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  5. GENESIS PEDIATRICS, LLC

GENESIS PEDIATRICS, LLC

Company Details

Name: GENESIS PEDIATRICS, LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 08 Oct 2004 (21 years ago)
Entity Number: 3112109
ZIP code: 14624
County: Monroe
Place of Formation: New York
Address: 900 Elmgrove Road, ROCHESTER, NY, United States, 14624

Contact Details

Phone +1 585-426-4100

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GENESIS PEDIATRICS, LLC 401(K) PLAN 2023 453698421 2024-12-27 GENESIS PEDIATRICS, LLC 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5854264100
Plan sponsor’s address 900 ELMGROVE ROAD, ROCHESTER, NY, 14624

Signature of
Role Plan administrator
Date 2024-12-27
Name of individual signing DONNA CHRISTIDIS
Valid signature Filed with authorized/valid electronic signature
GENESIS PEDIATRICS, LLC 401(K) PLAN 2022 453698421 2023-08-14 GENESIS PEDIATRICS, LLC 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5854264100
Plan sponsor’s address 900 ELMGROVE ROAD, ROCHESTER, NY, 14624

Signature of
Role Plan administrator
Date 2023-08-14
Name of individual signing ANNETTE RILEY
GENESIS PEDIATRICS, LLC 401(K) PLAN 2021 453698421 2022-10-07 GENESIS PEDIATRICS, LLC 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5854264100
Plan sponsor’s address 900 ELMGROVE ROAD, ROCHESTER, NY, 14624

Signature of
Role Plan administrator
Date 2022-10-07
Name of individual signing ANNETTE RILEY
GENESIS PEDIATRICS, LLC 401(K) PLAN 2020 453698421 2021-08-26 GENESIS PEDIATRICS, LLC 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5854264100
Plan sponsor’s address 900 ELMGROVE ROAD, ROCHESTER, NY, 14624

Signature of
Role Plan administrator
Date 2021-08-26
Name of individual signing KIMBERLY WALZ
GENESIS PEDIATRICS, LLC 401(K) PLAN 2019 453698421 2020-07-23 GENESIS PEDIATRICS, LLC 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5854264100
Plan sponsor’s address 900 ELMGROVE ROAD, ROCHESTER, NY, 14624

Signature of
Role Plan administrator
Date 2020-07-23
Name of individual signing KIMBERLY WALZ
GENESIS PEDIATRICS, LLC 401(K) PLAN 2018 453698421 2019-09-24 GENESIS PEDIATRICS, LLC 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5854264100
Plan sponsor’s address 900 ELMGROVE ROAD, ROCHESTER, NY, 14624

Signature of
Role Plan administrator
Date 2019-09-24
Name of individual signing KIMBERLY WALZ
GENESIS PEDIATRICS, LLC 401(K) PLAN 2017 453698421 2018-09-24 GENESIS PEDIATRICS, LLC 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5854264100
Plan sponsor’s address 900 ELMGROVE ROAD, ROCHESTER, NY, 14624

Signature of
Role Plan administrator
Date 2018-09-24
Name of individual signing WENDY DANDREA
GENESIS PEDIATRICS, LLC 401(K) PLAN 2016 453698421 2017-07-14 GENESIS PEDIATRICS, LLC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5854264100
Plan sponsor’s address 900 ELMGROVE RD, ROCHESTER, NY, 146246236

Signature of
Role Plan administrator
Date 2017-07-14
Name of individual signing HEATHER WHITE
Role Employer/plan sponsor
Date 2017-07-14
Name of individual signing HEATHER WHITE
GENESIS PEDIATRICS LLC 401(K) PLAN 2015 453698421 2016-07-19 GENESIS PEDIATRICS, LLC 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5854264100
Plan sponsor’s address 900 ELMGROVE RD, ROCHESTER, NY, 146246236

Signature of
Role Plan administrator
Date 2016-07-19
Name of individual signing HEATHER WHITE
Role Employer/plan sponsor
Date 2016-07-19
Name of individual signing HEATHER WHITE
GENESIS PEDIATRICS LLC 401(K) PLAN 2014 453698421 2015-07-30 GENESIS PEDIATRICS, LLC 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 5854264100
Plan sponsor’s address 900 ELMGROVE RD, ROCHESTER, NY, 146246236

Signature of
Role Plan administrator
Date 2015-07-30
Name of individual signing HEATHER WHITE
Role Employer/plan sponsor
Date 2015-07-30
Name of individual signing HEATHER WHITE

DOS Process Agent

Name Role Address
GENESIS PEDIATRICS, LLC DOS Process Agent 900 Elmgrove Road, ROCHESTER, NY, United States, 14624

History

Start date End date Type Value
2006-10-20 2024-05-22 Address 1850 BUFFALO RD, STE 200, ROCHESTER, NY, 14624, USA (Type of address: Service of Process)
2004-10-08 2006-10-20 Address 13 KINGSWOOD DRIVE, ROCHESTER, NY, 14624, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240522000155 2024-05-22 BIENNIAL STATEMENT 2024-05-22
081002002733 2008-10-02 BIENNIAL STATEMENT 2008-10-01
061020002256 2006-10-20 BIENNIAL STATEMENT 2006-10-01
041227000063 2004-12-27 AFFIDAVIT OF PUBLICATION 2004-12-27
041227000066 2004-12-27 AFFIDAVIT OF PUBLICATION 2004-12-27
041008001017 2004-10-08 ARTICLES OF ORGANIZATION 2004-10-08

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9484637002 2020-04-09 0248 PPP 638 Western Avenue, ALBANY, NY, 12203-1830
Loan Status Date 2020-12-10
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 35000
Loan Approval Amount (current) 35000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 101888
Servicing Lender Name Broadview Federal Credit Union
Servicing Lender Address 575 Broadway, ALBANY, NY, 12207-2921
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address ALBANY, ALBANY, NY, 12203-1830
Project Congressional District NY-20
Number of Employees 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Sole Proprietorship
Originating Lender ID 101888
Originating Lender Name Broadview Federal Credit Union
Originating Lender Address ALBANY, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 35223.61
Forgiveness Paid Date 2020-11-30
6849847202 2020-04-28 0219 PPP 900 Elmgrove Road, Rochester, NY, 14624-6236
Loan Status Date 2022-02-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 486200
Loan Approval Amount (current) 486200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 188567
Servicing Lender Name Loan Source Incorporated
Servicing Lender Address 353 East 83rd Street Suite 3H, NEW YORK, NY, 10028
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Rochester, MONROE, NY, 14624-6236
Project Congressional District NY-25
Number of Employees 45
NAICS code 621112
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Sole Proprietorship
Originating Lender ID 29599
Originating Lender Name Northeast Bank
Originating Lender Address LEWISTON, ME
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 492633.82
Forgiveness Paid Date 2021-09-02

Related by officers

No related officers

Related by address

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State

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