FAIRMOUNT FAMILY MEDICINE, PLLC

Company Details

Name:	FAIRMOUNT FAMILY MEDICINE, PLLC
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status:	Active
Date of registration:	01 May 2002 (23 years ago)
Entity Number:	2761178
ZIP code:	13215
County:	Onondaga
Place of Formation:	New York
Address:	4883 MANOR HILL DR, SYRACUSE, NY, United States, 13215

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

FAIRMOUNT FAMILY MEDICINE, PLLC 401(K) PROFIT SHARING PLAN

2017

043670426

2018-05-11

FAIRMOUNT FAMILY MEDICINE, PLLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621111
Sponsor’s telephone number	3152342342
Plan sponsor’s address	5006 WEST GENESEE STREET, CAMILLUS, NY, 13031

Signature of

Name	Role	Address
FAIRMOUNT FAMILY MEDICINE, PLLC	DOS Process Agent	4883 MANOR HILL DR, SYRACUSE, NY, United States, 13215

Start date	End date	Type	Value
2008-09-24	2024-09-13	Address	4883 MANOR HILL DR, SYRACUSE, NY, 13215, USA (Type of address: Service of Process)
2004-04-28	2008-09-24	Address	5006 W GENESEE ST, CAMILLUS, NY, 13031, USA (Type of address: Service of Process)
2002-05-01	2004-04-28	Address	111 EAGLE CREST DRIVE, CAMILLUS, NY, 13031, USA (Type of address: Service of Process)

Filing Number	Date Filed	Type	Effective Date
240913003228	2024-09-13	BIENNIAL STATEMENT	2024-09-13
200805061403	2020-08-05	BIENNIAL STATEMENT	2020-05-01
180509006509	2018-05-09	BIENNIAL STATEMENT	2018-05-01
160525006014	2016-05-25	BIENNIAL STATEMENT	2016-05-01
140620006383	2014-06-20	BIENNIAL STATEMENT	2014-05-01
120515006344	2012-05-15	BIENNIAL STATEMENT	2012-05-01
100520003192	2010-05-20	BIENNIAL STATEMENT	2010-05-01
080924000095	2008-09-24	CERTIFICATE OF CHANGE	2008-09-24
080512002329	2008-05-12	BIENNIAL STATEMENT	2008-05-01
060503002317	2006-05-03	BIENNIAL STATEMENT	2006-05-01
040428002018	2004-04-28	BIENNIAL STATEMENT	2004-05-01
020715001239	2002-07-15	AFFIDAVIT OF PUBLICATION	2002-07-15
020715001238	2002-07-15	AFFIDAVIT OF PUBLICATION	2002-07-15
020501000033	2002-05-01	ARTICLES OF ORGANIZATION	2002-05-01

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

1055427200

2020-04-15

0248

PPP

5006 West Genesee Street, Camillus, NY, 13031

Loan Status Date	2021-05-18
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	76217
Loan Approval Amount (current)	76217
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	Camillus, ONONDAGA, NY, 13031-0001
Project Congressional District	NY-22
Number of Employees	10
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	76949.94
Forgiveness Paid Date	2021-04-15

Date of last update: 30 Mar 2025