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  5. DRYDEN FAMILY MEDICINE, PLLC

DRYDEN FAMILY MEDICINE, PLLC

Company Details

Name: DRYDEN FAMILY MEDICINE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 03 Mar 2005 (20 years ago)
Entity Number: 3172229
ZIP code: 13053
County: Tompkins
Place of Formation: New York
Address: 5 EVERGREEN ROAD, DRYDEN, NY, United States, 13053

Contact Details

Phone +1 607-844-5251

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DRYDEN FAMILY MEDICINE, PLLC 401(K) PLAN 2023 161353203 2024-01-15 DRYDEN FAMILY MEDICINE, PLLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6078448181
Plan sponsor’s address P.O. BOX 8, DRYDEN, NY, 13053

Signature of
Role Plan administrator
Date 2024-01-14
Name of individual signing HOWARD SILCOFF
DRYDEN FAMILY MEDICINE, PLLC 401(K) PLAN 2022 161353203 2023-03-27 DRYDEN FAMILY MEDICINE, PLLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6078448181
Plan sponsor’s address P.O. BOX 8, DRYDEN, NY, 13053

Signature of
Role Plan administrator
Date 2023-03-26
Name of individual signing HOWARD SILCOFF
DRYDEN FAMILY MEDICINE, PLLC 401(K) PLAN 2021 161353203 2022-04-19 DRYDEN FAMILY MEDICINE, PLLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6078448181
Plan sponsor’s address P.O. BOX 8, DRYDEN, NY, 13053

Signature of
Role Plan administrator
Date 2022-04-19
Name of individual signing HOWARD SILCOFF
DRYDEN FAMILY MEDICINE 401(K) PLAN 2020 161353203 2021-07-29 DRYDEN FAMILY MEDICINE 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6078448181
Plan sponsor’s address P.O. BOX 8, DRYDEN, NY, 13053

Signature of
Role Plan administrator
Date 2021-07-29
Name of individual signing HOWARD SILCOFF, MD
DRYDEN FAMILY MEDICINE 401(K) PLAN 2019 161353203 2020-10-09 DRYDEN FAMILY MEDICINE 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6078448181
Plan sponsor’s address P.O. BOX 8, DRYDEN, NY, 13053
DRYDEN FAMILY MEDICINE 401(K) PLAN 2018 161353203 2019-09-25 DRYDEN FAMILY MEDICINE 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6078448181
Plan sponsor’s address P.O. BOX 8, DRYDEN, NY, 13053

Signature of
Role Plan administrator
Date 2019-09-25
Name of individual signing HOWARD SILCOFF, MD
DRYDEN FAMILY MEDICINE 401(K) PLAN 2017 161353203 2018-09-11 DRYDEN FAMILY MEDICINE 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6078448181
Plan sponsor’s address P.O. BOX 8, DRYDEN, NY, 13053

Signature of
Role Plan administrator
Date 2018-09-11
Name of individual signing HOWARD SILCOFF, MD
DRYDEN FAMILY MEDICINE 401(K) PLAN 2016 161353203 2017-10-11 DRYDEN FAMILY MEDICINE 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6078448181
Plan sponsor’s address P.O. BOX 8, DRYDEN, NY, 13053

Signature of
Role Plan administrator
Date 2017-10-11
Name of individual signing WILLIAM KLEPACK, MD
DRYDEN FAMILY MEDICINE 401(K) PLAN 2015 161353203 2016-04-28 DRYDEN FAMILY MEDICINE 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6078448181
Plan sponsor’s address P.O. BOX 8, DRYDEN, NY, 13053

Signature of
Role Plan administrator
Date 2016-04-28
Name of individual signing WILLIAM KLEPACK, MD
DRYDEN FAMILY MEDICINE 401(K) PLAN 2014 161353203 2015-08-24 DRYDEN FAMILY MEDICINE 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6078448181
Plan sponsor’s address P.O. BOX 8, DRYDEN, NY, 13053

Signature of
Role Plan administrator
Date 2015-08-24
Name of individual signing WILLIAM KLEPACK, MD
Role Employer/plan sponsor
Date 2015-08-24
Name of individual signing WILLIAM KLEPACK, MD

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 5 EVERGREEN ROAD, DRYDEN, NY, United States, 13053

Filings

Filing Number Date Filed Type Effective Date
110401002909 2011-04-01 BIENNIAL STATEMENT 2011-03-01
070309002542 2007-03-09 BIENNIAL STATEMENT 2007-03-01
050726000127 2005-07-26 AFFIDAVIT OF PUBLICATION 2005-07-26
050726000131 2005-07-26 AFFIDAVIT OF PUBLICATION 2005-07-26
050303001181 2005-03-03 ARTICLES OF ORGANIZATION 2005-03-03

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4621787104 2020-04-13 0248 PPP 5 Evergreen Street, DRYDEN, NY, 13053-9805
Loan Status Date 2020-12-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 175900
Loan Approval Amount (current) 175900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 47167
Servicing Lender Name The First National Bank of Dryden
Servicing Lender Address 7 W Main St, DRYDEN, NY, 13053
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address DRYDEN, TOMPKINS, NY, 13053-9805
Project Congressional District NY-19
Number of Employees 16
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 47167
Originating Lender Name The First National Bank of Dryden
Originating Lender Address DRYDEN, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 176894.37
Forgiveness Paid Date 2021-02-12

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Related by address

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State

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