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SIRIRAVALI DENTAL CARE, P.C.

Company Details

Name: SIRIRAVALI DENTAL CARE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 May 1998 (27 years ago)
Entity Number: 2256572
ZIP code: 12010
County: Albany
Place of Formation: New York
Address: 3912 STATE HIGHWAY 30, AMSTERDAM, NY, United States, 12010

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
SIRIRAVALI DENTAL CARE, P.C. 401(K) PLAN 2016 141804469 2017-08-04 SIRIRAVALI DENTAL CARE, P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 5188834505
Plan sponsor’s address 200 SAMUEL COURT, SIRIRAVALI DENTAL CARE PC, SCHENECTADY, NY, 12010

Signature of

Role Plan administrator
Date 2017-08-04
Name of individual signing AMRUTHA MANDAVA
Role Employer/plan sponsor
Date 2017-08-04
Name of individual signing AMRUTHA MANDAVA
SIRIRAVALI DENTAL CARE, P.C. 401(K) PLAN 2015 141804469 2016-09-26 SIRIRAVALI DENTAL CARE, P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 5188834505
Plan sponsor’s address 200 SAMUEL COURT, SIRIRAVALI DENTAL CARE PC, SCHENECTADY, NY, 12010

Signature of

Role Plan administrator
Date 2016-09-26
Name of individual signing AMRUTHA MANDAVA
SIRIRAVALI DENTAL CARE, P.C. 401(K) PLAN 2014 141804469 2015-07-17 SIRIRAVALI DENTAL CARE, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 5188834505
Plan sponsor’s address 200 SAMUEL COURT, SIRIRAVALI DENTAL CARE PC, SCHENECTADY, NY, 12010

Signature of

Role Plan administrator
Date 2015-07-17
Name of individual signing AMRUTHA MANDAVA
SIRIRAVALI DENTAL CARE, P.C. 401(K) PLAN 2013 141804469 2014-07-29 SIRIRAVALI DENTAL CARE, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 5188834505
Plan sponsor’s address 200 SAMUEL COURT, SIRIRAVALI DENTAL CARE PC, SCHENECTADY, NY, 12010

Signature of

Role Plan administrator
Date 2014-07-29
Name of individual signing AMRUTHA MANDAVA
SIRIRAVALI DENTAL CARE, P.C. 401(K) PLAN 2012 141804469 2013-07-26 SIRIRAVALI DENTAL CARE, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 5188834505
Plan sponsor’s address 200 SAMUEL COURT, SIRIRAVALI DENTAL CARE PC, SCHENECTADY, NY, 12010

Signature of

Role Plan administrator
Date 2013-07-26
Name of individual signing AMRUTHA MANDAVA
SIRIRAVALI DENTAL CARE, P.C. 401(K) PLAN 2011 141804469 2012-07-02 SIRIRAVALI DENTAL CARE, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 5188834505
Plan sponsor’s address 200 SAMUEL COURT, SIRIRAVALI DENTAL CARE PC, SCHENECTADY, NY, 12010

Plan administrator’s name and address

Administrator’s EIN 141804469
Plan administrator’s name SIRIRAVALI DENTAL CARE, P.C.
Plan administrator’s address 200 SAMUEL COURT, SIRIRAVALI DENTAL CARE PC, SCHENECTADY, NY, 12010
Administrator’s telephone number 5188834505

Signature of

Role Plan administrator
Date 2012-07-02
Name of individual signing AMRUTHA MANDAVA
SIRIRAVALI DENTAL CARE, P.C. 401(K) PLAN 2010 141804469 2011-06-29 SIRIRAVALI DENTAL CARE, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 5188834505
Plan sponsor’s address 200 SAMUEL COURT, SIRIRAVALI DENTAL CARE PC, SCHENECTADY, NY, 12010

Plan administrator’s name and address

Administrator’s EIN 141804469
Plan administrator’s name SIRIRAVALI DENTAL CARE, P.C.
Plan administrator’s address 200 SAMUEL COURT, SIRIRAVALI DENTAL CARE PC, SCHENECTADY, NY, 12010
Administrator’s telephone number 5188834505

Signature of

Role Plan administrator
Date 2011-06-29
Name of individual signing AMRUTHA MANDAVA

DOS Process Agent

Name Role Address
SIRIRAVALI DENTAL CARE, P.C. DOS Process Agent 3912 STATE HIGHWAY 30, AMSTERDAM, NY, United States, 12010

Chief Executive Officer

Name Role Address
SREEDEVI MANDAVA Chief Executive Officer 3912 STATE HIGHWAY 30, HIGHWAY 30, AMSTERDAM, NY, United States, 12010

History

Start date End date Type Value
2016-05-13 2020-05-05 Address 200 SAMUEL CT, SCHENECTADY, NY, 12306, USA (Type of address: Service of Process)
2012-05-08 2020-05-05 Address 200 SAMUEL COURT, SCHENECTADY, NY, 12306, USA (Type of address: Chief Executive Officer)
2010-06-02 2012-05-08 Address 200 SAMUEL COURT, SCHENECTADY, NY, 12306, USA (Type of address: Chief Executive Officer)
2010-06-02 2016-05-13 Address 200 SAMUEL COURT, SCHENECTADY, NY, 12306, USA (Type of address: Service of Process)
2010-06-02 2020-05-05 Address 200 SAMUEL COURT, SCHENECTADY, NY, 12306, USA (Type of address: Principal Executive Office)
2009-03-09 2010-06-02 Address 200 SAMUEL COURT, SCHENECTADY, NY, 12306, USA (Type of address: Service of Process)
2009-03-09 2009-05-14 Name SIRIRAVALI, P.C.
2000-05-24 2010-06-02 Address 1662 CENTRAL AVE, ALBANY, NY, 12205, USA (Type of address: Principal Executive Office)
2000-05-24 2010-06-02 Address 1662 CENTRAL AVE, ALBANY, NY, 12205, USA (Type of address: Chief Executive Officer)
1998-05-06 2009-03-09 Address 1662 CENTRAL AVENUE, ALBANY, NY, 12205, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200505061587 2020-05-05 BIENNIAL STATEMENT 2020-05-01
160513007335 2016-05-13 BIENNIAL STATEMENT 2016-05-01
140505007560 2014-05-05 BIENNIAL STATEMENT 2014-05-05
120508006011 2012-05-08 BIENNIAL STATEMENT 2012-05-01
100602002367 2010-06-02 BIENNIAL STATEMENT 2010-05-01
090514000087 2009-05-14 CERTIFICATE OF AMENDMENT 2009-05-14
090309000163 2009-03-09 CERTIFICATE OF AMENDMENT 2009-03-09
080513002341 2008-05-13 BIENNIAL STATEMENT 2008-05-01
060509002767 2006-05-09 BIENNIAL STATEMENT 2006-05-01
040518002113 2004-05-18 BIENNIAL STATEMENT 2004-05-01

Date of last update: 30 Nov 2024

Sources: New York Secretary of State