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VAIL HEALTHCARE MEDICAL, PLLC

Company Details

Name: VAIL HEALTHCARE MEDICAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 06 Dec 2012 (12 years ago)
Entity Number: 4329239
ZIP code: 10271
County: Bronx
Place of Formation: New York
Address: KAUFMAN BORGEEST & RYAN LLP, 120 BROADWAY, NEW YORK, NY, United States, 10271

Contact Details

Phone +1 718-589-4541

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VAIL HEALTHCARE MEDICAL, PLLC 401(K) PROFIT SHARING PLAN AND T 2023 464174367 2024-09-13 VAIL HEALTHCARE MEDICAL, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7185894541
Plan sponsor’s address 953 SOUTHERN BLVD, RM 202, BRONX, NY, 10459

Signature of

Role Plan administrator
Date 2024-09-13
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
VAIL HEALTHCARE MEDICAL, PLLC 401(K) PROFIT SHARING PLAN AND T 2022 464174367 2023-09-11 VAIL HEALTHCARE MEDICAL, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7185894541
Plan sponsor’s address 953 SOUTHERN BLVD, RM 202, BRONX, NY, 10459

Signature of

Role Plan administrator
Date 2023-09-11
Name of individual signing NICK RICE
VAIL HEALTHCARE MEDICAL, PLLC 401(K) PROFIT SHARING PLAN AND T 2021 464174367 2022-09-15 VAIL HEALTHCARE MEDICAL, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7185894541
Plan sponsor’s address 953 SOUTHERN BLVD, RM 202, BRONX, NY, 10459

Signature of

Role Plan administrator
Date 2022-09-15
Name of individual signing NICK RICE
VAIL HEALTHCARE MEDICAL PLLC 2020 464174367 2021-11-24 VAIL HEALTHCARE MEDICAL PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7185894541
Plan sponsor’s address 1070 SOUTHERN BLVD, BRONX, NY, 104593268

Signature of

Role Plan administrator
Date 2021-11-24
Name of individual signing RACQUEL PETERS
VAIL HEALTHCARE MEDICAL PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 464174367 2020-07-22 VAIL HEALTHCARE MEDICAL PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7185892004
Plan sponsor’s address 953 SOUTHERN BLVD SUITE 202, BRONX, NY, 10459

Signature of

Role Plan administrator
Date 2020-07-22
Name of individual signing RACQUEL PETERS
VAIL HEALTHCARE MEDICAL PLLC 401 K PROFIT SHARING PLAN TRUST 2017 464174367 2018-07-30 VAIL HEALTHCARE MEDICAL PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7185894541
Plan sponsor’s address 953 SOUTHERN BLVD, SUITE 202, BRONX, NY, 10459

Signature of

Role Plan administrator
Date 2018-07-30
Name of individual signing SHANIKA GAYLE
VAIL HEALTHCARE MEDICAL PLLC 401 K PROFIT SHARING PLAN TRUST 2016 464174367 2017-06-15 VAIL HEALTHCARE MEDICAL PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7185892004
Plan sponsor’s address 1070 SOUTHERN BLVD, BRONX, NY, 10459

Signature of

Role Plan administrator
Date 2017-06-15
Name of individual signing RICHARD IZQUIERDO
VAIL HEALTHCARE MEDICAL PLLC 401 K PROFIT SHARING PLAN TRUST 2015 464174367 2016-07-19 VAIL HEALTHCARE MEDICAL PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7185892004
Plan sponsor’s address 1070 SOUTHERN BLVD, BRONX, NY, 10459

Signature of

Role Plan administrator
Date 2016-07-19
Name of individual signing RICHARD IZQUIERDO

DOS Process Agent

Name Role Address
MARGARET DAVINO DOS Process Agent KAUFMAN BORGEEST & RYAN LLP, 120 BROADWAY, NEW YORK, NY, United States, 10271

Filings

Filing Number Date Filed Type Effective Date
141212006565 2014-12-12 BIENNIAL STATEMENT 2014-12-01
130225000336 2013-02-25 CERTIFICATE OF PUBLICATION 2013-02-25
121206000927 2012-12-06 ARTICLES OF ORGANIZATION 2012-12-06

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6919967210 2020-04-28 0202 PPP 953 Southern Blvd Suite 202, Bronx, NY, 10459
Loan Status Date 2022-01-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 97935
Loan Approval Amount (current) 97935
Undisbursed Amount 0
Franchise Name -
Lender Location ID 45120
Servicing Lender Name Valley National Bank
Servicing Lender Address 615 Main Ave, PASSAIC, NJ, 07055-5066
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Bronx, BRONX, NY, 10459-0001
Project Congressional District NY-15
Number of Employees 12
NAICS code 621112
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Partnership
Originating Lender ID 45120
Originating Lender Name Valley National Bank
Originating Lender Address PASSAIC, NJ
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 99529.16
Forgiveness Paid Date 2021-12-14
6875498302 2021-01-27 0202 PPS 953 Southern Blvd Rm 202, Bronx, NY, 10459-3428
Loan Status Date 2022-01-14
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 100000
Loan Approval Amount (current) 100000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 45120
Servicing Lender Name Valley National Bank
Servicing Lender Address 615 Main Ave, PASSAIC, NJ, 07055-5066
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Bronx, BRONX, NY, 10459-3428
Project Congressional District NY-14
Number of Employees 13
NAICS code 621112
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Partnership
Originating Lender ID 45120
Originating Lender Name Valley National Bank
Originating Lender Address PASSAIC, NJ
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 100869.44
Forgiveness Paid Date 2021-12-14

Date of last update: 26 Mar 2025

Sources: New York Secretary of State