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  5. PAIN REHAB OF WNY, PLLC

PAIN REHAB OF WNY, PLLC

Company Details

Name: PAIN REHAB OF WNY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 13 Dec 2007 (17 years ago)
Entity Number: 3604863
ZIP code: 14215
County: Erie
Place of Formation: New York
Address: 1515 KENSINGTON AVENUE, BUFFALO, NY, United States, 14215

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PAIN REHAB OF WNY, PLLC 401(K) PLAN 2023 261590131 2024-07-31 PAIN REHAB OF WNY, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 7164465900
Plan sponsor’s address 1515 KENSINGTON AVE, BUFFALO, NY, 14215

Signature of
Role Plan administrator
Date 2024-07-30
Name of individual signing NITIN BANSAL
Role Employer/plan sponsor
Date 2024-07-30
Name of individual signing NITIN BANSAL
PAIN REHAB OF WNY, PLLC 401(K) PLAN 2022 261590131 2023-10-12 PAIN REHAB OF WNY, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 7164465900
Plan sponsor’s address 1515 KENSINGTON AVE, BUFFALO, NY, 14215

Signature of
Role Plan administrator
Date 2023-10-12
Name of individual signing EDWARD L ARCARA
Role Employer/plan sponsor
Date 2023-10-12
Name of individual signing EDWARD L ARCARA
PAIN REHAB OF WNY, PLLC 401(K) PLAN 2021 261590131 2022-10-12 PAIN REHAB OF WNY, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 7164465900
Plan sponsor’s address 1515 KENSINGTON AVE, BUFFALO, NY, 14215

Signature of
Role Plan administrator
Date 2022-10-12
Name of individual signing EDWARD L ARCARA
Role Employer/plan sponsor
Date 2022-10-12
Name of individual signing EDWARD L ARCARA
PAIN REHAB OF WNY, PLLC 401(K) PLAN 2020 261590131 2021-10-12 PAIN REHAB OF WNY, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 7164465900
Plan sponsor’s address 1515 KENSINGTON AVE, BUFFALO, NY, 14215

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing EDWARD L ARCARA
Role Employer/plan sponsor
Date 2021-10-12
Name of individual signing EDWARD L ARCARA
PAIN REHAB OF WNY, PLLC 401(K) PLAN 2019 261590131 2020-10-08 PAIN REHAB OF WNY, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 7164465900
Plan sponsor’s address 1515 KENSINGTON AVE, BUFFALO, NY, 14215

Signature of
Role Plan administrator
Date 2020-10-07
Name of individual signing EDWARD L ARCARA
Role Employer/plan sponsor
Date 2020-10-07
Name of individual signing EDWARD L ARCARA
PAIN REHAB OF WNY, PLLC 401(K) PLAN 2018 261590131 2019-10-09 PAIN REHAB OF WNY, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 7164465900
Plan sponsor’s address 1515 KENSINGTON AVE, BUFFALO, NY, 14215

Signature of
Role Plan administrator
Date 2019-10-08
Name of individual signing EDWARD L ARCARA
Role Employer/plan sponsor
Date 2019-10-08
Name of individual signing EDWARD L ARCARA
PAIN REHAB OF WNY, PLLC 401(K) PLAN 2017 261590131 2018-10-11 PAIN REHAB OF WNY, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 7164465900
Plan sponsor’s address 1515 KENSINGTON AVE, BUFFALO, NY, 14215

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing EDWARD L ARCARA
Role Employer/plan sponsor
Date 2018-10-11
Name of individual signing EDWARD L ARCARA
PAIN REHAB OF WNY, PLLC 401(K) PLAN 2016 261590131 2017-08-22 PAIN REHAB OF WNY, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 7164465900
Plan sponsor’s address 1515 KENSINGTON AVE, BUFFALO, NY, 14215

Signature of
Role Plan administrator
Date 2017-08-18
Name of individual signing EDWARD L ARCARA
Role Employer/plan sponsor
Date 2017-08-18
Name of individual signing EDWARD L ARCARA
PAIN REHAB OF WNY, PLLC 401(K) PLAN 2015 261590131 2016-10-11 PAIN REHAB OF WNY, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 7164465900
Plan sponsor’s address 1515 KENSINGTON AVE, BUFFALO, NY, 14215

Signature of
Role Plan administrator
Date 2016-10-09
Name of individual signing EDWARD L ARCARA, CPA
Role Employer/plan sponsor
Date 2016-10-09
Name of individual signing EDWARD L ARCARA, CPA
PAIN REHAB OF WNY, PLLC 401(K) PLAN 2014 261590131 2015-10-15 PAIN REHAB OF WNY, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 7164465900
Plan sponsor’s address 1515 KENSINGTON AVE, BUFFALO, NY, 14215

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing EDWARD L. ARCARA
Role Employer/plan sponsor
Date 2015-10-15
Name of individual signing EDWARD L. ARCARA

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1515 KENSINGTON AVENUE, BUFFALO, NY, United States, 14215

Filings

Filing Number Date Filed Type Effective Date
080508001076 2008-05-08 CERTIFICATE OF PUBLICATION 2008-05-08
071213000388 2007-12-13 ARTICLES OF ORGANIZATION 2007-12-13

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1816648503 2021-02-19 0296 PPS 1515 Kensington Ave, Buffalo, NY, 14215-1436
Loan Status Date 2022-01-07
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 36667
Loan Approval Amount (current) 36667
Undisbursed Amount 0
Franchise Name -
Lender Location ID 46391
Servicing Lender Name Manufacturers and Traders Trust Company
Servicing Lender Address One M & T Plaza, 15th Fl, BUFFALO, NY, 14203
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Buffalo, ERIE, NY, 14215-1436
Project Congressional District NY-26
Number of Employees 5
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 46391
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address BUFFALO, NY
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 36949.29
Forgiveness Paid Date 2021-12-01
7907587102 2020-04-14 0296 PPP 1515 Kensington Avenue, BUFFALO, NY, 14215
Loan Status Date 2021-02-06
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 36665
Loan Approval Amount (current) 36665
Undisbursed Amount 0
Franchise Name -
Lender Location ID 46391
Servicing Lender Name Manufacturers and Traders Trust Company
Servicing Lender Address One M & T Plaza, 15th Fl, BUFFALO, NY, 14203
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address BUFFALO, ERIE, NY, 14215-0001
Project Congressional District NY-26
Number of Employees 6
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 46391
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address BUFFALO, NY
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 36928.18
Forgiveness Paid Date 2021-01-07

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Related by address

1515 KENSINGTON AVENUE, BUFFALO, NY, United States, 14215

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State

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