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  5. NORTHEAST SURGICAL SPECIALISTS, PLLC

NORTHEAST SURGICAL SPECIALISTS, PLLC

Company Details

Name: NORTHEAST SURGICAL SPECIALISTS, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 12 Nov 2003 (21 years ago)
Entity Number: 2975964
ZIP code: 12804
County: Warren
Place of Formation: New York
Address: 4 FAIRFIELD DRIVE, QUEENSBURY, NY, United States, 12804

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHEAST SURGICAL SPECIALISTS, PLLC CASH BALANCE PLAN 2023 200387393 2024-07-23 NORTHEAST SURGICAL SPECIALISTS, PLLC 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 5187939424
Plan sponsor’s address 4 FAIRFIELD DRIVE, QUEENSBURY, NY, 128041514

Signature of
Role Plan administrator
Date 2024-07-23
Name of individual signing TIMOTHY KELLING
NORTHEAST SURGICAL SPECIALISTS, PLLC 401(K) PLAN 2023 200387393 2024-03-25 NORTHEAST SURGICAL SPECIALISTS, PLLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5187939424
Plan sponsor’s address 4 FAIRFIELD DRIVE, QUEENSBURY, NY, 128041514

Signature of
Role Plan administrator
Date 2024-03-25
Name of individual signing TIMOTHY KELLING
NORTHEAST SURGICAL SPECIALISTS, PLLC CASH BALANCE PLAN 2022 200387393 2023-07-31 NORTHEAST SURGICAL SPECIALISTS, PLLC 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 5187939424
Plan sponsor’s address 4 FAIRFIELD DRIVE, QUEENSBURY, NY, 128041514

Signature of
Role Plan administrator
Date 2023-07-31
Name of individual signing TIMOTHY KELLING
NORTHEAST SURGICAL SPECIALISTS, PLLC 401(K) PLAN 2022 200387393 2023-07-20 NORTHEAST SURGICAL SPECIALISTS, PLLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5187939424
Plan sponsor’s address 4 FAIRFIELD DRIVE, QUEENSBURY, NY, 128041514

Signature of
Role Plan administrator
Date 2023-07-20
Name of individual signing TIMOTHY KELLING
NORTHEAST SURGICAL SPECIALISTS, PLLC 401(K) PLAN 2021 200387393 2022-08-01 NORTHEAST SURGICAL SPECIALISTS, PLLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5187939424
Plan sponsor’s address 4 FAIRFIELD DRIVE, QUEENSBURY, NY, 128041514
NORTHEAST SURGICAL SPECIALISTS, PLLC 401(K) PLAN 2020 200387393 2021-02-27 NORTHEAST SURGICAL SPECIALISTS, PLLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5187939424
Plan sponsor’s address 4 FAIRFIELD DRIVE, QUEENSBURY, NY, 128041514

Signature of
Role Plan administrator
Date 2021-02-19
Name of individual signing TIMOTHY KELLING
NORTHEAST SURGICAL SPECIALISTS, PLLC 401(K) PLAN 2019 200387393 2020-06-10 NORTHEAST SURGICAL SPECIALISTS, PLLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5187939424
Plan sponsor’s address 4 FAIRFIELD DRIVE, QUEENSBURY, NY, 128041514

Signature of
Role Plan administrator
Date 2020-05-26
Name of individual signing TIMOTHY KELLING
NORTHEAST SURGICAL SPECIALISTS, PLLC 401(K) PLAN 2018 200387393 2019-07-10 NORTHEAST SURGICAL SPECIALISTS, PLLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5187939424
Plan sponsor’s address 4 FAIRFIELD DRIVE, QUEENSBURY, NY, 128041514

Signature of
Role Plan administrator
Date 2019-06-18
Name of individual signing TIMOTHY KELLING
NORTHEAST SURGICAL SPECIALISTS, PLLC 401(K) PLAN 2017 200387393 2018-06-04 NORTHEAST SURGICAL SPECIALISTS, PLLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5187939424
Plan sponsor’s address 4 FAIRFIELD DRIVE, QUEENSBURY, NY, 128041514

Signature of
Role Plan administrator
Date 2018-02-17
Name of individual signing TIMOTHY KELLING
NORTHEAST SURGICAL SPECIALISTS, PLLC 401(K) PLAN 2016 200387393 2017-02-18 NORTHEAST SURGICAL SPECIALISTS, PLLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5187939424
Plan sponsor’s address 4 FAIRFIELD DRIVE, QUEENSBURY, NY, 12804

Signature of
Role Plan administrator
Date 2017-02-18
Name of individual signing TIMOTHY KELLING

DOS Process Agent

Name Role Address
NORTHEAST SURGICAL SPECIALISTS, PLLC DOS Process Agent 4 FAIRFIELD DRIVE, QUEENSBURY, NY, United States, 12804

History

Start date End date Type Value
2011-07-01 2021-01-22 Address 16 PEARL ST, GLENS FALLS, NY, 12801, USA (Type of address: Service of Process)
2003-11-12 2011-07-01 Address 10 RAILROAD PLACE, SARATOGA SPRINGS, NY, 12866, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210611000613 2021-06-11 CERTIFICATE OF PUBLICATION 2021-06-11
210122060030 2021-01-22 BIENNIAL STATEMENT 2019-11-01
110701002238 2011-07-01 BIENNIAL STATEMENT 2009-11-01
071113002049 2007-11-13 BIENNIAL STATEMENT 2007-11-01
051114002066 2005-11-14 BIENNIAL STATEMENT 2005-11-01
031112000305 2003-11-12 ARTICLES OF ORGANIZATION 2003-11-12

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8140327005 2020-04-08 0248 PPP 4 Fairfield Dr, QUEENSBURY, NY, 12804-1514
Loan Status Date 2021-07-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 253000
Loan Approval Amount (current) 253000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 123499
Servicing Lender Name BayFirst National Bank
Servicing Lender Address 700 Central Avenue, Saint Petersburg, FL, 33701
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address QUEENSBURY, WARREN, NY, 12804-1514
Project Congressional District NY-21
Number of Employees 23
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 123499
Originating Lender Name BayFirst National Bank
Originating Lender Address Saint Petersburg, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 255689.42
Forgiveness Paid Date 2021-06-01
5451488508 2021-02-27 0248 PPS 4 Fairfield Dr, Queensbury, NY, 12804-1514
Loan Status Date 2022-01-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 265314.8
Loan Approval Amount (current) 265314.8
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 Queensbury, WARREN, NY, 12804-1514
Project Congressional District NY-21
Number of Employees 17
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 50168
Originating Lender Name The Adirondack Trust Company
Originating Lender Address SARATOGA SPRINGS, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 267429.95
Forgiveness Paid Date 2021-12-14

Related by officers

No related officers

Related by address

4 FAIRFIELD DRIVE, QUEENSBURY, NY, United States, 12804

NESS HOLDING COMPANY OF SARATOGA, LLC

Date of last update: 29 Mar 2025

Sources: New York Secretary of State

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