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  5. FAIRGROUNDS FAMILY PHYSICIANS, PLLC

FAIRGROUNDS FAMILY PHYSICIANS, PLLC

Company Details

Name: FAIRGROUNDS FAMILY PHYSICIANS, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 08 Jan 2003 (22 years ago)
Entity Number: 2854017
ZIP code: 13104
County: Onondaga
Place of Formation: New York
Address: 115 FAIRGROUND DRIVE, MANLIUS, NY, United States, 13104

Contact Details

Phone +1 315-682-8610

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAIRGROUNDS FAMILY PHYSICIANS 401(K) 2015 161403148 2016-02-12 FAIRGROUNDS FAMILY PHYSICIANS 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3156826165
Plan sponsor’s address 115 FAIRGROUNDS DRIVE, MANLIUS, NY, 13104

Signature of
Role Plan administrator
Date 2016-02-12
Name of individual signing JARROD BAGATELL
FAIRGROUNDS FAMILY PHYSICIANS 401(K) 2014 161403148 2015-06-30 FAIRGROUNDS FAMILY PHYSICIANS 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3156826165
Plan sponsor’s address 115 FAIRGROUNDS DRIVE, MANLIUS, NY, 13104

Signature of
Role Plan administrator
Date 2015-06-30
Name of individual signing JARROD BAGATELL
Role Employer/plan sponsor
Date 2015-06-30
Name of individual signing JARROD BAGATELL
FAIRGROUNDS FAMILY PHYSICIANS 401(K) 2013 161403148 2014-07-10 FAIRGROUNDS FAMILY PHYSICIANS 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3156826165
Plan sponsor’s address 115 FAIRGROUNDS DRIVE, MANLIUS, NY, 13104

Signature of
Role Plan administrator
Date 2014-07-10
Name of individual signing JARROD BAGATELL
FAIRGROUNDS FAMILY PHYSICIANS 401(K) 2012 161403148 2013-07-18 FAIRGROUNDS FAMILY PHYSICIANS 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3156826165
Plan sponsor’s address 115 FAIRGROUNDS DRIVE, MANLIUS, NY, 13104

Signature of
Role Plan administrator
Date 2013-07-18
Name of individual signing JARROD BAGATELL
FAIRGROUNDS FAMILY PHYSICIANS 401(K) 2011 161403148 2012-07-15 FAIRGROUNDS FAMILY PHYSICIANS 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3156826165
Plan sponsor’s address 115 FAIRGROUNDS DRIVE, MANLIUS, NY, 13104

Plan administrator’s name and address
Administrator’s EIN 161403148
Plan administrator’s name FAIRGROUNDS FAMILY PHYSICIANS
Plan administrator’s address 115 FAIRGROUNDS DRIVE, MANLIUS, NY, 13104
Administrator’s telephone number 3156826165

Signature of
Role Plan administrator
Date 2012-07-15
Name of individual signing JARROD BAGATELL, MD
FAIRGROUNDS FAMILY PHYSICIANS 401(K) 2010 161403148 2011-07-14 FAIRGROUNDS FAMILY PHYSICIANS 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3156826165
Plan sponsor’s address 115 FAIRGROUNDS DRIVE, MANLIUS, NY, 13104

Plan administrator’s name and address
Administrator’s EIN 161403148
Plan administrator’s name FAIRGROUNDS FAMILY PHYSICIANS
Plan administrator’s address 115 FAIRGROUNDS DRIVE, MANLIUS, NY, 13104
Administrator’s telephone number 3156826165

Signature of
Role Plan administrator
Date 2011-07-14
Name of individual signing JARROD BAGATELL
FAIRGROUNDS FAMILY PHYSICIANS 401(K) 2009 161403148 2010-07-18 FAIRGROUNDS FAMILY PHYSICIANS 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3156826165
Plan sponsor’s address 115 FAIRGROUNDS DRIVE, MANLIUS, NY, 13104

Plan administrator’s name and address
Administrator’s EIN 161403148
Plan administrator’s name FAIRGROUNDS FAMILY PHYSICIANS
Plan administrator’s address 115 FAIRGROUNDS DRIVE, MANLIUS, NY, 13104
Administrator’s telephone number 3156826165

Signature of
Role Plan administrator
Date 2010-07-18
Name of individual signing JARROD BAGATELL

DOS Process Agent

Name Role Address
PHILIP KAPLAN MD DOS Process Agent 115 FAIRGROUND DRIVE, MANLIUS, NY, United States, 13104

History

Start date End date Type Value
2003-01-08 2009-01-07 Address ATTN: MARY C. MEYER, ESQ., 1500 MONY TOWER I, PO BOX 4976, SYRACUSE, NY, 13221, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210104063165 2021-01-04 BIENNIAL STATEMENT 2021-01-01
190130060313 2019-01-30 BIENNIAL STATEMENT 2019-01-01
150211006283 2015-02-11 BIENNIAL STATEMENT 2015-01-01
130219002104 2013-02-19 BIENNIAL STATEMENT 2013-01-01
110127002451 2011-01-27 BIENNIAL STATEMENT 2011-01-01
090107002201 2009-01-07 BIENNIAL STATEMENT 2009-01-01
070309002351 2007-03-09 BIENNIAL STATEMENT 2007-01-01
050314002643 2005-03-14 BIENNIAL STATEMENT 2005-01-01
030321000547 2003-03-21 AFFIDAVIT OF PUBLICATION 2003-03-21
030321000529 2003-03-21 AFFIDAVIT OF PUBLICATION 2003-03-21

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3499458510 2021-02-24 0248 PPS 115 Fairgrounds Dr, Manlius, NY, 13104-2416
Loan Status Date 2021-10-21
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 49500
Loan Approval Amount (current) 49500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 56102
Servicing Lender Name KeyBank National Association
Servicing Lender Address 127 Public Sq, CLEVELAND, OH, 44114-1217
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Manlius, ONONDAGA, NY, 13104-2416
Project Congressional District NY-22
Number of Employees 12
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 56102
Originating Lender Name KeyBank National Association
Originating Lender Address CLEVELAND, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 49786.15
Forgiveness Paid Date 2021-10-06
3145177102 2020-04-11 0248 PPP 115 Fairgrounds Dr, MANLIUS, NY, 13104-2416
Loan Status Date 2021-05-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 111900
Loan Approval Amount (current) 111900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 56102
Servicing Lender Name KeyBank National Association
Servicing Lender Address 127 Public Sq, CLEVELAND, OH, 44114-1217
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address MANLIUS, ONONDAGA, NY, 13104-2416
Project Congressional District NY-22
Number of Employees 14
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 56102
Originating Lender Name KeyBank National Association
Originating Lender Address CLEVELAND, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 113040.46
Forgiveness Paid Date 2021-04-29

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State

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