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  5. PAIN CENTERS OF AMERICA, LLC

PAIN CENTERS OF AMERICA, LLC

Company Details

Name: PAIN CENTERS OF AMERICA, LLC
Jurisdiction: New York
Legal type: FOREIGN LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 24 Feb 2014 (11 years ago)
Entity Number: 4533651
ZIP code: 14215
County: Erie
Place of Formation: Delaware
Address: 1515 KENSINGTON AVE, BUFFALO, NY, United States, 14215

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PAIN CENTERS OF AMERICA 401K PLAN 2023 461503788 2024-07-12 PAIN CENTERS OF AMERICA, LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-29
Business code 621399
Sponsor’s telephone number 7168675277
Plan sponsor’s address 1515 KENSINGTON AVE, BUFFALO, NY, 14215

Signature of
Role Plan administrator
Date 2024-07-12
Name of individual signing SHIRLEY HORNER
PAIN CENTERS OF AMERICA 401K PLAN 2022 461503788 2023-06-23 PAIN CENTERS OF AMERICA, LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-29
Business code 621399
Sponsor’s telephone number 7168675277
Plan sponsor’s address 1515 KENSINGTON AVE, BUFFALO, NY, 14215

Signature of
Role Plan administrator
Date 2023-06-23
Name of individual signing NICK RICE
PAIN CENTERS OF AMERICA 401K PLAN 2021 461503788 2022-07-15 PAIN CENTERS OF AMERICA, LLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-29
Business code 621399
Sponsor’s telephone number 7168675277
Plan sponsor’s address 1515 KENSINGTON AVE, BUFFALO, NY, 14215

Signature of
Role Plan administrator
Date 2022-07-15
Name of individual signing SHIRLEY HORNER
PAIN CENTERS OF AMERICA 401K PLAN 2020 461503788 2021-07-17 PAIN CENTERS OF AMERICA, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-29
Business code 621399
Sponsor’s telephone number 7168675277
Plan sponsor’s address 1515 KENSINGTON AVE, BUFFALO, NY, 14215

Signature of
Role Plan administrator
Date 2021-07-17
Name of individual signing SHIRLEY HORNER
PAIN CENTERS OF AMERICA 401K PLAN 2019 461503788 2020-07-27 PAIN CENTERS OF AMERICA, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-29
Business code 621399
Sponsor’s telephone number 7168675277
Plan sponsor’s address 1515 KENSINGTON AVE, BUFFALO, NY, 14215

Signature of
Role Plan administrator
Date 2020-07-27
Name of individual signing JONI HYRICK
PAIN CENTERS OF AMERICA 401K PLAN 2018 461503788 2019-07-10 PAIN CENTERS OF AMERICA, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-29
Business code 621399
Sponsor’s telephone number 7168675277
Plan sponsor’s address 1515 KENSINGTON AVE, BUFFALO, NY, 14215

Signature of
Role Plan administrator
Date 2019-07-10
Name of individual signing JONI HYRICK
PAIN CENTERS OF AMERICA 401K PLAN 2017 461503788 2018-06-20 PAIN CENTERS OF AMERICA, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-29
Business code 621493
Sponsor’s telephone number 7168675277
Plan sponsor’s address 1515 KENSINGTON AVE, BUFFALO, NY, 14215

Signature of
Role Plan administrator
Date 2018-06-20
Name of individual signing JONI HYRICK
PAIN CENTERS OF AMERICA 401K PLAN 2016 461503788 2017-07-13 PAIN CENTERS OF AMERICA, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-29
Business code 621493
Sponsor’s telephone number 7168675277
Plan sponsor’s address 1515 KENSINGTON AVE, BUFFALO, NY, 14215

Signature of
Role Plan administrator
Date 2017-07-13
Name of individual signing JONI HYRICK
PAIN CENTERS OF AMERICA 401K PLAN 2015 461503788 2016-10-18 PAIN CENTERS OF AMERICA, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-29
Business code 621493
Sponsor’s telephone number 7168675277
Plan sponsor’s address 1515 KENSINGTON AVE, BUFFALO, NY, 14215

Signature of
Role Plan administrator
Date 2016-10-18
Name of individual signing JONI HYRICK
PAIN CENTERS OF AMERICA 401K PLAN 2014 461503788 2015-11-30 PAIN CENTERS OF AMERICA, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-29
Business code 621493
Sponsor’s telephone number 7168675277
Plan sponsor’s address 1515 KENSINGTON AVE, BUFFALO, NY, 14215

Signature of
Role Plan administrator
Date 2015-11-30
Name of individual signing JONI HYRICK

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1515 KENSINGTON AVE, BUFFALO, NY, United States, 14215

Filings

Filing Number Date Filed Type Effective Date
180206006571 2018-02-06 BIENNIAL STATEMENT 2018-02-01
160204006273 2016-02-04 BIENNIAL STATEMENT 2016-02-01
141204000266 2014-12-04 CERTIFICATE OF PUBLICATION 2014-12-04
140224000485 2014-02-24 APPLICATION OF AUTHORITY 2014-02-24

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4335858303 2021-01-23 0296 PPS 1515 Kensington Ave, Buffalo, NY, 14215-1436
Loan Status Date 2022-02-09
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 246107
Loan Approval Amount (current) 246107
Undisbursed Amount 0
Franchise Name -
Lender Location ID 46391
Servicing Lender Name Manufacturers and Traders Trust Company
Servicing Lender Address One M & T Plaza, 15th Fl, BUFFALO, NY, 14203
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Buffalo, ERIE, NY, 14215-1436
Project Congressional District NY-26
Number of Employees 17
NAICS code 541611
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 46391
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address BUFFALO, NY
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 248379.28
Forgiveness Paid Date 2022-01-03
1243347208 2020-04-15 0296 PPP 1515 Kensington Avenue, Buffalo, NY, 14215
Loan Status Date 2021-03-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 246100
Loan Approval Amount (current) 246100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 46391
Servicing Lender Name Manufacturers and Traders Trust Company
Servicing Lender Address One M & T Plaza, 15th Fl, BUFFALO, NY, 14203
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Buffalo, ERIE, NY, 14215-0001
Project Congressional District NY-26
Number of Employees 13
NAICS code 541219
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 46391
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address BUFFALO, NY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 248048.57
Forgiveness Paid Date 2021-02-09

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State

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