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WAIHO LUM MD, PLLC

Company Details

Name: WAIHO LUM MD, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 07 May 2007 (18 years ago)
Entity Number: 3513205
ZIP code: 11375
County: Queens
Place of Formation: New York
Address: 112-01 75TH AVE APT 1, FOREST HILLS, NY, United States, 11375

Contact Details

Phone +1 718-268-6808

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WAIHO LUM MD, PLLC PROFIT SHARING PLAN 2023 260149776 2024-07-31 WAIHO LUM MD, PLLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621493
Sponsor’s telephone number 9174154777
Plan sponsor’s address 112-01 75TH AVENUE, FOREST HILLS, NY, 11375

Signature of

Role Plan administrator
Date 2024-07-31
Name of individual signing JOYCE CHEN
WAIHO LUM MD, PLLC PROFIT SHARING PLAN 2022 260149776 2023-06-19 WAIHO LUM MD, PLLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621493
Sponsor’s telephone number 9174154777
Plan sponsor’s address 112-01 75TH AVENUE, FOREST HILLS, NY, 11375

Signature of

Role Plan administrator
Date 2023-06-19
Name of individual signing JOYCE CHEN
WAIHO LUM MD, PLLC PROFIT SHARING PLAN 2021 260149776 2022-07-05 WAIHO LUM MD, PLLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621493
Sponsor’s telephone number 9174154777
Plan sponsor’s address 112-01 75TH AVENUE, FOREST HILLS, NY, 11375

Signature of

Role Plan administrator
Date 2022-07-05
Name of individual signing YICHEN CHEN
Role Employer/plan sponsor
Date 2022-07-05
Name of individual signing YICHEN CHEN
WAIHO LUM MD, PLLC PROFIT SHARING PLAN 2018 260149776 2019-09-25 WAIHO LUM MD, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 9174154777
Plan sponsor’s DBA name FOREST URGENT CARE
Plan sponsor’s address 112-01 75TH AVENUE, FOREST HILLS, NY, 11375

Signature of

Role Plan administrator
Date 2019-09-09
Name of individual signing WAIHO LUM
Role Employer/plan sponsor
Date 2019-09-09
Name of individual signing WAIHO LUM
WAIHO LUM MD, PLLC PROFIT SHARING PLAN 2018 260149776 2019-06-19 WAIHO LUM MD, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 9174154777
Plan sponsor’s DBA name FOREST URGENT CARE
Plan sponsor’s address 112-01 75TH AVENUE, FOREST HILLS, NY, 11375

Signature of

Role Plan administrator
Date 2019-06-19
Name of individual signing YICHEN CHEN
Role Employer/plan sponsor
Date 2019-06-19
Name of individual signing WAIHO LUM
WAIHO LUM MD, PLLC PROFIT SHARING PLAN 2017 260149776 2018-06-04 WAIHO LUM MD, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 9174154777
Plan sponsor’s DBA name FOREST URGENT CARE
Plan sponsor’s address 112-01 75TH AVENUE, FOREST HILLS, NY, 11375

Signature of

Role Plan administrator
Date 2018-06-04
Name of individual signing YICHEN CHEN
Role Employer/plan sponsor
Date 2018-06-04
Name of individual signing WAIHO LUM
WAIHO LUM MD, PLLC PROFIT SHARING PLAN 2016 260149776 2017-06-26 WAIHO LUM MD, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 9174154777
Plan sponsor’s DBA name FOREST URGENT CARE
Plan sponsor’s address 112-01 75TH AVENUE, FOREST HILLS, NY, 11375

Signature of

Role Plan administrator
Date 2017-06-20
Name of individual signing WAIHO LUM

DOS Process Agent

Name Role Address
WAIHO LUM MD, PLLC DOS Process Agent 112-01 75TH AVE APT 1, FOREST HILLS, NY, United States, 11375

History

Start date End date Type Value
2013-08-21 2023-05-03 Address 112-01 75TH AVE, FOREST HILLS, NY, 11375, USA (Type of address: Service of Process)
2007-05-07 2013-08-21 Address 108-10 72ND AVE STE 3A, FOREST HILLS, NY, 11375, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230503000714 2023-05-03 BIENNIAL STATEMENT 2023-05-01
211112001128 2021-11-12 BIENNIAL STATEMENT 2021-11-12
130821006236 2013-08-21 BIENNIAL STATEMENT 2013-05-01
110505002431 2011-05-05 BIENNIAL STATEMENT 2011-05-01
090427003072 2009-04-27 BIENNIAL STATEMENT 2009-05-01
070507000090 2007-05-07 ARTICLES OF ORGANIZATION 2007-05-07

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6212017704 2020-05-01 0202 PPP 112-01 75TH AVE, FOREST HILLS, NY, 11375-5556
Loan Status Date 2021-04-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 65008
Loan Approval Amount (current) 65008
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address FOREST HILLS, QUEENS, NY, 11375-5556
Project Congressional District NY-06
Number of Employees 10
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 65540.53
Forgiveness Paid Date 2021-02-25

Date of last update: 28 Mar 2025

Sources: New York Secretary of State