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  5. FRANCIS R. PELHAM M.D., PLLC

FRANCIS R. PELHAM M.D., PLLC

Company Details

Name: FRANCIS R. PELHAM M.D., PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 11 Feb 2005 (20 years ago)
Entity Number: 3163097
ZIP code: 10175
County: New York
Place of Formation: New York
Address: 521 FIFTH AVENUE, NEW YORK, NY, United States, 10175

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FRANCIS R. PELHAM, MD, PLLC, PROFIT SHARING PLAN 2022 133749136 2023-05-11 FRANCIS R. PELHAM, M.D., PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2127722400
Plan sponsor’s address 1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

Signature of
Role Plan administrator
Date 2023-05-11
Name of individual signing FRANCIS PELHAM
FRANCIS R. PELHAM, MD, PLLC, PROFIT SHARING PLAN 2021 133749136 2022-07-14 FRANCIS R. PELHAM, M.D., PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2127722400
Plan sponsor’s address 1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

Signature of
Role Plan administrator
Date 2022-07-14
Name of individual signing FRANCIS PELHAM
FRANCIS R. PELHAM, MD, PLLC, CASH BALANCE PLAN 2020 133749136 2021-09-03 FRANCIS R. PELHAM, M.D., PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2127722400
Plan sponsor’s address 1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

Signature of
Role Plan administrator
Date 2021-09-03
Name of individual signing FRANCIS PELHAM
FRANCIS R. PELHAM, M.D., PLLC CASH BALANCE PLAN 2020 133749136 2021-09-23 FRANCIS R. PELHAM, M.D., PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 2127722400
Plan sponsor’s address 1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

Signature of
Role Plan administrator
Date 2021-09-23
Name of individual signing FRANCIS PELHAM
FRANCIS R. PELHAM, MD, PLLC, PROFIT SHARING PLAN 2020 133749136 2021-09-03 FRANCIS R. PELHAM, M.D., PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2127722400
Plan sponsor’s address 1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

Signature of
Role Plan administrator
Date 2021-09-03
Name of individual signing FRANCIS PELHAM
FRANCIS R. PELHAM, MD, PLLC, PROFIT SHARING PLAN 2019 133749136 2020-10-13 FRANCIS R. PELHAM, M.D., PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2127722400
Plan sponsor’s address 1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing FRANCIS PELHAM
FRANCIS R. PELHAM, MD, PLLC, CASH BALANCE PLAN 2019 133749136 2020-10-14 FRANCIS R. PELHAM, M.D., PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2127722400
Plan sponsor’s address 1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing FRANCIS PELHAM
FRANCIS R. PELHAM, MD, PLLC, CASH BALANCE PLAN 2018 133749136 2019-09-30 FRANCIS R. PELHAM, M.D., PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2127722400
Plan sponsor’s address 1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

Signature of
Role Plan administrator
Date 2019-09-30
Name of individual signing FRANCIS PELHAM
FRANCIS R. PELHAM, MD, PLLC, PROFIT SHARING PLAN 2018 133749136 2019-09-30 FRANCIS R. PELHAM, M.D., PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2127722400
Plan sponsor’s address 1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

Signature of
Role Plan administrator
Date 2019-09-30
Name of individual signing FRANCIS PELHAM
FRANCIS R. PELHAM, MD, PLLC, CASH BALANCE PLAN 2017 133749136 2018-10-12 FRANCIS R. PELHAM, M.D., PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2127722400
Plan sponsor’s address 1021 PARK AVENUE, SUITE 105, NEW YORK, NY, 10028

DOS Process Agent

Name Role Address
WOLMAN, BABITT & KING, L.L.P DOS Process Agent 521 FIFTH AVENUE, NEW YORK, NY, United States, 10175

Filings

Filing Number Date Filed Type Effective Date
050211000339 2005-02-11 ARTICLES OF ORGANIZATION 2005-02-11

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4304128805 2021-04-16 0202 PPS 1021 Park Ave Ste 105, New York, NY, 10028-0959
Loan Status Date 2022-08-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 41873
Loan Approval Amount (current) 41873
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address New York, NEW YORK, NY, 10028-0959
Project Congressional District NY-12
Number of Employees 2
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 48270
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address COLUMBUS, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 42372.27
Forgiveness Paid Date 2022-07-05
8543487110 2020-04-15 0202 PPP 1021 Park Avenue, NEW YORK, NY, 10028-0001
Loan Status Date 2021-11-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 69592
Loan Approval Amount (current) 69592
Undisbursed Amount 0
Franchise Name -
Lender Location ID 46104
Servicing Lender Name Dime Community Bank
Servicing Lender Address 2200 Montauk Hwy, BRIDGEHAMPTON, NY, 11932
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address NEW YORK, NEW YORK, NY, 10028-0001
Project Congressional District NY-12
Number of Employees 2
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 49693
Originating Lender Name Dime Community Bank
Originating Lender Address NEW YORK CITY, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 70458.03
Forgiveness Paid Date 2021-08-24

Related by officers

No related officers

Related by address

521 FIFTH AVENUE, NEW YORK, NY, United States, 10175

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State

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