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MARCELLUS FAMILY MEDICINE, PLLC

Company Details

Name: MARCELLUS FAMILY MEDICINE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 11 Sep 2007 (18 years ago)
Entity Number: 3566105
ZIP code: 13108
County: Onondaga
Place of Formation: New York
Address: 28 1/2 EAST MAIN STREET, MARCELLUS, NY, United States, 13108

Contact Details

Phone +1 315-673-9926

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MARCELLUS FAMILY MEDICINE, PLLC 401(K) PROFIT SHARING PLAN 2019 261149276 2020-02-10 MARCELLUS FAMILY MEDICINE, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3156739926
Plan sponsor’s address 28 1/2 E. MAIN STREET, MARCELLUS, NY, 131081226

Signature of

Role Plan administrator
Date 2020-02-10
Name of individual signing ANDREW J. MERRITT, MD
MARCELLUS FAMILY MEDICINE, PLLC 401(K) PROFIT SHARING PLAN 2018 261149276 2019-02-28 MARCELLUS FAMILY MEDICINE, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3156739926
Plan sponsor’s address 28 1/2 E. MAIN STREET, MARCELLUS, NY, 131081226

Signature of

Role Plan administrator
Date 2019-02-28
Name of individual signing ANDREW J. MERRITT, MD
MARCELLUS FAMILY MEDICINE, PLLC 401(K) PROFIT SHARING PLAN 2017 261149276 2018-02-21 MARCELLUS FAMILY MEDICINE, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3156739926
Plan sponsor’s address 28 1/2 E. MAIN STREET, MARCELLUS, NY, 131081226

Signature of

Role Plan administrator
Date 2018-02-21
Name of individual signing ANDREW J. MERRITT, MD
MARCELLUS FAMILY MEDICINE, PLLC 401(K) PROFIT SHARING PLAN 2016 261149276 2017-02-22 MARCELLUS FAMILY MEDICINE, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3156739926
Plan sponsor’s address 28 1/2 E. MAIN STREET, MARCELLUS, NY, 131081226

Signature of

Role Plan administrator
Date 2017-02-22
Name of individual signing ANDREW J. MERRITT, MD
MARCELLUS FAMILY MEDICINE, PLLC 401(K) PROFIT SHARING PLAN 2015 261149276 2016-02-11 MARCELLUS FAMILY MEDICINE, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3156739926
Plan sponsor’s address 28 1/2 E. MAIN STREET, MARCELLUS, NY, 131081226

Signature of

Role Plan administrator
Date 2016-02-11
Name of individual signing ANDREW J. MERRITT, MD
MARCELLUS FAMILY MEDICINE, PLLC 401(K) PROFIT SHARING PLAN 2014 261149276 2015-02-12 MARCELLUS FAMILY MEDICINE, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3156739926
Plan sponsor’s address 28 1/2 E. MAIN STREET, MARCELLUS, NY, 131081226

Signature of

Role Plan administrator
Date 2015-02-12
Name of individual signing ANDREW J. MERRITT, MD
MARCELLUS FAMILY MEDICINE, PLLC 401(K) PROFIT SHARING PLAN 2013 261149276 2014-02-24 MARCELLUS FAMILY MEDICINE, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3156739926
Plan sponsor’s address 28 1/2 E. MAIN STREET, MARCELLUS, NY, 131081226

Signature of

Role Plan administrator
Date 2014-02-24
Name of individual signing ANDREW J. MERRITT, MD
MARCELLUS FAMILY MEDICINE, PLLC 401(K) PROFIT SHARING PLAN 2012 261149276 2013-03-04 MARCELLUS FAMILY MEDICINE, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3156739926
Plan sponsor’s address 28 1/2 E. MAIN STREET, MARCELLUS, NY, 131081226

Signature of

Role Plan administrator
Date 2013-03-04
Name of individual signing ANDREW J. MERRITT, MD
MARCELLUS FAMILY MEDICINE, PLLC 401(K) PROFIT SHARING PLAN 2011 261149276 2012-03-08 MARCELLUS FAMILY MEDICINE, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3156739926
Plan sponsor’s address 28 1/2 E. MAIN STREET, MARCELLUS, NY, 131081226

Plan administrator’s name and address

Administrator’s EIN 261149276
Plan administrator’s name MARCELLUS FAMILY MEDICINE, PLLC
Plan administrator’s address 28 1/2 E. MAIN STREET, MARCELLUS, NY, 131081226
Administrator’s telephone number 3156739926

Signature of

Role Plan administrator
Date 2012-03-08
Name of individual signing ANDREW J. MERRITT, MD
MARCELLUS FAMILY MEDICINE, PLLC 401(K) PROFIT SHARING PLAN 2010 261149276 2011-03-28 MARCELLUS FAMILY MEDICINE, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 3156739926
Plan sponsor’s address 28 1/2 E. MAIN STREET, MARCELLUS, NY, 131081226

Plan administrator’s name and address

Administrator’s EIN 261149276
Plan administrator’s name MARCELLUS FAMILY MEDICINE, PLLC
Plan administrator’s address 28 1/2 E. MAIN STREET, MARCELLUS, NY, 131081226
Administrator’s telephone number 3156739926

Signature of

Role Plan administrator
Date 2011-03-28
Name of individual signing ANDREW J. MERRITT, MD

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 28 1/2 EAST MAIN STREET, MARCELLUS, NY, United States, 13108

History

Start date End date Type Value
2007-09-11 2022-11-23 Address 28 1/2 EAST MAIN STREET, MARCELLUS, NY, 13108, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
221123000921 2022-11-22 CERTIFICATE OF AMENDMENT 2022-11-22
190903060151 2019-09-03 BIENNIAL STATEMENT 2019-09-01
170905007871 2017-09-05 BIENNIAL STATEMENT 2017-09-01
150902006012 2015-09-02 BIENNIAL STATEMENT 2015-09-01
130906006123 2013-09-06 BIENNIAL STATEMENT 2013-09-01
110923002352 2011-09-23 BIENNIAL STATEMENT 2011-09-01
090824002242 2009-08-24 BIENNIAL STATEMENT 2009-09-01
080407000985 2008-04-07 CERTIFICATE OF PUBLICATION 2008-04-07
070911000160 2007-09-11 ARTICLES OF ORGANIZATION 2007-09-11

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3157477106 2020-04-11 0248 PPP 28 1/2 east main street, MARCELLUS, NY, 13108-1226
Loan Status Date 2021-02-23
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 98400
Loan Approval Amount (current) 98400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 56102
Servicing Lender Name KeyBank National Association
Servicing Lender Address 127 Public Sq, CLEVELAND, OH, 44114-1217
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address MARCELLUS, ONONDAGA, NY, 13108-1226
Project Congressional District NY-22
Number of Employees 11
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 56102
Originating Lender Name KeyBank National Association
Originating Lender Address CLEVELAND, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 99100.93
Forgiveness Paid Date 2021-01-07

Date of last update: 28 Mar 2025

Sources: New York Secretary of State