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  5. SURGICAL SPECIALTY CENTER OF WESTCHESTER, LLC

SURGICAL SPECIALTY CENTER OF WESTCHESTER, LLC

Company Details

Name: SURGICAL SPECIALTY CENTER OF WESTCHESTER, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 12 Feb 2007 (18 years ago)
Entity Number: 3475487
ZIP code: 11042
County: Westchester
Place of Formation: New York
Address: ATTN: OFFICE OF LEGAL AFFAIRS, 2000 MARCUS AVENUE, NEW HYDE PARK, NY, United States, 11042

Contact Details

Phone +1 914-777-8400

Fax +1 914-777-8400

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SURGICAL SPECIALTY CENTER OF WESTCHESTER LLC 401(K) PLAN 2023 273453889 2024-10-07 SURGICAL SPECIALTY CENTER OF WESTCHESTER, LLC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621493
Sponsor’s telephone number 9147778400
Plan sponsor’s address 440 MAMARONECK AVENUE, SUITE 410, HARRISON, NY, 10528

Signature of
Role Plan administrator
Date 2024-10-07
Name of individual signing ADRIANA YORK
Valid signature Filed with authorized/valid electronic signature
SURGICAL SPECIALTY CENTER OF WESTCHESTER LLC 401(K) PLAN 2022 273453889 2023-10-03 SURGICAL SPECIALTY CENTER OF WESTCHESTER, LLC 48
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621493
Sponsor’s telephone number 9147778400
Plan sponsor’s address 440 MAMARONECK AVENUE, SUITE 410, HARRISON, NY, 10528

Signature of
Role Plan administrator
Date 2023-10-03
Name of individual signing ADRIANA YORK
SURGICAL SPECIALTY CENTER OF WESTCHESTER, LLC 401(K) PLAN 2021 273453889 2022-08-30 SURGICAL SPECIALTY CENTER OF WESTCHESTER, LLC 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621493
Sponsor’s telephone number 9147778400
Plan sponsor’s address 440 MAMARONECK AVENUE, SUITE 410, HARRISON, NY, 10528

Signature of
Role Plan administrator
Date 2022-08-30
Name of individual signing ADRIANA DOUGLAS
Role Employer/plan sponsor
Date 2022-08-30
Name of individual signing ADRIANA DOUGLAS
SURGICAL SPECIALTY CENTER OF WESTCHESTER, LLC 401(K) PLAN 2020 273453889 2021-10-15 SURGICAL SPECIALTY CENTER OF WESTCHESTER, LLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621493
Sponsor’s telephone number 9147778400
Plan sponsor’s address 440 MAMARONECK AVENUE, SUITE 410, HARRISON, NY, 10528

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing ADRIANA DOUGLAS
Role Employer/plan sponsor
Date 2021-10-15
Name of individual signing ADRIANA DOUGLAS
SURGICAL SPECIALTY CENTER OF WESTCHESTER, LLC 401(K) PLAN 2019 273453889 2020-03-22 SURGICAL SPECIALTY CENTER OF WESTCHESTER, LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621493
Sponsor’s telephone number 9147778400
Plan sponsor’s address 440 MAMARONECK AVENUE, SUITE 410, HARRISON, NY, 10528

Signature of
Role Plan administrator
Date 2020-03-22
Name of individual signing ADRIANA DOUGLAS
Role Employer/plan sponsor
Date 2020-03-22
Name of individual signing ADRIANA DOUGLAS
SURGICAL SPECIALTY CENTER OF WESTCHESTER, LLC 401(K) PLAN 2018 273453889 2019-10-07 SURGICAL SPECIALTY CENTER OF WESTCHESTER, LLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621493
Sponsor’s telephone number 9147778400
Plan sponsor’s address 440 MAMARONECK AVENUE, SUITE 410, HARRISON, NY, 10528

Signature of
Role Plan administrator
Date 2019-10-07
Name of individual signing ADRIANA DOUGLAS
Role Employer/plan sponsor
Date 2019-10-07
Name of individual signing ADRIANA DOUGLAS
SURGICAL SPECIALTY CENTER OF WESTCHESTER, LLC 401(K) PLAN 2017 273453889 2018-10-05 SURGICAL SPECIALTY CENTER OF WESTCHESTER, LLC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621493
Sponsor’s telephone number 9147778400
Plan sponsor’s address 440 MAMARONECK AVENUE, SUITE 410, HARRISON, NY, 10528

Signature of
Role Plan administrator
Date 2018-10-05
Name of individual signing ADRIANA DOUGLAS
Role Employer/plan sponsor
Date 2018-10-05
Name of individual signing ADRIANA DOUGLAS
SURGICAL SPECIALTY CENTER OF WESTCHESTER, LLC 401(K) PLAN 2016 273453889 2017-08-18 SURGICAL SPECIALTY CENTER OF WESTCHESTER, LLC 35
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621493
Sponsor’s telephone number 9147778400
Plan sponsor’s address 440 MAMARONECK AVENUE, SUITE 410, HARRISON, NY, 10528

Signature of
Role Plan administrator
Date 2017-08-18
Name of individual signing ADRIANA DOUGLAS
Role Employer/plan sponsor
Date 2017-08-18
Name of individual signing ADRIANA DOUGLAS
SURGICAL SPECIALTY CENTER OF WESTCHESTER, LLC 401(K) PLAN 2015 273453889 2016-10-17 SURGICAL SPECIALTY CENTER OF WESTCHESTER, LLC 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621493
Sponsor’s telephone number 9147778400
Plan sponsor’s address 440 MAMARONECK AVENUE, SUITE 410, HARRISON, NY, 10528

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing ADRIANA DOUGLAS
Role Employer/plan sponsor
Date 2016-10-17
Name of individual signing SAMUEL BENAN

DOS Process Agent

Name Role Address
SURGICAL SPECIALTY CENTER OF WESTCHESTER, LLC DOS Process Agent ATTN: OFFICE OF LEGAL AFFAIRS, 2000 MARCUS AVENUE, NEW HYDE PARK, NY, United States, 11042

History

Start date End date Type Value
2017-09-07 2023-03-08 Address NORTHWELL VENTURES, 2000 MARCUS AVENUE, NEW HYDE PARK, NY, 11042, USA (Type of address: Service of Process)
2017-07-31 2017-09-07 Address 440 MAMARONECK AVE, SUITE 410, HARRISON, NY, 10528, USA (Type of address: Service of Process)
2010-10-26 2014-03-04 Name THE PLASTIC SURGERY CENTER OF WESTCHESTER, LLC
2007-02-12 2010-10-26 Name WHITE PLAINS SURGEONS PROJECT, LLC
2007-02-12 2017-07-31 Address 10 CHESTER AVENUE, WHITE PLAINS, NY, 10601, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230308002653 2023-03-08 BIENNIAL STATEMENT 2023-02-01
210202061231 2021-02-02 BIENNIAL STATEMENT 2021-02-01
190311061217 2019-03-11 BIENNIAL STATEMENT 2019-02-01
170907000043 2017-09-07 CERTIFICATE OF AMENDMENT 2017-09-07
170731002039 2017-07-31 BIENNIAL STATEMENT 2017-02-01
140304000842 2014-03-04 CERTIFICATE OF AMENDMENT 2014-03-04
110217002136 2011-02-17 BIENNIAL STATEMENT 2011-02-01
101026000109 2010-10-26 CERTIFICATE OF AMENDMENT 2010-10-26
090130002431 2009-01-30 BIENNIAL STATEMENT 2009-02-01
070515001081 2007-05-15 CERTIFICATE OF PUBLICATION 2007-05-15

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9366428309 2021-01-30 0202 PPS 440 Mamaroneck Ave, Harrison, NY, 10528-2418
Loan Status Date 2022-03-09
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 564230
Loan Approval Amount (current) 564230
Undisbursed Amount 0
Franchise Name -
Lender Location ID 117112
Servicing Lender Name Ledyard National Bank
Servicing Lender Address 320 Main St, NORWICH, VT, 05055-4418
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Harrison, WESTCHESTER, NY, 10528-2418
Project Congressional District NY-16
Number of Employees 28
NAICS code 621498
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 117112
Originating Lender Name Ledyard National Bank
Originating Lender Address NORWICH, VT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 569825.92
Forgiveness Paid Date 2022-02-03
4315797305 2020-04-29 0202 PPP 440 MAMARONECK AVE SUITE 410, HARRISON, NY, 10528-2429
Loan Status Date 2021-07-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 564200
Loan Approval Amount (current) 564200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 117112
Servicing Lender Name Ledyard National Bank
Servicing Lender Address 320 Main St, NORWICH, VT, 05055-4418
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address HARRISON, WESTCHESTER, NY, 10528-2429
Project Congressional District NY-16
Number of Employees 26
NAICS code 621493
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 117112
Originating Lender Name Ledyard National Bank
Originating Lender Address NORWICH, VT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 570614.88
Forgiveness Paid Date 2021-06-25

Related by officers

No related officers

Related by address

ATTN: OFFICE OF LEGAL AFFAIRS, 2000 MARCUS AVENUE, NEW HYDE PARK, NY, United States, 11042

HERON ARTIFICIAL INTELLIGENCE, LLC LONG ISLAND JEWISH MEDICAL CENTER AT HOME PHARMACY, INC. MARCUS AVENUE MANAGEMENT, LLC MEDICAL SERVICES OF BELLMORE, P.C. MEDICAL SERVICES OF KIPS BAY, P.C. MEDICAL SERVICES OF LYNBROOK, P.C. MEDICAL SERVICES OF SETAUKET, P.C. NORTHWELL AEGIS VENTURES, LLC NORTHWELL ANESTHESIA MSO VENTURES, LLC NORTHWELL BIOMEDICAL, LLC

Date of last update: 28 Mar 2025

Sources: New York Secretary of State

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