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  5. LOWER EAST SIDE FAMILY MEDICINE PLLC

LOWER EAST SIDE FAMILY MEDICINE PLLC

Company Details

Name: LOWER EAST SIDE FAMILY MEDICINE PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 27 Jul 2010 (15 years ago)
Entity Number: 3977256
ZIP code: 10002
County: New York
Place of Formation: New York
Address: 260 E BROADWAY SUITE 2, NEW YORK, NY, United States, 10002

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LESFM, PLLC 401(K) PLAN 2022 273256684 2023-02-16 LOWER EAST SIDE FAMILY MEDICINE 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2127774329
Plan sponsor’s address 260 E. BROADWAY, SUITE #2, NEW YORK, NY, 10002

Signature of
Role Plan administrator
Date 2023-02-16
Name of individual signing TERESA CHAN
LESFM, PLLC 401(K) PLAN 2021 273256684 2022-08-02 LOWER EAST SIDE FAMILY MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2127774329
Plan sponsor’s address 260 E. BROADWAY, SUITE #2, NEW YORK, NY, 10002

Signature of
Role Plan administrator
Date 2022-08-02
Name of individual signing TERESA CHAN
LESFM, PLLC 401(K) PLAN 2020 273256684 2021-09-08 LOWER EAST SIDE FAMILY MEDICINE, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2127774329
Plan sponsor’s address 260 E. BROADWAY, SUITE #2, NEW YORK, NY, 10002

Signature of
Role Plan administrator
Date 2021-09-08
Name of individual signing TERESA CHAN
LESFM, PLLC 401(K) PLAN 2019 273256684 2020-10-07 LOWER EAST SIDE FAMILY MEDICINE, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2127774329
Plan sponsor’s address 260 E. BROADWAY, SUITE #2, NEW YORK, NY, 10002

Signature of
Role Plan administrator
Date 2020-10-07
Name of individual signing TERESA CHAN
LESFM, PLLC 401(K) PLAN 2018 273256684 2019-10-11 LOWER EAST SIDE FAMILY MEDICINE, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2127774329
Plan sponsor’s address 260 E. BROADWAY, SUITE #2, NEW YORK, NY, 10002

Signature of
Role Plan administrator
Date 2019-10-11
Name of individual signing TERESA CHAN
Role Employer/plan sponsor
Date 2019-10-11
Name of individual signing TERESA CHAN
LESFM, PLLC 401(K) PLAN 2017 273256684 2018-10-10 LOWER EAST SIDE FAMILY MEDICINE, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2127774329
Plan sponsor’s address 260 E. BROADWAY, SUITE #2, NEW YORK, NY, 10002

Signature of
Role Plan administrator
Date 2018-10-10
Name of individual signing TERESA CHAN
Role Employer/plan sponsor
Date 2018-10-10
Name of individual signing TERESA CHAN
LESFM, PLLC 401(K) PLAN 2016 273256684 2017-10-12 LOWER EAST SIDE FAMILY MEDICINE, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2127774329
Plan sponsor’s address 260 E. BROADWAY, SUITE #2, NEW YORK, NY, 10002

Signature of
Role Plan administrator
Date 2017-10-12
Name of individual signing TERESA CHAN
Role Employer/plan sponsor
Date 2017-10-12
Name of individual signing TERESA CHAN
LESFM, PLLC 401(K) PLAN 2015 273256684 2016-09-22 LOWER EAST SIDE FAMILY MEDICINE, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2127774329
Plan sponsor’s address 260 E. BROADWAY, SUITE #2, NEW YORK, NY, 10002

Signature of
Role Plan administrator
Date 2016-09-22
Name of individual signing TERESA CHAN
Role Employer/plan sponsor
Date 2016-09-22
Name of individual signing TERESA CHAN

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 260 E BROADWAY SUITE 2, NEW YORK, NY, United States, 10002

History

Start date End date Type Value
2011-11-09 2012-11-06 Address 3 DUTCH HOLLOW DRIVE, ORANGEBURG, NY, 10962, USA (Type of address: Service of Process)
2010-07-27 2011-11-09 Address 3344 93RD STREET, APT 6L, JACKSON HEIGHTS, NY, 11372, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
121106000915 2012-11-06 CERTIFICATE OF CHANGE 2012-11-06
120810006011 2012-08-10 BIENNIAL STATEMENT 2012-07-01
111109000170 2011-11-09 CERTIFICATE OF CHANGE 2011-11-09
100930000183 2010-09-30 CERTIFICATE OF PUBLICATION 2010-09-30
100727000120 2010-07-27 ARTICLES OF ORGANIZATION 2010-07-27

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5385298304 2021-01-25 0202 PPS 260 E Broadway Ste 2, New York, NY, 10002-5609
Loan Status Date 2021-10-14
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 41200
Loan Approval Amount (current) 41200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 49274
Servicing Lender Name Citibank, N.A.
Servicing Lender Address 5800 S. Corporate Place, Sioux Falls, SD, 57108
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address New York, NEW YORK, NY, 10002-5609
Project Congressional District NY-10
Number of Employees 3
NAICS code 621111
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 49274
Originating Lender Name Citibank, N.A.
Originating Lender Address Sioux Falls, SD
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 41466.66
Forgiveness Paid Date 2021-09-22
8636137207 2020-04-28 0202 PPP 260 East Broadway Suite 2, New York, NY, 10002
Loan Status Date 2021-01-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 41200
Loan Approval Amount (current) 41200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 49274
Servicing Lender Name Citibank, N.A.
Servicing Lender Address 5800 S. Corporate Place, Sioux Falls, SD, 57108
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address New York, NEW YORK, NY, 10002-0001
Project Congressional District NY-10
Number of Employees 3
NAICS code 621111
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 49274
Originating Lender Name Citibank, N.A.
Originating Lender Address Sioux Falls, SD
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 41438.04
Forgiveness Paid Date 2020-12-03

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State

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