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  5. SARATOGA FAMILY MEDICINE, PLLC

SARATOGA FAMILY MEDICINE, PLLC

Company Details

Name: SARATOGA FAMILY MEDICINE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 Dec 2002 (22 years ago)
Entity Number: 2848475
ZIP code: 12020
County: Saratoga
Place of Formation: New York
Address: 100 SARATOGA VILLAGE BLVD, SUITE 34, MALTA, NY, United States, 12020

Contact Details

Phone +1 518-899-9090

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SARATOGA FAMILY MEDICINE 401(K) PLAN 2023 320043730 2024-07-25 SARATOGA FAMILY MEDICINE 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621111
Sponsor’s telephone number 5188999090
Plan sponsor’s address 6 MEDICAL PARK DRIVE, SUITE 208, MALTA, NY, 12020

Signature of
Role Plan administrator
Date 2024-07-25
Name of individual signing DR. MARIANNE MUSTAFA
SARATOGA FAMILY MEDICINE 401(K) PLAN 2022 320043730 2023-04-21 SARATOGA FAMILY MEDICINE 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621111
Sponsor’s telephone number 5188999090
Plan sponsor’s address 6 MEDICAL PARK DRIVE, SUITE 208, MALTA, NY, 12020

Signature of
Role Plan administrator
Date 2023-04-21
Name of individual signing DR. MARIANNE MUSTAFA
SARATOGA FAMILY MEDICINE 401(K) PLAN 2021 320043730 2022-07-27 SARATOGA FAMILY MEDICINE 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621111
Sponsor’s telephone number 5188999090
Plan sponsor’s address 6 MEDICAL PARK DRIVE, SUITE 208, MALTA, NY, 12020

Signature of
Role Plan administrator
Date 2022-07-27
Name of individual signing DR. MARIANNE MUSTAFA
SARATOGA FAMILY MEDICINE 401(K) PLAN 2020 320043730 2021-10-13 SARATOGA FAMILY MEDICINE 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621111
Sponsor’s telephone number 5188999090
Plan sponsor’s address 6 MEDICAL PARK DRIVE, SUITE 208, MALTA, NY, 12020

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing DR. MARIANNE MUSTAFA
SARATOGA FAMILY MEDICINE 401(K) PLAN 2019 320043730 2020-10-08 SARATOGA FAMILY MEDICINE 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621111
Sponsor’s telephone number 5188999090
Plan sponsor’s address 6 MEDICAL PARK DRIVE, SUITE 208, MALTA, NY, 12020

Signature of
Role Plan administrator
Date 2020-10-08
Name of individual signing DR. MARIANNE MUSTAFA
SARATOGA FAMILY MEDICINE 401(K) PLAN 2018 320043730 2019-05-24 SARATOGA FAMILY MEDICINE 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621111
Sponsor’s telephone number 5188999090
Plan sponsor’s address 6 MEDICAL PARK DRIVE, SUITE 208, MALTA, NY, 12020

Signature of
Role Plan administrator
Date 2019-05-24
Name of individual signing DR. MARIANNE MUSTAFA
SARATOGA FAMILY MEDICINE 401(K) PLAN 2017 320043730 2018-01-22 SARATOGA FAMILY MEDICINE 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621111
Sponsor’s telephone number 5188999090
Plan sponsor’s address 6 MEDICAL PARK DRIVE, SUITE 208, MALTA, NY, 12020

Signature of
Role Plan administrator
Date 2018-01-22
Name of individual signing DR. MARIANNE MUSTAFA
SARATOGA FAMILY MEDICINE 401(K) PLAN 2016 320043730 2017-05-30 SARATOGA FAMILY MEDICINE 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621111
Sponsor’s telephone number 5188999090
Plan sponsor’s address 6 MEDICAL PARK DRIVE, SUITE 208, MALTA, NY, 12020

Signature of
Role Plan administrator
Date 2017-05-30
Name of individual signing DR. MARIANNE MUSTAFA
SARATOGA FAMILY MEDICINE 401(K) PLAN 2015 320043730 2016-06-07 SARATOGA FAMILY MEDICINE 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621111
Sponsor’s telephone number 5188999090
Plan sponsor’s address 6 MEDICAL PARK DRIVE, SUITE 208, MALTA, NY, 12020

Signature of
Role Plan administrator
Date 2016-06-07
Name of individual signing DR. MARIANNE MUSTAFA
SARATOGA FAMILY MEDICINE 401(K) PLAN 2014 320043730 2015-07-21 SARATOGA FAMILY MEDICINE 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 621111
Sponsor’s telephone number 5188999090
Plan sponsor’s address 6 MEDICAL PARK DRIVE, SUITE 208, MALTA, NY, 12020

Signature of
Role Plan administrator
Date 2015-07-21
Name of individual signing DR. MARIANNE MUSTAFA

DOS Process Agent

Name Role Address
C/O MARIANNE A. MUSTAFA, MD DOS Process Agent 100 SARATOGA VILLAGE BLVD, SUITE 34, MALTA, NY, United States, 12020

Filings

Filing Number Date Filed Type Effective Date
050124002783 2005-01-24 BIENNIAL STATEMENT 2004-12-01
030304000031 2003-03-04 AFFIDAVIT OF PUBLICATION 2003-03-04
030304000032 2003-03-04 AFFIDAVIT OF PUBLICATION 2003-03-04
021223000145 2002-12-23 ARTICLES OF ORGANIZATION 2003-01-05

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6009157008 2020-04-06 0248 PPP 6 MEDICAL PARK DR STE 208, BALLSTON SPA, NY, 12020-5050
Loan Status Date 2021-03-11
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 157400
Loan Approval Amount (current) 157400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 50168
Servicing Lender Name The Adirondack Trust Company
Servicing Lender Address 473 Broadway, SARATOGA SPRINGS, NY, 12866-2203
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address BALLSTON SPA, SARATOGA, NY, 12020-5050
Project Congressional District NY-20
Number of Employees 19
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 50168
Originating Lender Name The Adirondack Trust Company
Originating Lender Address SARATOGA SPRINGS, NY
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 158676.69
Forgiveness Paid Date 2021-02-03
8377528403 2021-02-13 0248 PPS 6 Medical Park Dr Ste 208, Ballston Spa, NY, 12020-5053
Loan Status Date 2022-09-15
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 157105
Loan Approval Amount (current) 157105
Undisbursed Amount 0
Franchise Name -
Lender Location ID 50168
Servicing Lender Name The Adirondack Trust Company
Servicing Lender Address 473 Broadway, SARATOGA SPRINGS, NY, 12866-2203
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Ballston Spa, SARATOGA, NY, 12020-5053
Project Congressional District NY-20
Number of Employees 18
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 50168
Originating Lender Name The Adirondack Trust Company
Originating Lender Address SARATOGA SPRINGS, NY
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 159518.31
Forgiveness Paid Date 2022-08-24

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State

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