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LAKE GROVE DENTISTRY, P.C.

Company Details

Name: LAKE GROVE DENTISTRY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 12 Apr 2000 (25 years ago) (Companies founded in April 2000)
Entity Number: 2497967
ZIP code: 11755 (Companies in Suffolk, 11755)
County: Suffolk
Place of Formation: New York
Address: 1014 HAWKINS AVENUE, LAKE GROVE, NY, United States, 11755
Principal Address: 1014 HAWKINS AVE, LAKE GROVE, NY, United States, 11755

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
LAKE GROVE DENTISTRY, P.C 401K PLAN 2023 113549646 2024-04-26 LAKE GROVE DENTISTRY, P.C 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6312521212
Plan sponsor’s address 1014 HAWKINS AVENUE, LAKE GROVE, NY, 11755

Signature of
Role Plan administrator
Date 2024-04-26
Name of individual signing AMIT SHAH
LAKE GROVE DENTISTRY, P.C 401K PLAN 2022 113549646 2023-06-05 LAKE GROVE DENTISTRY, P.C 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6312521212
Plan sponsor’s address 1014 HAWKINS AVENUE, LAKE GROVE, NY, 11755

Signature of
Role Plan administrator
Date 2023-06-05
Name of individual signing AMIT SHAH
LAKE GROVE DENTISTRY, P.C 401K PLAN 2021 113549646 2022-06-03 LAKE GROVE DENTISTRY, P.C 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6312521212
Plan sponsor’s address 1014 HAWKINS AVENUE, LAKE GROVE, NY, 11755

Signature of
Role Plan administrator
Date 2022-06-03
Name of individual signing AMIT SHAH
LAKE GROVE DENTISTRY, P.C 401K PLAN 2020 113549646 2021-05-21 LAKE GROVE DENTISTRY, P.C 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6312521212
Plan sponsor’s address 1014 HAWKINS AVENUE, LAKE GROVE, NY, 11755

Signature of
Role Plan administrator
Date 2021-05-21
Name of individual signing AMIT SHAH
Role Employer/plan sponsor
Date 2021-05-21
Name of individual signing AMIT SHAH
LAKE GROVE DENTISTRY, P.C 401K PLAN 2019 113549646 2020-05-21 LAKE GROVE DENTISTRY, P.C 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6312521212
Plan sponsor’s address 1014 HAWKINS AVENUE, LAKE GROVE, NY, 11755

Signature of
Role Plan administrator
Date 2020-05-21
Name of individual signing AMIT SHAH
Role Employer/plan sponsor
Date 2020-05-21
Name of individual signing AMIT SHAH
LAKE GROVE DENTISTRY, P.C 401K PLAN 2018 113549646 2019-06-22 LAKE GROVE DENTISTRY, P.C 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6312521212
Plan sponsor’s address 1014 HAWKINS AVENUE, LAKE GROVE, NY, 11755

Signature of
Role Plan administrator
Date 2019-06-22
Name of individual signing AMIT SHAH
Role Employer/plan sponsor
Date 2019-06-22
Name of individual signing AMIT SHAH
LAKE GROVE DENTISTRY, P.C 401K PLAN 2017 113549646 2018-05-06 LAKE GROVE DENTISTRY, P.C 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6312521212
Plan sponsor’s address 1014 HAWKINS AVENUE, LAKE GROVE, NY, 11755

Signature of
Role Plan administrator
Date 2018-05-06
Name of individual signing AMIT SHAH
Role Employer/plan sponsor
Date 2018-05-06
Name of individual signing AMIT SHAH
LAKE GROVE DENTISTRY, P.C 401K PLAN 2016 113549646 2017-05-10 LAKE GROVE DENTISTRY, P.C 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6312521212
Plan sponsor’s address 1014 HAWKINS AVENUE, LAKE GROVE, NY, 11755

Signature of
Role Plan administrator
Date 2017-05-10
Name of individual signing AMIT SHAH
Role Employer/plan sponsor
Date 2017-05-10
Name of individual signing AMIT SHAH
LAKE GROVE DENTISTRY, P.C 401K PLAN 2015 113549646 2016-05-10 LAKE GROVE DENTISTRY, P.C 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6312521212
Plan sponsor’s address 1014 HAWKINS AVENUE, LAKE GROVE, NY, 11755

Signature of
Role Plan administrator
Date 2016-05-10
Name of individual signing AMIT SHAH
Role Employer/plan sponsor
Date 2016-05-10
Name of individual signing AMIT SHAH
LAKE GROVE DENTISTRY, P.C 401K PLAN 2014 113549646 2015-10-20 LAKE GROVE DENTISTRY, P.C 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6312521212
Plan sponsor’s address 1014 HAWKINS AVENUE, LAKE GROVE, NY, 11755

Signature of
Role Plan administrator
Date 2015-10-20
Name of individual signing AMIT SHAH
Role Employer/plan sponsor
Date 2015-10-20
Name of individual signing AMIT SHAH

Chief Executive Officer

Name Role Address
DR MEENA SHAH Chief Executive Officer 1014 HAWKINS AVE, LAKE GROVE, NY, United States, 11755

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1014 HAWKINS AVENUE, LAKE GROVE, NY, United States, 11755

Filings

Filing Number Date Filed Type Effective Date
090114002646 2009-01-14 BIENNIAL STATEMENT 2008-04-01
000412000334 2000-04-12 CERTIFICATE OF INCORPORATION 2000-04-12

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THE CORPORATION

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Related by address

No related companies by address

Date of last update: 11 Nov 2024

Sources: New York Secretary of State

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