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  5. PAIN MSO OF WNY, LLC

PAIN MSO OF WNY, LLC

Company Details

Name: PAIN MSO OF WNY, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 21 Jul 2016 (9 years ago)
Entity Number: 4981331
ZIP code: 14224
County: Erie
Place of Formation: New York
Address: 721 CENTER ROAD, WEST SENECA, NY, United States, 14224

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PAIN MSO OF WNY, LLC PROFIT SHARING 401(K) PLAN 2022 813324230 2023-08-07 PAIN MSO OF WNY, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 7166397754
Plan sponsor’s address 1360 NORTH FOREST ROAD, SUITE #115, WILLIAMSVILLE, NY, 14221

Signature of
Role Plan administrator
Date 2023-08-07
Name of individual signing JEFFREY O DANN
Role Employer/plan sponsor
Date 2023-08-07
Name of individual signing PAIN MSO OF WNY LLC
PAIN MSO OF WNY, LLC PROFIT SHARING 401(K) PLAN 2022 813324230 2023-08-21 PAIN MSO OF WNY, LLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 7166397754
Plan sponsor’s address 1360 NORTH FOREST ROAD, SUITE #115, WILLIAMSVILLE, NY, 14221

Signature of
Role Plan administrator
Date 2023-08-21
Name of individual signing JEFFREY O DANN
Role Employer/plan sponsor
Date 2023-08-21
Name of individual signing JEFFREY O DANN
PAIN MSO OF WNY, LLC PROFIT SHARING 401(K) PLAN 2021 813324230 2022-09-15 PAIN MSO OF WNY, LLC 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 7166397754
Plan sponsor’s address 1360 NORTH FOREST ROAD, SUITE #115, WILLIAMSVILLE, NY, 14221

Signature of
Role Plan administrator
Date 2022-08-10
Name of individual signing JEFFREY O DANN
Role Employer/plan sponsor
Date 2022-09-15
Name of individual signing JEFFREY O DANN
PAIN MSO OF WNY, LLC PROFIT SHARING 401(K) PLAN 2020 813324230 2021-09-29 PAIN MSO OF WNY, LLC 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 7166397754
Plan sponsor’s address 1360 NORTH FOREST ROAD, SUITE #115, WILLIAMSVILLE, NY, 14221

Signature of
Role Plan administrator
Date 2021-09-29
Name of individual signing JEFFREY O DANN
Role Employer/plan sponsor
Date 2021-09-29
Name of individual signing JEFFREY O DANN
PAIN MSO OF WNY, LLC PROFIT SHARING 401(K) PLAN 2019 813324230 2020-07-15 PAIN MSO OF WNY, LLC 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 7166397754
Plan sponsor’s address 1360 NORTH FOREST ROAD, SUITE #115, WILLIAMSVILLE, NY, 14221

Signature of
Role Plan administrator
Date 2020-07-15
Name of individual signing JILL WEBER
PAIN MSO OF WNY, LLC PROFIT SHARING 401(K) PLAN 2018 813324230 2019-07-02 PAIN MSO OF WNY, LLC 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 7166397754
Plan sponsor’s address 100 COLLEGE PARKWAY, SUITE 220, WILLIAMSVILLE, NY, 142216800

Signature of
Role Plan administrator
Date 2019-07-02
Name of individual signing JILL WEBER
PAIN MSO OF WNY, LLC PROFIT SHARING 401(K) PLAN 2017 813324230 2018-10-01 PAIN MSO OF WNY, LLC 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 7166397754
Plan sponsor’s address 100 COLLEGE PARKWAY, SUITE 220, WILLIAMSVILLE, NY, 142216800

Signature of
Role Plan administrator
Date 2018-10-01
Name of individual signing JILL WEBER
Role Employer/plan sponsor
Date 2018-10-01
Name of individual signing JILL WEBER

DOS Process Agent

Name Role Address
C/O LEWANDOWSKI & ASSOCIATES DOS Process Agent 721 CENTER ROAD, WEST SENECA, NY, United States, 14224

History

Start date End date Type Value
2016-07-21 2020-07-08 Address 721 CENTER ROAD, WEST SENECA, NY, 14224, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200708060579 2020-07-08 BIENNIAL STATEMENT 2020-07-01
180705007429 2018-07-05 BIENNIAL STATEMENT 2018-07-01
170201000100 2017-02-01 CERTIFICATE OF PUBLICATION 2017-02-01
160721010417 2016-07-21 ARTICLES OF ORGANIZATION 2016-07-21

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8778957103 2020-04-15 0296 PPP 1360 North Forest Road Suite 115, Buffalo, NY, 14221
Loan Status Date 2021-04-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 386250
Loan Approval Amount (current) 386250
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 N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Buffalo, ERIE, NY, 14221-1000
Project Congressional District NY-26
Number of Employees 29
NAICS code 561110
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 389742.12
Forgiveness Paid Date 2021-03-22
8915438507 2021-03-10 0296 PPS 1360 N Forest Rd, Williamsville, NY, 14221-1200
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) 386250
Loan Approval Amount (current) 386250
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 N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Williamsville, ERIE, NY, 14221-1200
Project Congressional District NY-26
Number of Employees 32
NAICS code 541611
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
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 389445.82
Forgiveness Paid Date 2022-01-13

Related by officers

C/O LEWANDOWSKI & ASSOCIATES

NUPRO CORPORATION INDY, LLC PAIN INSIGHTS MANAGEMENT SERVICES LLC

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State

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