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  5. GREEN MANOR DIALYSIS CENTER, LLC

GREEN MANOR DIALYSIS CENTER, LLC

Company Details

Name: GREEN MANOR DIALYSIS CENTER, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 25 Feb 2003 (22 years ago)
Entity Number: 2874264
ZIP code: 12414
County: Columbia
Place of Formation: New York
Address: 159 JEFFERSON HEIGHTS, CATSKILL, NY, United States, 12414

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GREEN MANOR DIALYSIS CENTER 401(K) PROFIT SHARING PLAN & TRUST 2023 043646882 2024-07-30 GREEN MANOR DIALYSIS CENTER 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621510
Sponsor’s telephone number 5188280717
Plan sponsor’s address #2 SHERMAN POTTS DRIVE, GHENT, NY, 12075

Signature of
Role Plan administrator
Date 2024-07-30
Name of individual signing MARGARET BAIN
GREEN MANOR DIALYSIS CENTER 401(K) PROFIT SHARING PLAN & TRUST 2022 043646882 2023-07-22 GREEN MANOR DIALYSIS CENTER 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621510
Sponsor’s telephone number 5188280717
Plan sponsor’s address #2 SHERMAN POTTS DRIVE, GHENT, NY, 12075

Signature of
Role Plan administrator
Date 2023-07-22
Name of individual signing VINNY ANAND
GREEN MANOR DIALYSIS CENTER 401(K) PROFIT SHARING PLAN & TRUST 2021 043646882 2022-08-02 GREEN MANOR DIALYSIS CENTER 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621510
Sponsor’s telephone number 5188280717
Plan sponsor’s address #2 SHERMAN POTTS DRIVE, GHENT, NY, 12075

Signature of
Role Plan administrator
Date 2022-08-02
Name of individual signing MARGARET BAIN
GREEN MANOR DIALYSIS CENTER 401(K) PROFIT SHARING PLAN & TRUST 2020 043646882 2021-07-30 GREEN MANOR DIALYSIS CENTER 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621510
Sponsor’s telephone number 5188280717
Plan sponsor’s address #2 SHERMAN POTTS DRIVE, GHENT, NY, 12075

Signature of
Role Plan administrator
Date 2021-07-30
Name of individual signing VINNY ANAND
GREEN MANOR DIALYSIS CENTER 401(K) PROFIT SHARING PLAN & TRUST 2019 043646882 2020-05-28 GREEN MANOR DIALYSIS CENTER 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621510
Sponsor’s telephone number 5188280717
Plan sponsor’s address #2 SHERMAN POTTS DRIVE, GHENT, NY, 12075

Signature of
Role Plan administrator
Date 2020-05-28
Name of individual signing PATRICIA L. JOHNSON
GREEN MANOR DIALYSIS CENTER 401 K PROFIT SHARING PLAN TRUST 2018 043646882 2019-07-16 GREEN MANOR DIALYSIS CENTER 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621510
Sponsor’s telephone number 5188280717
Plan sponsor’s address #2 SHERMAN POTTS DRIVE, GHENT, NY, 12075

Signature of
Role Plan administrator
Date 2019-07-16
Name of individual signing PATRICIA L. JOHNSON
GREEN MANOR DIALYSIS CENTER 401 K PROFIT SHARING PLAN TRUST 2017 043646882 2018-07-05 GREEN MANOR DIALYSIS CENTER 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621510
Sponsor’s telephone number 5188280717
Plan sponsor’s address #2 SHERMAN POTTS DRIVE, GHENT, NY, 12075

Signature of
Role Plan administrator
Date 2018-07-05
Name of individual signing PATRICIA JOHNSON
GREEN MANOR DIALYSIS CENTER 401 K PROFIT SHARING PLAN TRUST 2016 043646882 2017-07-18 GREEN MANOR DIALYSIS CENTER 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621510
Sponsor’s telephone number 5188280717
Plan sponsor’s address #2 SHERMAN POTTS DRIVE, GHENT, NY, 12075

Signature of
Role Plan administrator
Date 2017-07-18
Name of individual signing EDWARD FOURNIER
GREEN MANOR DIALYSIS CENTER 401 K PROFIT SHARING PLAN TRUST 2015 043646882 2016-06-07 GREEN MANOR DIALYSIS CENTER 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621510
Sponsor’s telephone number 5188280717
Plan sponsor’s address #2 SHERMAN POTTS DRIVE, GHENT, NY, 12075

Signature of
Role Plan administrator
Date 2016-06-07
Name of individual signing EFOURNIER
GREEN MANOR DIALYSIS CENTER 401 K PROFIT SHARING PLAN TRUST 2014 043646882 2015-06-18 GREEN MANOR DIALYSIS CENTER 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621510
Sponsor’s telephone number 5188280717
Plan sponsor’s address #2 SHERMAN POTTS DRIVE, GHENT, NY, 12075

Signature of
Role Plan administrator
Date 2015-06-18
Name of individual signing EDWARD FOURNIER

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 159 JEFFERSON HEIGHTS, CATSKILL, NY, United States, 12414

History

Start date End date Type Value
2003-02-25 2009-02-11 Address 848 COLUMBIA STREET, HUDSON, NY, 12534, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
150209002001 2015-02-09 BIENNIAL STATEMENT 2015-02-01
090211000348 2009-02-11 CERTIFICATE OF CHANGE 2009-02-11
030528000302 2003-05-28 AFFIDAVIT OF PUBLICATION 2003-05-28
030523000245 2003-05-23 AFFIDAVIT OF PUBLICATION 2003-05-23
030225000908 2003-02-25 ARTICLES OF ORGANIZATION 2003-02-25

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1890537409 2020-05-05 0248 PPP 2 sherman potts drive, ghent, NY, 12075-3216
Loan Status Date 2021-02-11
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 295000
Loan Approval Amount (current) 347600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 101526
Servicing Lender Name Hudson Valley CU
Servicing Lender Address 137 Boardman Rd, POUGHKEEPSIE, NY, 12603-4821
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address ghent, COLUMBIA, NY, 12075-3216
Project Congressional District NY-19
Number of Employees 25
NAICS code 621492
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 101526
Originating Lender Name Hudson Valley CU
Originating Lender Address POUGHKEEPSIE, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 350123.67
Forgiveness Paid Date 2021-01-26
8574788704 2021-04-07 0248 PPS 2 Sherman Potts Dr, Ghent, NY, 12075-3216
Loan Status Date 2022-03-04
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 321800
Loan Approval Amount (current) 321800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 101526
Servicing Lender Name Hudson Valley CU
Servicing Lender Address 137 Boardman Rd, POUGHKEEPSIE, NY, 12603-4821
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Ghent, COLUMBIA, NY, 12075-3216
Project Congressional District NY-19
Number of Employees 25
NAICS code 621492
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 101526
Originating Lender Name Hudson Valley CU
Originating Lender Address POUGHKEEPSIE, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 324471.38
Forgiveness Paid Date 2022-02-10

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Related by address

159 JEFFERSON HEIGHTS, CATSKILL, NY, United States, 12414

NICK VALENZE PHYSICAL THERAPIST, P.C. SHANTILAL LUNIA, PHYSICIAN, P.C. GREENE REALTY ASSOCIATES, INC. LJ'S CAFE INC.

Date of last update: 12 Mar 2025

Sources: New York Secretary of State

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