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  5. SOUTH SHORE PEDIATRIC DENTISTRY, P.C.

SOUTH SHORE PEDIATRIC DENTISTRY, P.C.

Company Details

Name: SOUTH SHORE PEDIATRIC DENTISTRY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Mar 1999 (26 years ago)
Entity Number: 2358229
ZIP code: 11772
County: Suffolk
Place of Formation: New York
Address: 285 SILLS ROAD, SUITE 3B, E PATCHOGUE, NY, United States, 11772
Principal Address: 285 SILLS ROAD / SUITE 3B, E PATCHOGUE, NY, United States, 11772

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
SOUTH SHORE PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2023 113498409 2024-04-08 SOUTH SHORE PEDIATRIC DENTISTRY, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 6312899000
Plan sponsor’s address 285 SILLS ROAD, SUITE 3B, EAST PATCHOGUE, NY, 11772

Signature of
Role Plan administrator
Date 2024-04-08
Name of individual signing ROSS GRUBER
SOUTH SHORE PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2022 113498409 2023-04-20 SOUTH SHORE PEDIATRIC DENTISTRY, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 6312899000
Plan sponsor’s address 285 SILLS ROAD, SUITE 3B, EAST PATCHOGUE, NY, 11772

Signature of
Role Plan administrator
Date 2023-04-11
Name of individual signing ROSS GRUBER
Role Employer/plan sponsor
Date 2023-04-11
Name of individual signing ROSS GRUBER
SOUTH SHORE PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2021 113498409 2022-09-22 SOUTH SHORE PEDIATRIC DENTISTRY, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 6312899000
Plan sponsor’s address 285 SILLS ROAD, SUITE 3B, EAST PATCHOGUE, NY, 11772

Signature of
Role Plan administrator
Date 2022-09-22
Name of individual signing ROSS GRUBER
Role Employer/plan sponsor
Date 2022-09-22
Name of individual signing ROSS GRUBER
SOUTH SHORE PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2020 113498409 2021-07-15 SOUTH SHORE PEDIATRIC DENTISTRY, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 6312899000
Plan sponsor’s address 285 SILLS ROAD, SUITE 3B, EAST PATCHOGUE, NY, 11772

Signature of
Role Plan administrator
Date 2021-07-15
Name of individual signing ROSS GRUBER
Role Employer/plan sponsor
Date 2021-07-15
Name of individual signing ROSS GRUBER
SOUTH SHORE PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2019 113498409 2020-08-31 SOUTH SHORE PEDIATRIC DENTISTRY, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 6312899000
Plan sponsor’s address 285 SILLS ROAD, SUITE 3B, EAST PATCHOGUE, NY, 11772

Signature of
Role Plan administrator
Date 2020-08-31
Name of individual signing ROSS GRUBER
Role Employer/plan sponsor
Date 2020-08-31
Name of individual signing ROSS GRUBER
SOUTH SHORE PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2018 113498409 2019-08-01 SOUTH SHORE PEDIATRIC DENTISTRY, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 6312899000
Plan sponsor’s address 285 SILLS ROAD, SUITE 3B, EAST PATCHOGUE, NY, 11772

Signature of
Role Plan administrator
Date 2019-08-01
Name of individual signing ROSS GRUBER
Role Employer/plan sponsor
Date 2019-08-01
Name of individual signing ROSS GRUBER
SOUTH SHORE PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2017 113498409 2018-03-26 SOUTH SHORE PEDIATRIC DENTISTRY, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 6312899000
Plan sponsor’s address 285 SILLS ROAD, SUITE 3B, EAST PATCHOGUE, NY, 11772

Signature of
Role Plan administrator
Date 2018-03-26
Name of individual signing ROSS GRUBER
Role Employer/plan sponsor
Date 2018-03-26
Name of individual signing ROSS GRUBER
SOUTH SHORE PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2016 113498409 2017-09-15 SOUTH SHORE PEDIATRIC DENTISTRY, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 6312899000
Plan sponsor’s address 285 SILLS ROAD, SUITE 3B, EAST PATCHOGUE, NY, 11772

Signature of
Role Plan administrator
Date 2017-09-15
Name of individual signing ROSS GRUBER
Role Employer/plan sponsor
Date 2017-09-15
Name of individual signing ROSS GRUBER
SOUTH SHORE PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2015 113498409 2016-09-12 SOUTH SHORE PEDIATRIC DENTISTRY, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 6312899000
Plan sponsor’s address 285 SILLS ROAD, SUITE 3B, EAST PATCHOGUE, NY, 11772

Signature of
Role Plan administrator
Date 2016-09-12
Name of individual signing ROSS GRUBER
Role Employer/plan sponsor
Date 2016-09-12
Name of individual signing ROSS GRUBER
SOUTH SHORE PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2014 113498409 2015-10-09 SOUTH SHORE PEDIATRIC DENTISTRY, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 6312899000
Plan sponsor’s address 285 SILLS ROAD, SUITE 3B, EAST PATCHOGUE, NY, 11772

Signature of
Role Plan administrator
Date 2015-10-09
Name of individual signing ROSS GRUBER
Role Employer/plan sponsor
Date 2015-10-09
Name of individual signing ROSS GRUBER

Chief Executive Officer

Name Role Address
ROSS E. GRUBER Chief Executive Officer 285 SILLS ROAD / SUITE 3B, E PATCHOGUE, NY, United States, 11772

DOS Process Agent

Name Role Address
SOUTH SHORE PEDIATRIC DENTISTRY, P.C. DOS Process Agent 285 SILLS ROAD, SUITE 3B, E PATCHOGUE, NY, United States, 11772

History

Start date End date Type Value
2013-03-07 2015-03-03 Address 285 SILLS ROAD, E PATCHOGUE, NY, 11772, USA (Type of address: Service of Process)
2007-03-29 2015-03-03 Address 285 SILLS ROAD / SUITE 3B, E PATCHOGUE, NY, 11772, USA (Type of address: Chief Executive Officer)
2007-03-29 2013-03-07 Address 285 SILLS ROAD, E PATCHOGUE, NY, 10541, USA (Type of address: Service of Process)
2001-03-16 2007-03-29 Address 285 SILLS RD SUITE 3B, EAST PATCHOGUE, NY, 11772, USA (Type of address: Chief Executive Officer)
2001-03-16 2007-03-29 Address 285 SILLS RD SUITE 3B, EAST PATCHOGUE, NY, 11772, USA (Type of address: Principal Executive Office)
1999-03-19 2007-03-29 Address 285 SILLS ROAD, EAST PATCHOGUE, NY, 10541, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210301060209 2021-03-01 BIENNIAL STATEMENT 2021-03-01
150303006701 2015-03-03 BIENNIAL STATEMENT 2015-03-01
130307006440 2013-03-07 BIENNIAL STATEMENT 2013-03-01
110609002528 2011-06-09 BIENNIAL STATEMENT 2011-03-01
090316002264 2009-03-16 BIENNIAL STATEMENT 2009-03-01
070329003287 2007-03-29 BIENNIAL STATEMENT 2007-03-01
050427002778 2005-04-27 BIENNIAL STATEMENT 2005-03-01
030303002383 2003-03-03 BIENNIAL STATEMENT 2003-03-01
010316002828 2001-03-16 BIENNIAL STATEMENT 2001-03-01
990319000385 1999-03-19 CERTIFICATE OF INCORPORATION 1999-03-19

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 12 Nov 2024

Sources: New York Secretary of State

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