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NEW YORK STATE DENTAL ASSOCIATION, INC.

Company Details

Name: NEW YORK STATE DENTAL ASSOCIATION, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 26 Mar 1997 (28 years ago)
Entity Number: 2127133
ZIP code: 11756
County: Nassau
Place of Formation: New York
Address: 93 DIVISION AVENUE, LEVITTOWN, NY, United States, 11756

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NEW YORK STATE DENTAL ASSOCIATION RETIREMENT PLAN 2023 141434154 2024-07-29 NEW YORK STATE DENTAL ASSOCIATION 32
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 813000
Sponsor’s telephone number 5184650044
Plan sponsor’s address 20 CORPORATE WOODS BLVD., SUITE 602, ALBANY, NY, 12211

Signature of

Role Plan administrator
Date 2024-07-29
Name of individual signing MICHAEL HERRMANN
Role Employer/plan sponsor
Date 2024-07-29
Name of individual signing MICHAEL HERRMANN
NEW YORK STATE DENTAL ASSOCIATION RETIREMENT PLAN 2022 141434154 2023-07-18 NEW YORK STATE DENTAL ASSOCIATION 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 813000
Sponsor’s telephone number 5184650044
Plan sponsor’s address 20 CORPORATE WOODS BLVD., SUITE 602, ALBANY, NY, 12211

Signature of

Role Plan administrator
Date 2023-07-18
Name of individual signing MICHAEL HERRMANN
Role Employer/plan sponsor
Date 2023-07-18
Name of individual signing MICHAEL HERRMANN
NEW YORK STATE DENTAL ASSOCIATION RETIREMENT PLAN 2021 141434154 2022-07-20 NEW YORK STATE DENTAL ASSOCIATION 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 813000
Sponsor’s telephone number 5184650044
Plan sponsor’s address 20 CORPORATE WOODS BLVD., SUITE 602, ALBANY, NY, 12211

Signature of

Role Plan administrator
Date 2022-07-20
Name of individual signing MICHAEL HERRMANN
Role Employer/plan sponsor
Date 2022-07-20
Name of individual signing MICHAEL HERRMANN
NEW YORK STATE DENTAL ASSOCIATION RETIREMENT PLAN 2020 141434154 2021-07-27 NEW YORK STATE DENTAL ASSOCIATION 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 813000
Sponsor’s telephone number 5184650044
Plan sponsor’s address 20 CORPORATE WOODS BLVD., SUITE 602, ALBANY, NY, 12211

Signature of

Role Plan administrator
Date 2021-07-27
Name of individual signing MICHAEL HERRMANN
Role Employer/plan sponsor
Date 2021-07-27
Name of individual signing MICHAEL HERRMANN
NEW YORK STATE DENTAL ASSOCIATION RETIREMENT PLAN 2019 141434154 2020-07-09 NEW YORK STATE DENTAL ASSOCIATION 34
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 813000
Sponsor’s telephone number 5184650044
Plan sponsor’s address 20 CORPORATE WOODS BLVD., SUITE 602, ALBANY, NY, 12211

Signature of

Role Plan administrator
Date 2020-07-09
Name of individual signing MICHAEL HERRMANN
Role Employer/plan sponsor
Date 2020-07-09
Name of individual signing MICHAEL HERRMANN
NEW YORK STATE DENTAL ASSOCIATION RETIREMENT PLAN 2018 141434154 2019-08-15 NEW YORK STATE DENTAL ASSOCIATION 35
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 813000
Sponsor’s telephone number 5184650044
Plan sponsor’s address 20 CORPORATE WOODS BLVD., SUITE 602, ALBANY, NY, 12211

Signature of

Role Plan administrator
Date 2019-08-15
Name of individual signing MICHAEL HERRMANN
Role Employer/plan sponsor
Date 2019-08-15
Name of individual signing MICHAEL HERRMANN
NEW YORK STATE DENTAL ASSOCIATION RETIREMENT PLAN 2017 141434154 2018-07-23 NEW YORK STATE DENTAL ASSOCIATION 36
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 813000
Sponsor’s telephone number 5184650044
Plan sponsor’s address 20 CORPORATE WOODS BLVD., SUITE 602, ALBANY, NY, 12211

Signature of

Role Plan administrator
Date 2018-07-23
Name of individual signing MICHAEL HERRMANN
Role Employer/plan sponsor
Date 2018-07-23
Name of individual signing MICHAEL HERRMANN
NEW YORK STATE DENTAL ASSOCIATION RETIREMENT PLAN 2016 141434154 2017-09-12 NEW YORK STATE DENTAL ASSOCIATION 33
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 813000
Sponsor’s telephone number 5184650044
Plan sponsor’s address 20 CORPORATE WOODS BLVD., SUITE 602, ALBANY, NY, 12211

Signature of

Role Plan administrator
Date 2017-09-12
Name of individual signing MICHAEL HERRMANN
Role Employer/plan sponsor
Date 2017-09-12
Name of individual signing NEW YORK STATE DENTAL ASSOCIATION
NEW YORK STATE DENTAL ASSOCIATION RETIREMENT PLAN 2015 141434154 2016-10-03 NEW YORK STATE DENTAL ASSOCIATION 35
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 813000
Sponsor’s telephone number 5184650044
Plan sponsor’s address 20 CORPORATE WOODS BLVD., SUITE 602, ALBANY, NY, 12211

Signature of

Role Plan administrator
Date 2016-10-03
Name of individual signing MICHAEL HERRMANN
NEW YORK STATE DENTAL ASSOCIATION RETIREMENT PLAN 2014 141434154 2015-06-08 NEW YORK STATE DENTAL ASSOCIATION 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 813000
Sponsor’s telephone number 5184650044
Plan sponsor’s address 20 CORPORATE WOODS BLVD., SUITE 602, ALBANY, NY, 12211

Signature of

Role Plan administrator
Date 2015-06-08
Name of individual signing MICHAEL HERRMANN
Role Employer/plan sponsor
Date 2015-06-08
Name of individual signing MICHAEL HERRMANN

DOS Process Agent

Name Role Address
C/O DAVID OSTREICHER, D.D.S. DOS Process Agent 93 DIVISION AVENUE, LEVITTOWN, NY, United States, 11756

Filings

Filing Number Date Filed Type Effective Date
970326000750 1997-03-26 CERTIFICATE OF INCORPORATION 1997-03-26

Date of last update: 30 Nov 2024

Sources: New York Secretary of State