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  5. BOSTON PEDIATRICS PLLC

BOSTON PEDIATRICS PLLC

Company Details

Name: BOSTON PEDIATRICS PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 26 Jun 2012 (13 years ago)
Entity Number: 4263477
ZIP code: 10983
County: Bronx
Place of Formation: New York
Address: 102 Princeton Drive, Tappan, NY, United States, 10983

Contact Details

Phone +1 718-617-2500

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BOSTON PEDIATRICS PLLC CASH BALANCE PLAN 2023 455607735 2024-10-15 BOSTON PEDIATRICS 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621399
Sponsor’s telephone number 7186172500
Plan sponsor’s address 1262 BOSTON ROAD, SUITE 1, BRONX, NY, 104563602

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing DR. JORGE CORNIELLE
Valid signature Filed with authorized/valid electronic signature
BOSTON PEDIATRICS PLLC 401(K) PROFIT SHARING PLAN 2023 455607735 2024-10-14 BOSTON PEDIATRICS 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 7186172500
Plan sponsor’s address 1262 BOSTON ROAD, SUITE 1, BRONX, NY, 104563602

Signature of
Role Plan administrator
Date 2024-10-14
Name of individual signing MIKE TIBOLET
Valid signature Filed with authorized/valid electronic signature
BOSTON PEDIATRICS PLLC CASH BALANCE PENSION PLAN 2022 455607735 2023-09-29 BOSTON PEDIATRICS PLLC 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621399
Sponsor’s telephone number 7186172500
Plan sponsor’s address 1262 BOSTON RD, BRONX, NY, 10456

Signature of
Role Plan administrator
Date 2023-09-29
Name of individual signing JORGE CORNIELLE
BOSTON PEDIATRICS PLLC 401(K) PROFIT SHARING PLAN 2022 455607735 2023-07-31 BOSTON PEDIATRICS PLLC 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 7186172500
Plan sponsor’s address 1262 BOSTON RD, BRONX, NY, 104563602

Plan administrator’s name and address
Administrator’s EIN 823719843
Plan administrator’s name FUTUREPLAN FIDUCIARY SERVICES LLC
Plan administrator’s address P.O. BOX 55757, BOSTON, MA, 02205
Administrator’s telephone number 8557115283

Signature of
Role Plan administrator
Date 2023-07-31
Name of individual signing ALICIA M. TURNER
BOSTON PEDIATRICS PLLC CASH BALANCE PENSION PLAN 2021 455607735 2022-10-17 BOSTON PEDIATRICS PLLC 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621399
Sponsor’s telephone number 7186172500
Plan sponsor’s address 1262 BOSTON RD, SUITE 1, BRONX, NY, 104563602
BOSTON PEDIATRICS PLLC 401(K) PROFIT SHARING PLAN 2021 455607735 2022-05-16 BOSTON PEDIATRICS PLLC 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 7186172500
Plan sponsor’s address 1262 BOSTON RD, SUITE 1, BRONX, NY, 104563602

Signature of
Role Plan administrator
Date 2022-05-16
Name of individual signing JOSEPH HOLLAND
BOSTON PEDIATRICS PLLC 401(K) PROFIT SHARING PLAN 2020 455607735 2021-04-23 BOSTON PEDIATRICS PLLC 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 7186172500
Plan sponsor’s address 1262 BOSTON RD, SUITE 1, BRONX, NY, 104563602

Signature of
Role Plan administrator
Date 2021-04-23
Name of individual signing JOSEPH HOLLAND
BOSTON PEDIATRICS PLLC CASH BALANCE PENSION PLAN 2020 455607735 2021-07-12 BOSTON PEDIATRICS PLLC 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621399
Sponsor’s telephone number 7186172500
Plan sponsor’s address 1262 BOSTON RD, SUITE 1, BRONX, NY, 104563602
BOSTON PEDIATRICS PLLC CASH BALANCE PENSION PLAN 2019 455607735 2020-10-02 BOSTON PEDIATRICS PLLC 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621399
Sponsor’s telephone number 7186172500
Plan sponsor’s address 1262 BOSTON RD, SUITE 1, BRONX, NY, 104563602
BOSTON PEDIATRICS PLLC 401(K) PROFIT SHARING PLAN 2019 455607735 2020-06-09 BOSTON PEDIATRICS PLLC 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 7186172500
Plan sponsor’s address 1262 BOSTON RD, SUITE 1, BRONX, NY, 104563602

Signature of
Role Plan administrator
Date 2020-06-09
Name of individual signing JOSEPH HOLLAND

DOS Process Agent

Name Role Address
JORGE CORNIELLE DOS Process Agent 102 Princeton Drive, Tappan, NY, United States, 10983

History

Start date End date Type Value
2012-06-26 2023-05-22 Address 82 HOWARD AVENUE, EASTCHESTER, NY, 10709, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230522000874 2023-05-22 BIENNIAL STATEMENT 2022-06-01
210726002155 2021-07-26 BIENNIAL STATEMENT 2021-07-26
181129000655 2018-11-29 CERTIFICATE OF PUBLICATION 2018-11-29
140718006414 2014-07-18 BIENNIAL STATEMENT 2014-06-01
120626000567 2012-06-26 ARTICLES OF ORGANIZATION 2012-06-26

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3758978301 2021-01-22 0202 PPS 1262 Boston Rd, Bronx, NY, 10456-3602
Loan Status Date 2022-03-17
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 66400
Loan Approval Amount (current) 66400
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 Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Bronx, BRONX, NY, 10456-3602
Project Congressional District NY-15
Number of Employees 29
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 49274
Originating Lender Name Citibank, N.A.
Originating Lender Address Sioux Falls, SD
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 67073.22
Forgiveness Paid Date 2022-02-01
7086237703 2020-05-01 0202 PPP 1262 Boston Rd, bronx, NY, 10456
Loan Status Date 2021-03-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 66400
Loan Approval Amount (current) 66400
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 Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address bronx, BRONX, NY, 10456-0001
Project Congressional District NY-15
Number of Employees 29
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 49274
Originating Lender Name Citibank, N.A.
Originating Lender Address Sioux Falls, SD
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 66920.13
Forgiveness Paid Date 2021-02-17

Related by officers

JORGE CORNIELLE

1262 BOSTON ROAD REALTY CORP. 455 EAST 187TH REALTY, LLC BRMC MEDICAL PLLC

Related by address

102 Princeton Drive, Tappan, NY, United States, 10983

859 E 225TH CORP. BRMC MEDICAL PLLC RENOVATED REALTY HOMES LLC

Date of last update: 26 Mar 2025

Sources: New York Secretary of State

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