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  5. BAJA MEDICAL OFFICES, PLLC

BAJA MEDICAL OFFICES, PLLC

Company Details

Name: BAJA MEDICAL OFFICES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Inactive
Date of registration: 11 Dec 2008 (16 years ago)
Date of dissolution: 23 Feb 2023
Entity Number: 3751919
ZIP code: 10924
County: Orange
Place of Formation: New York
Address: 30 HATFIELD LANE, SUITE 201, GOSHEN, NY, United States, 10924

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BAJA MEDICAL OFFICES PLLC 401(K) PROFIT SHARING PLAN 2023 263862532 2024-05-08 BAJA MEDICAL OFFICES PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8452943446
Plan sponsor’s address 5 WOODCREST LANE, GOSHEN, NY, 10924
BAJA MEDICAL OFFICES PLLC 401(K) PROFIT SHARING PLAN 2022 263862532 2023-06-22 BAJA MEDICAL OFFICES PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8452943446
Plan sponsor’s address 5 WOODCREST LANE, GOSHEN, NY, 10924
BAJA MEDICAL OFFICES PLLC 401(K) PROFIT SHARING PLAN 2021 263862532 2022-10-03 BAJA MEDICAL OFFICES PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8452943446
Plan sponsor’s address 5 WOODCREST LANE, GOSHEN, NY, 10924
BAJA MEDICAL OFFICES PLLC 401(K) PROFIT SHARING PLAN 2020 263862532 2021-08-30 BAJA MEDICAL OFFICES PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8452943446
Plan sponsor’s address 5 WOODCREST LANE, GOSHEN, NY, 10924
BAJA MEDICAL OFFICES PLLC 401(K) PROFIT SHARING PLAN 2019 263862532 2020-05-12 BAJA MEDICAL OFFICES PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8452943446
Plan sponsor’s address 5 WOODCREST LANE, GOSHEN, NY, 10924

Signature of
Role Plan administrator
Date 2020-05-12
Name of individual signing MARY RICE ISRAELSKI
Role Employer/plan sponsor
Date 2020-05-12
Name of individual signing MARY ISRAELSKI
BAJA MEDICAL OFFICES PLLC 401(K) PROFIT SHARING PLAN 2018 263862532 2019-10-07 BAJA MEDICAL OFFICES PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8452943446
Plan sponsor’s address 5 WOODBURY LANE, GOSHEN, NY, 10924

Signature of
Role Plan administrator
Date 2019-10-07
Name of individual signing MARY RICE ISRAELSKI
BAJA MEDICAL OFFICES PLLC 401(K) PROFIT SHARING PLAN 2017 263862532 2018-10-15 BAJA MEDICAL OFFICES PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8452943446
Plan sponsor’s address 5 WOODBURY LANE, GOSHEN, NY, 10924

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing MARY RICE ISRAELSKI
Role Employer/plan sponsor
Date 2018-10-15
Name of individual signing MARY RICE ISRAELSKI
BAJA MEDICAL OFFICES PLLC 401(K) PROFIT SHARING PLAN 2016 263862532 2017-10-13 BAJA MEDICAL OFFICES PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8452943446
Plan sponsor’s address 5 WOODBURY LANE, GOSHEN, NY, 10924

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing MARY RICE ISRAELSKI
BAJA MEDICAL OFFICES PLLC 401(K) PROFIT SHARING PLAN 2015 263862532 2016-09-27 BAJA MEDICAL OFFICES PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8452943446
Plan sponsor’s address 5 WOODBURY LANE, GOSHEN, NY, 10924

Signature of
Role Plan administrator
Date 2016-09-26
Name of individual signing MARY RICE ISRAELSKI
Role Employer/plan sponsor
Date 2016-09-26
Name of individual signing MARY RICE ISRAELSKI
BAJA MEDICAL OFFICES PLLC 401(K) PROFIT SHARING PLAN 2014 263862532 2015-09-18 BAJA MEDICAL OFFICES PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8452941008
Plan sponsor’s address 5 WOODBURY LANE, GOSHEN, NY, 10924

Signature of
Role Plan administrator
Date 2015-09-18
Name of individual signing MARY ISRAELSKI
Role Employer/plan sponsor
Date 2015-09-18
Name of individual signing MARY ISRAELSKI

DOS Process Agent

Name Role Address
BAJA MEDICAL OFFICES, PLLC DOS Process Agent 30 HATFIELD LANE, SUITE 201, GOSHEN, NY, United States, 10924

History

Start date End date Type Value
2016-12-07 2023-02-24 Address 30 HATFIELD LANE, SUITE 201, GOSHEN, NY, 10924, USA (Type of address: Service of Process)
2008-12-11 2016-12-07 Address 5 WOODCREST LANE, GOSHEN, NY, 10924, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230224001793 2023-02-23 CERTIFICATE OF DISSOLUTION-CANCELLATION 2023-02-23
161207006817 2016-12-07 BIENNIAL STATEMENT 2016-12-01
141208006265 2014-12-08 BIENNIAL STATEMENT 2014-12-01
130122002144 2013-01-22 BIENNIAL STATEMENT 2012-12-01
090309000437 2009-03-09 CERTIFICATE OF PUBLICATION 2009-03-09
081211000246 2008-12-11 ARTICLES OF ORGANIZATION 2008-12-11

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3223347700 2020-05-01 0202 PPP 30 HATFIELD LN STE 201, GOSHEN, NY, 10924
Loan Status Date 2021-10-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 41932
Loan Approval Amount (current) 41932
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address GOSHEN, ORANGE, NY, 10924-0001
Project Congressional District NY-18
Number of Employees 50
NAICS code 621999
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 42489.04
Forgiveness Paid Date 2021-09-02

Related by officers

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State

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