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LAKE PLACID SPORTS MEDICINE, PLLC

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Company Details

Name: LAKE PLACID SPORTS MEDICINE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 29 Mar 2004 (21 years ago)
Entity Number: 3032825
ZIP code: 12946
County: Essex
Place of Formation: New York
Address: 29 CHURCH ST, LAKE PLACID, NY, United States, 12946

Contact Details

Phone +1 518-891-4141

Phone +1 518-523-1327

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 29 CHURCH ST, LAKE PLACID, NY, United States, 12946

National Provider Identifier

NPI Number:
1841371143
Certification Date:
2024-05-29

Authorized Person:

Name:
KACIE MURPHY
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
5185239964

Form 5500 Series

Employer Identification Number (EIN):
200983659
Plan Year:
2023
Number Of Participants:
25
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
21
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
22
Sponsors Telephone Number:

History

Start date End date Type Value
2004-03-29 2006-04-27 Address CHURCH STREET, LAKE PLACID, NY, 12946, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140516002295 2014-05-16 BIENNIAL STATEMENT 2014-03-01
120710002224 2012-07-10 BIENNIAL STATEMENT 2012-03-01
100310002376 2010-03-10 BIENNIAL STATEMENT 2010-03-01
080318002299 2008-03-18 BIENNIAL STATEMENT 2008-03-01
060427002102 2006-04-27 BIENNIAL STATEMENT 2006-03-01

USAspending Awards / Financial Assistance

Date:
2020-04-28
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
190817.00
Total Face Value Of Loan:
190817.00

Paycheck Protection Program

Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
190817
Current Approval Amount:
190817
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
192416.73

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State