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  5. GOTHAM MEDICAL GROUP LLP

GOTHAM MEDICAL GROUP LLP

Company Details

Name: GOTHAM MEDICAL GROUP LLP
Jurisdiction: New York
Legal type: DOMESTIC REGISTERED LIMITED LIABILITY PARTNERSHIP
Status: Active
Date of registration: 26 Oct 2010 (14 years ago)
Entity Number: 4011722
ZIP code: 10014
County: Blank
Place of Formation: New York
Address: 314 WEST 14TH STREET, NEW YORK, NY, United States, 10014

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GOTHAM MEDICAL GROUP LLP 401K PROFIT SHARING PLAN 2023 273800862 2024-06-26 GOTHAM MEDICAL GROUP LLP 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2126200144
Plan sponsor’s address 314 WEST 14TH STREET, 5TH FLOOR, NEW YORK, NY, 10014

Signature of
Role Plan administrator
Date 2024-06-26
Name of individual signing KRISCZAR BUNGAY
GOTHAM MEDICAL GROUP LLP 401K PROFIT SHARING PLAN 2022 273800862 2023-03-16 GOTHAM MEDICAL GROUP LLP 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2126200144
Plan sponsor’s address 314 WEST 14TH STREET, 5TH FLOOR, NEW YORK, NY, 10014

Signature of
Role Plan administrator
Date 2023-03-16
Name of individual signing DAVID HATHAWAY
GOTHAM MEDICAL GROUP LLP 401K PROFIT SHARING PLAN 2021 273800862 2022-03-17 GOTHAM MEDICAL GROUP LLP 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2126200144
Plan sponsor’s address 314 WEST 14TH STREET, 5TH FLOOR, NEW YORK, NY, 10014

Signature of
Role Plan administrator
Date 2022-03-17
Name of individual signing DAVID HATHAWAY
GOTHAM MEDICAL GROUP LLP 401K PROFIT SHARING PLAN 2020 273800862 2021-05-13 GOTHAM MEDICAL GROUP LLP 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2126200144
Plan sponsor’s address 314 WEST 14TH STREET, 5TH FLOOR, NEW YORK, NY, 10014

Signature of
Role Plan administrator
Date 2021-05-13
Name of individual signing DAVID HATHAWAY
GOTHAM MEDICAL GROUP LLP 401K PROFIT SHARING PLAN 2019 273800862 2020-02-20 GOTHAM MEDICAL GROUP LLP 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2126200144
Plan sponsor’s address 314 WEST 14TH STREET, 5TH FLOOR, NEW YORK, NY, 10014

Signature of
Role Plan administrator
Date 2020-02-20
Name of individual signing DAVID HATHAWAY
GOTHAM MEDICAL GROUP LLP 401K PROFIT SHARING PLAN 2018 273800862 2019-02-26 GOTHAM MEDICAL GROUP LLP 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2126200144
Plan sponsor’s address 314 WEST 14TH STREET, 5TH FLOOR, NEW YORK, NY, 10014

Signature of
Role Plan administrator
Date 2019-02-26
Name of individual signing DAVID HATHAWAY
GOTHAM MEDICAL GROUP LLP 401K PROFIT SHARING PLAN 2017 273800862 2018-10-05 GOTHAM MEDICAL GROUP LLP 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2126200144
Plan sponsor’s address 314 WEST 14TH STREET, 5TH FLOOR, NEW YORK, NY, 10014

Signature of
Role Plan administrator
Date 2018-10-05
Name of individual signing DAVID HATHAWAY
GOTHAM MEDICAL GROUP LLP 401 K PROFIT SHARING PLAN TRUST 2016 273800862 2017-07-17 GOTHAM MEDICAL GROUP LLP 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2126200144
Plan sponsor’s address 314 WEST 14TH ST. 5TH FLOOR, NEW YORK, NY, 10014

Signature of
Role Plan administrator
Date 2017-07-17
Name of individual signing STEPHEN M. DILLON, MD
GOTHAM MEDICAL GROUP LLP 401 K PROFIT SHARING PLAN TRUST 2015 273800862 2016-07-19 GOTHAM MEDICAL GROUP LLP 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2126200144
Plan sponsor’s address 314 WEST 14TH ST. 5TH FLOOR, NEW YORK, NY, 10014

Signature of
Role Plan administrator
Date 2016-07-19
Name of individual signing STEPHEN DILLON MD
GOTHAM MEDICAL GROUP LLP 401 K PROFIT SHARING PLAN TRUST 2014 273800862 2015-06-15 GOTHAM MEDICAL GROUP LLP 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2126200144
Plan sponsor’s address 314 WEST 14TH ST. 5TH FLOOR, NEW YORK, NY, 10014

Signature of
Role Plan administrator
Date 2015-06-15
Name of individual signing DAVID HATHAWAY

DOS Process Agent

Name Role Address
THE PARTNERSHIP DOS Process Agent 314 WEST 14TH STREET, NEW YORK, NY, United States, 10014

Filings

Filing Number Date Filed Type Effective Date
150916002021 2015-09-16 FIVE YEAR STATEMENT 2015-10-01
110107000936 2011-01-07 CERTIFICATE OF PUBLICATION 2011-01-07
101026000576 2010-10-26 NOTICE OF REGISTRATION 2010-10-26

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8565368509 2021-03-10 0202 PPS 314 W 14th St Fl 5, New York, NY, 10014-5002
Loan Status Date 2021-11-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 119472
Loan Approval Amount (current) 119472
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 New York, NEW YORK, NY, 10014-5002
Project Congressional District NY-10
Number of Employees 12
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Partnership
Originating Lender ID 48270
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address COLUMBUS, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 120203.77
Forgiveness Paid Date 2021-10-25
1367617709 2020-05-01 0202 PPP 314 W 14TH ST FL 5, NEW YORK, NY, 10014
Loan Status Date 2021-04-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 119472
Loan Approval Amount (current) 119472
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 NEW YORK, NEW YORK, NY, 10014-0001
Project Congressional District NY-10
Number of Employees 11
NAICS code 621999
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Partnership
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 120542
Forgiveness Paid Date 2021-03-29

Related by officers

THE PARTNERSHIP

CARBONE & CARBONE LLP FORESTVILLE SPECIAL NEEDS SRO, L.P. FORT DRUM STUDIO-TELS., L.P. SCP CO-INVESTMENT FUND I, L.P. NORTHERN BOULEVARD LIMITED PARTNERSHIP PINNACLE MEDINA CAPITAL, LTD. LUCCHESE & D'AMMORA, LLP SARETSKY, KATZ, DRANOFF, WEISSMAN & MAYNARD, LLP STELLIAM MASTER FUND, L.P. GS CAPITAL PARTNERS VI PIA PMD QP FUND, L.P.

Related by address

314 WEST 14TH STREET, NEW YORK, NY, United States, 10014

CHELSEA-VILLAGE MEDICAL OFFICE, P.C.

Date of last update: 27 Mar 2025

Sources: New York Secretary of State

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