Date 2016-07-08
Name of individual signing RODERICK DAVIS
PORTLAND PEDIATRIC GROUP, LLP 401K PROFIT SHARING PLAN 2014 160951183 2015-07-09 PORTLAND PEDIATRIC GROUP, LLP 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5853425665
Plan sponsor’s address 1700 HUDSON AVE, ROCHESTER, NY, 146175104

Plan administrator’s name and address
Administrator’s EIN 160951183
Plan administrator’s name PORTLAND PEDIATRIC GROUP, LLP
Plan administrator’s address 1700 HUDSON AVE, ROCHESTER, NY, 146175104
Administrator’s telephone number 5853425665

Signature of
Role Plan administrator
Date 2015-07-09
Name of individual signing RODERICK DAVIS

DOS Process Agent

Name Role Address
THE PARTNERSHIP DOS Process Agent 1700 HUDSON AVENUE, ROCHESTER, NY, United States, 14617

Filings

Filing Number Date Filed Type Effective Date
161025002011 2016-10-25 FIVE YEAR STATEMENT 2016-12-01
130222000796 2013-02-22 CERTIFICATE OF CONSENT 2013-02-22
130221002229 2013-02-21 FIVE YEAR STATEMENT 2011-12-01
RV-2140083 2012-04-25 REVOCATION OF REGISTRATION 2012-04-25
061120002297 2006-11-20 FIVE YEAR STATEMENT 2006-12-01
020311000456 2002-03-11 AFFIDAVIT OF PUBLICATION 2002-03-11
020311000454 2002-03-11 AFFIDAVIT OF PUBLICATION 2002-03-11
011219000008 2001-12-19 NOTICE OF REGISTRATION 2002-01-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1998588509 2021-02-19 0219 PPS 1700 Hudson Ave, Rochester, NY, 14617-5155
Loan Status Date 2022-01-07
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 101006
Loan Approval Amount (current) 101006
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, 14617-5155
Project Congressional District NY-25
Number of Employees 8
NAICS code 561110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Partnership
Originating Lender ID 47007
Originating Lender Name The Canandaigua National Bank and Trust Company
Originating Lender Address CANANDAIGUA, NY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 101850.52
Forgiveness Paid Date 2021-12-22
6558267009 2020-04-07 0219 PPP 1700 HUDSON AVE, ROCHESTER, NY, 14617-5104
Loan Status Date 2021-04-07
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 128100
Loan Approval Amount (current) 128100
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, 14617-5104
Project Congressional District NY-25
Number of Employees 10
NAICS code 561110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Partnership
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 129256.46
Forgiveness Paid Date 2021-03-09

Related by officers

THE PARTNERSHIP

CARBONE & CARBONE LLP FORESTVILLE SPECIAL NEEDS SRO, L.P. FORT DRUM STUDIO-TELS., L.P. SCP CO-INVESTMENT FUND I, L.P. NORTHERN BOULEVARD LIMITED PARTNERSHIP PINNACLE MEDINA CAPITAL, LTD. LUCCHESE & D'AMMORA, LLP SARETSKY, KATZ, DRANOFF, WEISSMAN & MAYNARD, LLP STELLIAM MASTER FUND, L.P. GS CAPITAL PARTNERS VI PIA PMD QP FUND, L.P.

Related by address

1700 HUDSON AVENUE, ROCHESTER, NY, United States, 14617

WOLCOTT - PARK, INC. MACTO INTERNATIONAL CORP.

Date of last update: 30 Mar 2025

Sources: New York Secretary of State

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