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JAMES M. VLASSIS, D.D.S., M.S., P.C.

Company Details

Name: JAMES M. VLASSIS, D.D.S., M.S., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 08 Sep 1994 (30 years ago)
Entity Number: 1850317
County: Onondaga
Place of Formation: New York
Address: 100 N BURDICK ST, FAYETTEVILLE, NY, United States, 13066
Address ZIP Code: 13066

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JAMES M. VLASSIS, D.D.S., M.S., P.C. EMPLOYEES' DEFINED BENEFIT PENSION PLAN AND TRUST 2023 161463176 2024-09-23 JAMES M. VLASSIS, D.D.S., M.S., P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 3156370777
Plan sponsor’s address 100 N. BURDICK STREET, FAYETTEVILLE, NY, 130661319

Signature of

Role Plan administrator
Date 2024-09-23
Name of individual signing JAMES VLASSIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-23
Name of individual signing JAMES VLASSIS
Valid signature Filed with authorized/valid electronic signature
JAMES M. VLASSIS, D.D.S., M.S., P. C. 401(K) PROFIT SHARING PLAN 2023 161463176 2024-07-18 JAMES M. VLASSIS, D.D.S., M.S., P.C 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 3156370777
Plan sponsor’s address PO BOX 296, FAYETTEVILLE, NY, 13066

Signature of

Role Plan administrator
Date 2024-07-18
Name of individual signing JAMES M. VLASSIS, D.D.S.
Role Employer/plan sponsor
Date 2024-07-18
Name of individual signing JAMES VLASSIS
JAMES M. VLASSIS, D.D.S., M.S., P.C. EMPLOYEES' DEFINED BENEFIT PENSION PLAN AND TRUST 2022 161463176 2023-10-03 JAMES M. VLASSIS, D.D.S., M.S., P.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 3156370777
Plan sponsor’s address 100 N. BURDICK STREET, FAYETTEVILLE, NY, 130661319

Signature of

Role Plan administrator
Date 2023-10-03
Name of individual signing JAMES VLASSIS
Role Employer/plan sponsor
Date 2023-10-03
Name of individual signing JAMES VLASSIS
JAMES M. VLASSIS, D.D.S., M.S., P. C. 401(K) PROFIT SHARING PLAN 2022 161463176 2023-09-18 JAMES M. VLASSIS, D.D.S., M.S., P.C 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 3156370777
Plan sponsor’s address PO BOX 296, FAYETTEVILLE, NY, 13066

Signature of

Role Plan administrator
Date 2023-09-18
Name of individual signing JAMES M. VLASSIS, D.D.S.
JAMES M. VLASSIS, D.D.S., M.S., P.C. EMPLOYEES' DEFINED BENEFIT PENSION PLAN AND TRUST 2021 161463176 2022-10-12 JAMES M. VLASSIS, D.D.S., M.S., P.C. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 3156370777
Plan sponsor’s address 100 N. BURDICK STREET, FAYETTEVILLE, NY, 130661319

Signature of

Role Plan administrator
Date 2022-10-12
Name of individual signing JAMES VLASSIS
Role Employer/plan sponsor
Date 2022-10-12
Name of individual signing JAMES VLASSIS
JAMES M. VLASSIS, D.D.S., M.S., P. C. 401(K) PROFIT SHARING PLAN 2021 161463176 2022-09-30 JAMES M. VLASSIS, D.D.S., M.S., P.C 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 3156370777
Plan sponsor’s address PO BOX 296, FAYETTEVILLE, NY, 13066

Signature of

Role Plan administrator
Date 2022-09-30
Name of individual signing JAMES M. VLASSIS, D.D.S.
JAMES M. VLASSIS, D.D.S., M.S., P.C. EMPLOYEES' DEFINED BENEFIT PENSION PLAN AND TRUST 2020 161463176 2021-10-13 JAMES M. VLASSIS, D.D.S., M.S., P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 3156370777
Plan sponsor’s address 100 N. BURDICK STREET, FAYETTEVILLE, NY, 130661319

Signature of

Role Plan administrator
Date 2021-10-13
Name of individual signing JAMES VLASSIS
Role Employer/plan sponsor
Date 2021-10-13
Name of individual signing JAMES VLASSIS
JAMES M. VLASSIS, D.D.S., M.S., P. C. 401(K) PROFIT SHARING PLAN 2020 161463176 2021-07-15 JAMES M. VLASSIS, D.D.S., M.S., P.C 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 3156370777
Plan sponsor’s address PO BOX 296, FAYETTEVILLE, NY, 13066

Signature of

Role Plan administrator
Date 2021-07-15
Name of individual signing JAMES M. VLASSIS, D.D.S.
Role Employer/plan sponsor
Date 2021-07-15
Name of individual signing JAMES VLASSIS
JAMES M. VLASSIS, D.D.S., M.S., P. C. 401(K) PROFIT SHARING PLAN 2019 161463176 2020-03-09 JAMES M. VLASSIS, D.D.S., M.S., P.C 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 3156370777
Plan sponsor’s address PO BOX 296, FAYETTEVILLE, NY, 13066

Signature of

Role Plan administrator
Date 2020-03-09
Name of individual signing JAMES M. VLASSIS, D.D.S.
JAMES M. VLASSIS, D.D.S., M.S., P.C. EMPLOYEES' DEFINED BENEFIT PENSION PLAN AND TRUST 2019 161463176 2020-09-22 JAMES M. VLASSIS, D.D.S., M.S., P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 3156370777
Plan sponsor’s address 100 N. BURDICK STREET, FAYETTEVILLE, NY, 130661319

Signature of

Role Plan administrator
Date 2020-09-22
Name of individual signing JAMES VLASSIS
Role Employer/plan sponsor
Date 2020-09-22
Name of individual signing JAMES VLASSIS

DOS Process Agent

Name Role Address
JAMES M VLASSIS DOS Process Agent 100 N BURDICK ST, FAYETTEVILLE, NY, United States, 13066

Chief Executive Officer

Name Role Address
JAMES M VLASSIS Chief Executive Officer 100 N BURDICK ST, PO BOX 296, FAYETTEVILLE, NY, United States, 13066

History

Start date End date Type Value
1996-09-24 2014-10-09 Address 100 N BURDICK ST, FAYETTEVILLE, NY, 13066, USA (Type of address: Chief Executive Officer)
1994-09-08 1996-09-24 Address 5070 BRIDLE PATH ROAD, FAYETTEVILLE, NY, 13066, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
141009007048 2014-10-09 BIENNIAL STATEMENT 2014-09-01
121004002331 2012-10-04 BIENNIAL STATEMENT 2012-09-01
101007002276 2010-10-07 BIENNIAL STATEMENT 2010-09-01
080918002413 2008-09-18 BIENNIAL STATEMENT 2008-09-01
060922002536 2006-09-22 BIENNIAL STATEMENT 2006-09-01
041104002461 2004-11-04 BIENNIAL STATEMENT 2004-09-01
020823002415 2002-08-23 BIENNIAL STATEMENT 2002-09-01
000912002261 2000-09-12 BIENNIAL STATEMENT 2000-09-01
980910002322 1998-09-10 BIENNIAL STATEMENT 1998-09-01
960924002175 1996-09-24 BIENNIAL STATEMENT 1996-09-01

Date of last update: 13 Nov 2024

Sources: New York Secretary of State