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  5. OFFSITE MEDICAL SOLUTIONS LLC

OFFSITE MEDICAL SOLUTIONS LLC

Company Details

Name: OFFSITE MEDICAL SOLUTIONS LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 Dec 2011 (13 years ago)
Entity Number: 4180558
ZIP code: 11702
County: Suffolk
Place of Formation: New York
Address: 12 SALT MEADOW ROAD, BABYLON, NY, United States, 11702

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OFFSITE MEDICAL SOLUTIONS 401(K) PROFIT SHARING PLAN & TRUST 2023 454294485 2024-07-31 OFFSITE MEDICAL SOLUTIONS 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 339110
Sponsor’s telephone number 6465847598
Plan sponsor’s address 15218 12TH ROAD, WHITESTONE, NY, 11357

Signature of
Role Plan administrator
Date 2024-07-31
Name of individual signing CHRISTOPHER ALFONSO CRESCENZO
OFFSITE MEDICAL SOLUTIONS 401(K) PROFIT SHARING PLAN & TRUST 2022 454294485 2023-10-25 OFFSITE MEDICAL SOLUTIONS 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 339110
Sponsor’s telephone number 6465847598
Plan sponsor’s address 190 DUFFY AVE, HICKSVILLE, NY, 118012201

Signature of
Role Plan administrator
Date 2023-10-25
Name of individual signing CHRISTOPHER ALFONSO CRESCENZO
OFFSITE MEDICAL SOLUTIONS 401(K) PROFIT SHARING PLAN & TRUST 2020 454294485 2021-05-19 OFFSITE MEDICAL SOLUTIONS 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 339110
Sponsor’s telephone number 5165224484
Plan sponsor’s address 731 GREENBELT PARKWAY W, HOLBROOK, NY, 117412201

Signature of
Role Plan administrator
Date 2021-05-19
Name of individual signing MICHAEL RUSSO
OFFSITE MEDICAL SOLUTIONS 401(K) PROFIT SHARING PLAN & TRUST 2019 454294485 2020-06-24 OFFSITE MEDICAL SOLUTIONS 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 339110
Sponsor’s telephone number 5165224484
Plan sponsor’s address 200 ROBBINS LANE UNIT D3, JERICHO, NY, 11753

Signature of
Role Plan administrator
Date 2020-06-24
Name of individual signing MICHAEL RUSSO
OFFSITE MEDICAL SOLUTIONS 401 K PROFIT SHARING PLAN TRUST 2018 454294485 2019-07-02 OFFSITE MEDICAL SOLUTIONS 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 339110
Sponsor’s telephone number 5165224484
Plan sponsor’s address 35 ADELHAIDE LN, EAST ISLIP, NY, 117302201

Signature of
Role Plan administrator
Date 2019-07-02
Name of individual signing MICHAEL RUSSO
OFFSITE MEDICAL SOLUTIONS 401 K PROFIT SHARING PLAN TRUST 2017 454294485 2018-07-27 OFFSITE MEDICAL SOLUTIONS 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 339110
Sponsor’s telephone number 5165224484
Plan sponsor’s address 200 ROBBINS LANE- UNIT D3, JERICHO, NY, 117532201

Signature of
Role Plan administrator
Date 2018-07-27
Name of individual signing MICHAEL RUSSO
OFFSITE MEDICAL SOLUTIONS 401K PROFIT SHARING PLAN AND TRUST 2016 454294485 2017-07-07 OFFSITE MEDICAL SOLUTIONS 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 339110
Sponsor’s telephone number 5165224484
Plan sponsor’s address 200 ROBBINS LANE SUITE D3, JERICHO, NY, 11753

Signature of
Role Plan administrator
Date 2017-07-07
Name of individual signing CHRISTOPHER CRESCENZO
OFFSITE MEDICAL SOLUTIONS 401 K PROFIT SHARING PLAN TRUST 2015 454294485 2016-07-14 OFFSITE MEDICAL SOLUTIONS LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 339110
Sponsor’s telephone number 5165224484
Plan sponsor’s address 35 ADELHAIDE LN, EAST ISLIP, NY, 117302201

Signature of
Role Plan administrator
Date 2016-07-14
Name of individual signing CHRISTOPHER CRESCENZO
OFFSITE MEDICAL SOLUTIONS 401 K PROFIT SHARING PLAN TRUST 2014 454294485 2015-07-30 OFFSITE MEDICAL SOLUTIONS LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 339110
Sponsor’s telephone number 5165224484
Plan sponsor’s address 50 JERICHO TURNPIKE STE 108, JERICHO, NY, 11753

Signature of
Role Plan administrator
Date 2015-07-30
Name of individual signing CHRISTOPHER CRESCENZO
OFFSITE MEDICAL SOLUTIONS 401 K PROFIT SHARING PLAN TRUST 2013 454294485 2014-07-29 OFFSITE MEDICAL SOLUTIONS LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 339110
Sponsor’s telephone number 5165224484
Plan sponsor’s address 50 JERICHO TURNPIKE STE 108, JERICHO, NY, 11753

Signature of
Role Plan administrator
Date 2014-07-29
Name of individual signing MICHAEL RUSSO

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 12 SALT MEADOW ROAD, BABYLON, NY, United States, 11702

Filings

Filing Number Date Filed Type Effective Date
111223000615 2011-12-23 ARTICLES OF ORGANIZATION 2011-12-23

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1765007208 2020-04-15 0235 PPP 200 Robbins lane, JERICHO, NY, 11753-2365
Loan Status Date 2021-01-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 60000
Loan Approval Amount (current) 60000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 29805
Servicing Lender Name TD Bank, National Association
Servicing Lender Address 2035 Limestone Rd, WILMINGTON, DE, 19808-5529
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address JERICHO, NASSAU, NY, 11753-2365
Project Congressional District NY-03
Number of Employees 6
NAICS code 492210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 29805
Originating Lender Name TD Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 60396.67
Forgiveness Paid Date 2020-12-22
9337798403 2021-02-16 0235 PPS 200 Robbins Ln Unit D3, Jericho, NY, 11753-2341
Loan Status Date 2021-11-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 64075
Loan Approval Amount (current) 64075
Undisbursed Amount 0
Franchise Name -
Lender Location ID 29805
Servicing Lender Name TD Bank, National Association
Servicing Lender Address 2035 Limestone Rd, WILMINGTON, DE, 19808-5529
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Jericho, NASSAU, NY, 11753-2341
Project Congressional District NY-03
Number of Employees 6
NAICS code 492110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 29805
Originating Lender Name TD Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 64496.83
Forgiveness Paid Date 2021-10-20

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
2297852 Intrastate Non-Hazmat 2012-04-23 - - 1 1 Auth. For Hire
Legal Name OFFSITE MEDICAL SOLUTIONS LLC
DBA Name -
Physical Address 60 FIRE ISLAND AVE, BABYLON, NY, 11702, US
Mailing Address 60 FIRE ISLAND AVE, BABYLON, NY, 11702, US
Phone (631) 482-9797
Fax -
E-mail -

Safety Measurement System - All Transportation
Total Number of Inspections for the measurement period (24 months) 0
Driver Fitness BASIC Serious Violation Indicator No
Vehicle Maintenance BASIC Acute/Critical Indicator No
Unsafe Driving BASIC Acute/Critical Indicator No
Driver Fitness BASIC Roadside Performance measure value 0
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value 0
Total Number of Driver Inspections for the measurment period 0
Vehicle Maintenance BASIC Roadside Performance measure value 0
Total Number of Vehicle Inspections for the measurement period 0
Controlled Substances and Alcohol BASIC Roadside Performance measure value 0
Unsafe Driving BASIC Roadside Performance Measure Value 0
Number of inspections with at least one Driver Fitness BASIC violation 0
Number of inspections with at least one Hours-of-Service BASIC violation 0
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation 0
Number of inspections with at least one Vehicle Maintenance BASIC violation 0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation 0
Number of inspections with at least one Controlled Substances and Alcohol BASIC violation 0
Number of inspections with at least one Unsafe Driving BASIC violation 0

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State

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