Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Clinton
    4. ›
  4. 12901
    5. ›
  5. LAKE CITY PRIMARY CARE, PLLC

LAKE CITY PRIMARY CARE, PLLC

Company Details

Name: LAKE CITY PRIMARY CARE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 20 Jul 2011 (14 years ago)
Entity Number: 4120694
ZIP code: 12901
County: Clinton
Place of Formation: New York
Address: 16 DEGRANDEPRE WAY, SUITE 300, PLATTSBURGH, NY, United States, 12901

Contact Details

Phone +1 518-561-8256

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKE CITY PRIMARY CARE, PLLC RETIREMENT SAVINGS PLAN 2023 452815985 2024-10-15 LAKE CITY PRIMARY CARE, PLLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5185618256
Plan sponsor’s address 16 DEGRANDPRE WAY, SUITE 300, PLATTSBURGH, NY, 12901
LAKE CITY PRIMARY CARE, PLLC RETIREMENT SAVINGS PLAN 2022 452815985 2023-10-14 LAKE CITY PRIMARY CARE, PLLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5185618256
Plan sponsor’s address 16 DEGRANDPRE WAY, SUITE 300, PLATTSBURGH, NY, 12901
LAKE CITY PRIMARY CARE, PLLC RETIREMENT SAVINGS PLAN 2021 452815985 2022-10-05 LAKE CITY PRIMARY CARE, PLLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5185618256
Plan sponsor’s address 16 DEGRANDPRE WAY, SUITE 300, PLATTSBURGH, NY, 12901
LAKE CITY PRIMARY CARE, PLLC RETIREMENT SAVINGS PLAN 2020 452815985 2021-10-12 LAKE CITY PRIMARY CARE, PLLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5185618256
Plan sponsor’s address 16 DEGRANDPRE WAY, SUITE 300, PLATTSBURGH, NY, 12901
LAKE CITY PRIMARY CARE, PLLC RETIREMENT SAVINGS PLAN 2019 452815985 2020-07-31 LAKE CITY PRIMARY CARE, PLLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5185618256
Plan sponsor’s address 16 DEGRANDPRE WAY, SUITE 300, PLATTSBURGH, NY, 12901
LAKE CITY PRIMARY CARE, PLLC RETIREMENT SAVINGS PLAN 2018 452815985 2019-10-15 LAKE CITY PRIMARY CARE, PLLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5185618256
Plan sponsor’s address 16 DEGRANDPRE WAY, SUITE 300, PLATTSBURGH, NY, 12901
LAKE CITY PRIMARY CARE, PLLC RETIREMENT SAVINGS PLAN 2017 452815985 2018-10-08 LAKE CITY PRIMARY CARE, PLLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5185618256
Plan sponsor’s address 16 DEGRANDPRE WAY, SUITE 300, PLATTSBURGH, NY, 12901
LAKE CITY PRIMARY CARE, PLLC RETIREMENT SAVINGS PLAN 2016 452815985 2017-07-12 LAKE CITY PRIMARY CARE, PLLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5185618256
Plan sponsor’s address 16 DEGRANDPRE WAY, SUITE 300, PLATTSBURGH, NY, 12901

Signature of
Role Plan administrator
Date 2017-07-12
Name of individual signing KELLEY BRAULT
Role Employer/plan sponsor
Date 2017-07-12
Name of individual signing LAKE CITY PRIMARY CARE, PLLC
LAKE CITY PRIMARY CARE, PLLC RETIREMENT SAVINGS PLAN 2015 452815985 2016-07-08 LAKE CITY PRIMARY CARE, PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5185618256
Plan sponsor’s address 16 DEGRANDPRE WAY, SUITE 300, PLATTSBURGH, NY, 12901

Signature of
Role Plan administrator
Date 2016-07-08
Name of individual signing KELLEY BRAULT

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 16 DEGRANDEPRE WAY, SUITE 300, PLATTSBURGH, NY, United States, 12901

Filings

Filing Number Date Filed Type Effective Date
131008006068 2013-10-08 BIENNIAL STATEMENT 2013-07-01
110920000876 2011-09-20 CERTIFICATE OF PUBLICATION 2011-09-20
110720000857 2011-07-20 ARTICLES OF ORGANIZATION 2011-07-20

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7828228500 2021-03-06 0248 PPS 16 Degrandpre Way Ste 300, Plattsburgh, NY, 12901-6452
Loan Status Date 2022-04-08
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 262125
Loan Approval Amount (current) 262125
Undisbursed Amount 0
Franchise Name -
Lender Location ID 49989
Servicing Lender Name NBT Bank, National Association
Servicing Lender Address 52 S Broad St, NORWICH, NY, 13815-1646
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Plattsburgh, CLINTON, NY, 12901-6452
Project Congressional District NY-21
Number of Employees 19
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 49989
Originating Lender Name NBT Bank, National Association
Originating Lender Address NORWICH, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 264803.7
Forgiveness Paid Date 2022-03-17
7779337004 2020-04-08 0248 PPP 16 DEGRANDPRE WAY, PLATTSBURGH, NY, 12901-6450
Loan Status Date 2022-03-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 156000
Loan Approval Amount (current) 156000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 49989
Servicing Lender Name NBT Bank, National Association
Servicing Lender Address 52 S Broad St, NORWICH, NY, 13815-1646
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address PLATTSBURGH, CLINTON, NY, 12901-6450
Project Congressional District NY-21
Number of Employees 19
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 49989
Originating Lender Name NBT Bank, National Association
Originating Lender Address NORWICH, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 157282.37
Forgiveness Paid Date 2021-03-11

Related by officers

THE LLC

HITTERZZ, LLC PLJ PROPERTIES, LLC 7119 20TH AVE. LLC THE TALLY-HO INN, LLC NEXIS REALTY GROUP, LLC KILBORN LLC BKN PROPERTIES, LLC COTTON TEES, LLC PLAYDATE 4 YOU LLC CONTEMPORARY FILM FUND LLC

Related by address

No related companies by address

Date of last update: 27 Mar 2025

Sources: New York Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 bizyork.com, Part of Big Data Integrated