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PERIODONTAL & IMPLANT SURGERY ASSOCIATES, P.C.

Company Details

Name: PERIODONTAL & IMPLANT SURGERY ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Sep 1995 (29 years ago)
Entity Number: 1953507
County: Nassau
Place of Formation: New York
Address: 393 FRANKLIN AVENUE, STE. 103, FRANKLIN SQUARE, NY, United States, 11010
Address ZIP Code: 11010
Principal Address: 122 NASSAU BLVD., GARDEN CITY, NY, United States, 11530
Principal Address ZIP Code: 11530

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
PERIODONTAL & IMPLANT SURGERY ASSOCIATES, PC 401K PLAN 2023 113284243 2024-10-11 PERIODONTAL & IMPLANT SURGERY ASSOCIATES, P.C. 13
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2009-06-01
Business code 621210
Sponsor’s telephone number 5169785752
Plan sponsor’s address 122 NASSAU BLVD, GARDEN CITY, NY, 115302619
PERIODONTAL & IMPLANT SURGERY ASSOCIATES, PC 401K PLAN 2022 113284243 2023-10-13 PERIODONTAL & IMPLANT SURGERY ASSOCIATES, P.C. 11
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2009-06-01
Business code 621210
Sponsor’s telephone number 5169785752
Plan sponsor’s address 122 NASSAU BLVD, GARDEN CITY, NY, 115302619
PERIODONTAL & IMPLANT SURGERY ASSOCIATES, PC 401K PLAN 2021 113284243 2022-10-17 PERIODONTAL & IMPLANT SURGERY ASSOCIATES, P.C. 11
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2009-06-01
Business code 621210
Sponsor’s telephone number 5169785752
Plan sponsor’s address 122 NASSAU BLVD, GARDEN CITY, NY, 115302619
PERIODONTAL & IMPLANT SURGERY ASSOCIATES, PC 401K PLAN 2020 113284243 2021-10-03 PERIODONTAL & IMPLANT SURGERY ASSOCIATES, P.C. 13
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2009-06-01
Business code 621210
Sponsor’s telephone number 5169785752
Plan sponsor’s address 122 NASSAU BLVD, GARDEN CITY, NY, 115302619

Signature of

Role Plan administrator
Date 2021-10-03
Name of individual signing ANTHONY IENNA
PERIODONTAL & IMPLANT SURGERY ASSOCIATES, PC 401K PLAN 2019 113284243 2020-10-11 PERIODONTAL & IMPLANT SURGERY ASSOCIATES, P.C. 17
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2009-06-01
Business code 621210
Sponsor’s telephone number 5169785752
Plan sponsor’s address 122 NASSAU BLVD, GARDEN CITY, NY, 115302619

Signature of

Role Plan administrator
Date 2020-10-11
Name of individual signing ANTHONY IENNA
PERIODONTAL & IMPLANT SURGERY ASSOCIATES, PC 401K PLAN 2018 113284243 2019-07-26 PERIODONTAL & IMPLANT SURGERY ASSOCIATES, P.C. 16
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2009-06-01
Business code 621210
Sponsor’s telephone number 5169785752
Plan sponsor’s address 122 NASSAU BLVD, GARDEN CITY, NY, 115302619

Signature of

Role Plan administrator
Date 2019-07-26
Name of individual signing ANTHONY IENNA
PERIODONTAL & IMPLANT SURGERY ASSOCIATES, PC 401K PLAN 2017 113284243 2018-07-21 PERIODONTAL & IMPLANT SURGERY ASSOCIATES, P.C. 14
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2009-06-01
Business code 621210
Sponsor’s telephone number 5163545228
Plan sponsor’s address 122 NASSAU BLVD, GARDEN CITY, NY, 115302619

Signature of

Role Plan administrator
Date 2018-07-21
Name of individual signing ANTHONY IENNA
PERIODONTAL & IMPLANT SURGERY ASSOCIATES, PC 401K PLAN 2016 113284243 2017-05-14 PERIODONTAL & IMPLANT SURGERY ASSOCIATES, P.C. 15
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2009-06-01
Business code 621210
Sponsor’s telephone number 5163545228
Plan sponsor’s address 122 NASSAU BLVD, GARDEN CITY, NY, 115302619

Signature of

Role Plan administrator
Date 2017-05-14
Name of individual signing ANTHONY IENNA
PERIODONTAL & IMPLANT SURGERY ASSOCIATES, PC 401K PLAN 2015 113284243 2016-03-28 PERIODONTAL & IMPLANT SURGERY ASSOCIATES, P.C. 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-06-01
Business code 621210
Sponsor’s telephone number 5163545228
Plan sponsor’s DBA name Y ASSOC PC
Plan sponsor’s address 122 NASSAU BLVD, GARDEN CITY, NY, 115302619

Signature of

Role Plan administrator
Date 2016-03-28
Name of individual signing ANTHONY IENNA
PERIODONTAL & IMPLANT SURGERY ASSOCIATES, PC 401K PLAN 2014 113284243 2015-06-17 PERIODONTAL & IMPLANT SURGERY ASSOCIATES, P.C. 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-06-01
Business code 621210
Sponsor’s telephone number 5163545228
Plan sponsor’s DBA name Y ASSOC PC
Plan sponsor’s address 122 NASSAU BLVD, GARDEN CITY, NY, 115302619

Signature of

Role Plan administrator
Date 2015-06-17
Name of individual signing ANTHONY IENNA

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 393 FRANKLIN AVENUE, STE. 103, FRANKLIN SQUARE, NY, United States, 11010

Chief Executive Officer

Name Role Address
ANTHONY IENNA, D.D.S. Chief Executive Officer 393 FRANKLIN AVE, #103, FRANKLIN SQUARE, NY, United States, 11010

Filings

Filing Number Date Filed Type Effective Date
190904060059 2019-09-04 BIENNIAL STATEMENT 2019-09-01
170901006749 2017-09-01 BIENNIAL STATEMENT 2017-09-01
130910006878 2013-09-10 BIENNIAL STATEMENT 2013-09-01
130412000845 2013-04-12 CERTIFICATE OF AMENDMENT 2013-04-12
110919002841 2011-09-19 BIENNIAL STATEMENT 2011-09-01
090924002251 2009-09-24 BIENNIAL STATEMENT 2009-09-01
070920002584 2007-09-20 BIENNIAL STATEMENT 2007-09-01
051102002125 2005-11-02 BIENNIAL STATEMENT 2005-09-01
030904002300 2003-09-04 BIENNIAL STATEMENT 2003-09-01
010905002350 2001-09-05 BIENNIAL STATEMENT 2001-09-01

Date of last update: 13 Nov 2024

Sources: New York Secretary of State