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  5. XIMIO HEALTH, INC.

XIMIO HEALTH, INC.

Company Details

Name: XIMIO HEALTH, INC.
Jurisdiction: New York
Legal type: FOREIGN BUSINESS CORPORATION
Status: Active
Date of registration: 23 Mar 2016 (9 years ago)
Entity Number: 4917489
ZIP code: 10171
County: New York
Place of Formation: Delaware
Address: C/O BECKER,GLYNN,MUFFLY ETAL., 299 PARK AVENUE, 16TH FLOOR, NEW YORK, NY, United States, 10171
Principal Address: 5 STUYVESANT OVAL APT 3A, NEW YORK, NY, United States, 10009

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
XIMIO HEALTH, INC. 401(K) PLAN 2023 475236550 2024-05-13 XIMIO HEALTH, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-08-26
Business code 541511
Sponsor’s telephone number 9177972128
Plan sponsor’s address 12 STUYVESANT OVAL, APT 6B, NEW YORK, NY, 10009

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2024-05-13
Name of individual signing QIAN LIU
XIMIO HEALTH, INC. 401(K) PLAN 2022 475236550 2023-05-27 XIMIO HEALTH, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-08-26
Business code 541511
Sponsor’s telephone number 9177972128
Plan sponsor’s address 12 STUYVESANT OVAL, APT 6B, NEW YORK, NY, 10009

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2023-05-27
Name of individual signing CHRISTINE RIMER
XIMIO HEALTH, INC. 401(K) PLAN 2021 475236550 2022-05-31 XIMIO HEALTH, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-08-26
Business code 541511
Sponsor’s telephone number 9177972128
Plan sponsor’s address 12 STUYVESANT OVAL, APT 6B, NEW YORK, NY, 10009

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2022-05-31
Name of individual signing CHRISTINE RIMER
XIMIO HEALTH, INC. 401(K) PLAN 2020 475236550 2021-05-20 XIMIO HEALTH, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-08-26
Business code 541511
Sponsor’s telephone number 9177972128
Plan sponsor’s address 12 STUYVESANT OVAL, SUITE 6B, NEW YORK, NY, 10009

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2021-05-20
Name of individual signing CAROL HO

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent C/O BECKER,GLYNN,MUFFLY ETAL., 299 PARK AVENUE, 16TH FLOOR, NEW YORK, NY, United States, 10171

Chief Executive Officer

Name Role Address
BENO OPPENHEIMER Chief Executive Officer 5 STYVESANT OVAL APT 3A, NEW YORK, NY, United States, 10009

History

Start date End date Type Value
2018-05-07 2020-11-18 Address 5 STYVESNT OVAL APT 3A, NEW YORK, NY, 10009, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
201118060376 2020-11-18 BIENNIAL STATEMENT 2020-03-01
180507006618 2018-05-07 BIENNIAL STATEMENT 2018-03-01
160323000130 2016-03-23 APPLICATION OF AUTHORITY 2016-03-23

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2929698508 2021-02-22 0202 PPP 12 Stuyvesant Oval Apt 6B, New York, NY, 10009-2217
Loan Status Date 2021-04-24
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 11889.08
Loan Approval Amount (current) 11889.08
Undisbursed Amount 0
Franchise Name -
Lender Location ID 445285
Servicing Lender Name BOC Capital Corportion
Servicing Lender Address 85 S. Oxford Street, Brooklyn, NY, 11217
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address New York, NEW YORK, NY, 10009-2217
Project Congressional District NY-12
Number of Employees 1
NAICS code 541714
Borrower Race Unanswered
Borrower Ethnicity Hispanic or Latino
Business Type Corporation
Originating Lender ID 445285
Originating Lender Name BOC Capital Corportion
Originating Lender Address Brooklyn, NY
Gender Unanswered
Veteran Non-Veteran
Forgiveness Amount 11934.99
Forgiveness Paid Date 2021-08-10

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THE CORPORATION

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Related by address

No related companies by address

Date of last update: 25 Mar 2025

Sources: New York Secretary of State

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