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  5. SCARSDALE INTEGRATIVE FAMILY MEDICINE, PLLC

SCARSDALE INTEGRATIVE FAMILY MEDICINE, PLLC

Company Details

Name: SCARSDALE INTEGRATIVE FAMILY MEDICINE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 07 Mar 2011 (14 years ago)
Entity Number: 4063661
ZIP code: 10583
County: Westchester
Place of Formation: New York
Address: 2 OVERHILL ROAD, SUITE 40, SCARSDALE, NY, United States, 10583

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SCARSDALE INTEGRATIVE FAMILY MEDICINE, PLLC RETIREMENT PLAN 2023 451606026 2024-10-14 SCARSDALE INTEGRATIVE FAMILY MEDICINE, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9147229440
Plan sponsor’s address 2 OVERHILL ROAD, SUITE 260, SCARSDALE, NY, 10583

Signature of
Role Plan administrator
Date 2024-10-14
Name of individual signing HYUN JOON LEE
Valid signature Filed with authorized/valid electronic signature
SCARSDALE INTEGRATIVE FAMILY MEDICINE, PLLC DEFINED BENEFIT PLAN 2023 451606026 2024-10-14 SCARSDALE INTEGRATIVE FAMILY MEDICINE, PLLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9147229440
Plan sponsor’s address 2 OVERHILL ROAD, SUITE 260, SCARSDALE, NY, 10583

Signature of
Role Plan administrator
Date 2024-10-14
Name of individual signing HYUN JOON LEE
Valid signature Filed with authorized/valid electronic signature
SCARSDALE INTEGRATIVE FAMILY MEDICINE, PLLC DEFINED BENEFIT PLAN 2022 451606026 2023-10-16 SCARSDALE INTEGRATIVE FAMILY MEDICINE, PLLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9147229440
Plan sponsor’s address 2 OVERHILL ROAD, SUITE 260, SCARSDALE, NY, 10583
SCARSDALE INTEGRATIVE FAMILY MEDICINE, PLLC RETIREMENT PLAN 2022 451606026 2023-10-16 SCARSDALE INTEGRATIVE FAMILY MEDICINE, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9147229440
Plan sponsor’s address 2 OVERHILL ROAD, SUITE 260, SCARSDALE, NY, 10583
SCARSDALE INTEGRATIVE FAMILY MEDICINE, PLLC DEFINED BENEFIT PLAN 2021 451606026 2022-10-17 SCARSDALE INTEGRATIVE FAMILY MEDICINE, PLLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9147229440
Plan sponsor’s address 2 OVERHILL ROAD, SUITE 260, SCARSDALE, NY, 10583

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing HYUN JOON LEE
SCARSDALE INTEGRATIVE FAMILY MEDICINE, PLLC RETIREMENT PLAN 2021 451606026 2022-10-11 SCARSDALE INTEGRATIVE FAMILY MEDICINE, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9147229440
Plan sponsor’s address 2 OVERHILL ROAD, SUITE 260, SCARSDALE, NY, 10583

Signature of
Role Plan administrator
Date 2022-10-11
Name of individual signing HYUN JOON LEE
SCARSDALE INTEGRATIVE FAMILY MEDICINE, PLLC DEFINED BENEFIT PLAN 2020 451606026 2021-10-11 SCARSDALE INTEGRATIVE FAMILY MEDICINE, PLLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9147229440
Plan sponsor’s address 2 OVERHILL ROAD, SUITE 260, SCARSDALE, NY, 10583

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing HYUN JOON LEE
SCARSDALE INTEGRATIVE FAMILY MEDICINE, PLLC RETIREMENT PLAN 2020 451606026 2021-10-11 SCARSDALE INTEGRATIVE FAMILY MEDICINE, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9147229440
Plan sponsor’s address 2 OVERHILL ROAD, SUITE 260, SCARSDALE, NY, 10583

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing HYUN JOON LEE
SCARSDALE INTEGRATIVE FAMILY MEDICINE, PLLC RETIREMENT PLAN 2019 451606026 2020-10-15 SCARSDALE INTEGRATIVE FAMILY MEDICINE, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9147229440
Plan sponsor’s address 2 OVERHILL ROAD, SUITE 260, SCARSDALE, NY, 10583

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing HYUN JOON LEE
SCARSDALE INTEGRATIVE FAMILY MEDICINE, PLLC DEFINED BENEFIT PLAN 2019 451606026 2020-10-15 SCARSDALE INTEGRATIVE FAMILY MEDICINE, PLLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9147229440
Plan sponsor’s address 2 OVERHILL ROAD, SUITE 260, SCARSDALE, NY, 10583

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing HYUN JOON LEE

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 2 OVERHILL ROAD, SUITE 40, SCARSDALE, NY, United States, 10583

History

Start date End date Type Value
2011-03-07 2024-03-07 Address 2 OVERHILL ROAD, SUITE 260, SCARSDALE, NY, 10583, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240307003879 2024-03-07 BIENNIAL STATEMENT 2024-03-07
151028006135 2015-10-28 BIENNIAL STATEMENT 2015-03-01
130425006265 2013-04-25 BIENNIAL STATEMENT 2013-03-01
110802000123 2011-08-02 CERTIFICATE OF PUBLICATION 2011-08-02
110307000156 2011-03-07 ARTICLES OF ORGANIZATION 2011-03-07

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3379868510 2021-02-23 0202 PPS 2 Overhill Rd Ste 260, Scarsdale, NY, 10583-5334
Loan Status Date 2021-10-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 124082
Loan Approval Amount (current) 124082
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Scarsdale, WESTCHESTER, NY, 10583-5334
Project Congressional District NY-16
Number of Employees 15
NAICS code 621111
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 124717.71
Forgiveness Paid Date 2021-09-01
5402437708 2020-05-01 0202 PPP 2 OVERHILL RD STE 260, SCARSDALE, NY, 10583-5334
Loan Status Date 2021-04-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 124080
Loan Approval Amount (current) 124080
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address SCARSDALE, WESTCHESTER, NY, 10583-5334
Project Congressional District NY-16
Number of Employees 10
NAICS code 621111
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 125096.44
Forgiveness Paid Date 2021-02-25

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State

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