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MANTIS MEDICAL EQUIPMENT SERVICE LLC

Company Details

Name: MANTIS MEDICAL EQUIPMENT SERVICE LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 13 Feb 2017 (8 years ago)
Entity Number: 5084219
ZIP code: 14623
County: Orleans
Place of Formation: New York
Address: 375 WHITE SPRUCE BLVD, ROCHESTER, NY, United States, 14623

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
TA8GQ3MKBFE5 2024-12-05 1240 JEFFERSON RD, STE C, ROCHESTER, NY, 14623, 3104, USA PO BOX 1021, FAIRPORT, NY, 14450, USA

Business Information

URL http://www.mantismed.com
Congressional District 25
State/Country of Incorporation NY, USA
Activation Date 2023-12-07
Initial Registration Date 2019-11-01
Entity Start Date 2017-02-13
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 238290, 238990, 339113, 423440, 423450, 423460, 423490, 423690, 423830, 423850, 423910, 449210, 459999, 532490, 541611, 541690, 541990, 561990, 611310, 611710, 621111, 621112, 621210, 621310, 621320, 621340, 621391, 621399, 621420, 621491, 621493, 621498, 621511, 621512, 621610, 621910, 621999, 622110, 811210, 811310, 811412, 811490, 812990, 813910, 813920

Points of Contacts

Electronic Business
Title PRIMARY POC
Name SHARON L PELUSIO
Role PRESIDENT
Address PO BOX 1021, FAIRPORT, NY, 14450, USA
Government Business
Title PRIMARY POC
Name SHARON L PELUSIO
Role PRESIDENT
Address PO BOX 1021, FAIRPORT, NY, 14450, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MANTIS MEDICAL 401(K) PLAN 2023 815331403 2024-06-08 MANTIS MEDICAL EQUIPMENT SERVICE 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-05-01
Business code 811210
Sponsor’s telephone number 8332626847
Plan sponsor’s address 375 WHITE SPRUCE BLVD, ROCHESTER, NY, 14623

Signature of

Role Plan administrator
Date 2024-06-08
Name of individual signing SHARON PELUSIO
MANTIS MEDICAL 401(K) PLAN 2022 815331403 2023-06-06 MANTIS MEDICAL EQUIPMENT SERVICE 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-05-01
Business code 811210
Sponsor’s telephone number 8332626847
Plan sponsor’s address 1240 JEFFERSON ROAD, ROCHESTER, NY, 14623

Signature of

Role Plan administrator
Date 2023-06-06
Name of individual signing SHARON PELUSIO
MANTIS MEDICAL 401(K) PLAN 2021 815331403 2022-06-09 MANTIS MEDICAL EQUIPMENT SERVICE 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-05-01
Business code 811210
Sponsor’s telephone number 8332626847
Plan sponsor’s address 1240 JEFFERSON ROAD, ROCHESTER, NY, 14623

Signature of

Role Plan administrator
Date 2022-06-09
Name of individual signing SHARON PELUSIO
MANTIS MEDICAL 401(K) PLAN 2020 815331403 2021-06-28 MANTIS MEDICAL EQUIPMENT SERVICE 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-05-01
Business code 811210
Sponsor’s telephone number 8332626847
Plan sponsor’s address 1240 JEFFERSON ROAD, ROCHESTER, NY, 14623

Signature of

Role Plan administrator
Date 2021-06-28
Name of individual signing SOO AHN
MANTIS MEDICAL 401(K) PLAN 2019 815331403 2021-02-02 MANTIS MEDICAL EQUIPMENT SERVICE 10
Three-digit plan number (PN) 001
Effective date of plan 2018-05-01
Business code 811210
Sponsor’s telephone number 8332626847
Plan sponsor’s address 1240 JEFFERSON ROAD, ROCHESTER, NY, 14623

Signature of

Role Plan administrator
Date 2021-02-02
Name of individual signing SHARON PELUSIO
MANTIS MEDICAL 401(K) PLAN 2019 815331403 2021-03-16 MANTIS MEDICAL EQUIPMENT SERVICE 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-05-01
Business code 811210
Sponsor’s telephone number 8332626847
Plan sponsor’s address 1240 JEFFERSON ROAD, ROCHESTER, NY, 14623

Signature of

Role Plan administrator
Date 2021-03-16
Name of individual signing SHARON PELUSIO
MANTIS MEDICAL 401(K) PLAN 2018 815331403 2019-06-13 MANTIS MEDICAL EQUIPMENT SERVICE 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-05-01
Business code 811210
Sponsor’s telephone number 8332626847
Plan sponsor’s address 1240 JEFFERSON ROAD, ROCHESTER, NY, 14623

Signature of

Role Plan administrator
Date 2019-06-13
Name of individual signing SHARON PELUSIO

DOS Process Agent

Name Role Address
SHARON L. PELUSIO DOS Process Agent 375 WHITE SPRUCE BLVD, ROCHESTER, NY, United States, 14623

History

Start date End date Type Value
2017-02-13 2024-09-04 Address 109 MAIN STREET, BROCKPORT, NY, 14420, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240904000186 2024-09-04 BIENNIAL STATEMENT 2024-09-04
221229001458 2022-12-29 BIENNIAL STATEMENT 2021-02-01
170530000560 2017-05-30 CERTIFICATE OF PUBLICATION 2017-05-30
170213010211 2017-02-13 ARTICLES OF ORGANIZATION 2017-02-13

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DEFINITIVE CONTRACT AWARD 36C24721C0126 2021-05-01 2024-09-30 2025-09-30
Unique Award Key CONT_AWD_36C24721C0126_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 33467.30
Current Award Amount 33467.30
Potential Award Amount 35598.30

Description

Title TEST EQUIPMENT CALIBRATIONS (BIOMED SECTION)
NAICS Code 811219: OTHER ELECTRONIC AND PRECISION EQUIPMENT REPAIR AND MAINTENANCE
Product and Service Codes H266: EQUIPMENT AND MATERIALS TESTING- INSTRUMENTS AND LABORATORY EQUIPMENT

Recipient Details

Recipient MANTIS MEDICAL EQUIPMENT SERVICE LLC
UEI TA8GQ3MKBFE5
Recipient Address UNITED STATES, 1240 JEFFERSON RD STE C, ROCHESTER, MONROE, NEW YORK, 146233104
PURCHASE ORDER AWARD 36C24621P0171 2020-11-01 2023-10-31 2025-10-31
Unique Award Key CONT_AWD_36C24621P0171_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 61778.58
Current Award Amount 82950.00
Potential Award Amount 91950.00

Description

Title DECREASE OF EXCESS FUNDS NOT UTILIZED
NAICS Code 811219: OTHER ELECTRONIC AND PRECISION EQUIPMENT REPAIR AND MAINTENANCE
Product and Service Codes J059: MAINT/REPAIR/REBUILD OF EQUIPMENT- ELECTRICAL AND ELECTRONIC EQUIPMENT COMPONENTS

Recipient Details

Recipient MANTIS MEDICAL EQUIPMENT SERVICE LLC
UEI TA8GQ3MKBFE5
Recipient Address UNITED STATES, 1240 JEFFERSON RD STE C, ROCHESTER, MONROE, NEW YORK, 146233104
No data IDV 36F79723D0153 2023-07-01 No data No data
Unique Award Key CONT_IDV_36F79723D0153_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 0.00
Potential Award Amount 250000.00

Description

Title ADDITION MODIFICATION
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6530: HOSPITAL FURNITURE, EQUIPMENT, UTENSILS, AND SUPPLIES

Recipient Details

Recipient MANTIS MEDICAL EQUIPMENT SERVICE LLC
UEI TA8GQ3MKBFE5
Recipient Address UNITED STATES, 1240 JEFFERSON RD, STE C, ROCHESTER, MONROE, NEW YORK, 146233104

Date of last update: 23 Nov 2024

Sources: New York Secretary of State