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  5. LAKE SUCCESS PERIODONTICS AND IMPLANTS P.C.

LAKE SUCCESS PERIODONTICS AND IMPLANTS P.C.

Company Details

Name: LAKE SUCCESS PERIODONTICS AND IMPLANTS P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 07 Jun 2000 (24 years ago)
Entity Number: 2518390
ZIP code: 11561
County: Nassau
Place of Formation: New York
Principal Address: 1300 UNION TPKE, 201, NEW HYDE PARK, NY, United States, 11040
Address: 1300 UNION TPKE, SUITE 201, NEW HYDE PARK, NY, United States, 11561

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 SUCCESS PERIODONTICS AND IMPLANTS P.C. 401K PROFIT SHARING PLAN 2023 113551525 2024-08-14 LAKE SUCCESS PERIODONTICS AND IMPLANTS P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 5167753737
Plan sponsor’s address 1300 UNION TURNPIKE, SUITE 201, NEW HYDE PARK, NY, 11040

Signature of
Role Plan administrator
Date 2024-08-13
Name of individual signing MICHAEL SHRECK
LAKE SUCCESS PERIODONTICS AND IMPLANTS P.C. 401K PROFIT SHARING PLAN 2022 113551525 2023-08-21 LAKE SUCCESS PERIODONTICS AND IMPLANTS P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 5167753737
Plan sponsor’s address 1300 UNION TURNPIKE, SUITE 201, NEW HYDE PARK, NY, 11040

Signature of
Role Plan administrator
Date 2023-08-21
Name of individual signing MICHAEL SHRECK
LAKE SUCCESS PERIODONTICS AND IMPLANTS P.C. 401K PROFIT SHARING PLAN 2021 113551525 2022-07-15 LAKE SUCCESS PERIODONTICS AND IMPLANTS P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 5167753737
Plan sponsor’s address 1300 UNION TURNPIKE, SUITE 201, NEW HYDE PARK, NY, 11040

Signature of
Role Plan administrator
Date 2022-07-15
Name of individual signing MICHAEL SHRECK
LAKE SUCCESS PERIODONTICS AND IMPLANTS P.C. 401K PROFIT SHARING PLAN 2020 113551525 2021-09-20 LAKE SUCCESS PERIODONTICS AND IMPLANTS P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 5167753737
Plan sponsor’s address 1300 UNION TURNPIKE, SUITE 201, NEW HYDE PARK, NY, 11040

Signature of
Role Plan administrator
Date 2021-09-20
Name of individual signing MICHAEL SHRECK
LAKE SUCCESS PERIODONTICS AND IMPLANTS P.C. 401K PROFIT SHARING PLAN 2019 113551525 2020-07-28 LAKE SUCCESS PERIODONTICS AND IMPLANTS P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 5167753737
Plan sponsor’s address 1300 UNION TURNPIKE, SUITE 201, NEW HYDE PARK, NY, 11040

Signature of
Role Plan administrator
Date 2020-07-28
Name of individual signing MICHAEL SHRECK
LAKE SUCCESS PERIODONTICS AND IMPLANTS P.C. 401K PROFIT SHARING PLAN 2018 113551525 2019-09-04 LAKE SUCCESS PERIODONTICS AND IMPLANTS P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 5167753737
Plan sponsor’s address 1300 UNION TURNPIKE, SUITE 201, NEW HYDE PARK, NY, 11040

Signature of
Role Plan administrator
Date 2019-09-04
Name of individual signing MICHAEL SHRECK
LAKE SUCCESS PERIODONTICS AND IMPLANTS P.C. 401K PROFIT SHARING PLAN 2017 113551525 2018-03-27 LAKE SUCCESS PERIODONTICS AND IMPLANTS P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 5167753737
Plan sponsor’s address 1300 UNION TURNPIKE, SUITE 201, NEW HYDE PARK, NY, 11040

Signature of
Role Plan administrator
Date 2018-03-22
Name of individual signing MICHAEL SHRECK
LAKE SUCCESS PERIODONTICS AND IMPLANTS P.C. PROFIT SHARING PLAN 2016 113551525 2017-08-22 LAKE SUCCESS PERIODONTICS AND IMPLANTS P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 5167753737
Plan sponsor’s address 1300 UNION TURNPIKE, SUITE 201, NEW HYDE PARK, NY, 11040

Signature of
Role Plan administrator
Date 2017-08-22
Name of individual signing MICHAEL SHRECK

Chief Executive Officer

Name Role Address
MICHAEL S SHRECK DMD Chief Executive Officer 1300 UNION TPKE, 201, NEW HYDE PARK, NY, United States, 11040

DOS Process Agent

Name Role Address
LAKE SUCCESS PERIODONTICS AND IMPLANTS P.C. DOS Process Agent 1300 UNION TPKE, SUITE 201, NEW HYDE PARK, NY, United States, 11561

History

Start date End date Type Value
2010-06-17 2018-06-04 Address 1300 UNION TPKE, 201, NEW HYDE PARK, NY, 11040, USA (Type of address: Principal Executive Office)
2010-06-17 2018-06-04 Address 1300 UNION TPKE, 201, NEW HYDE PARK, NY, 11040, USA (Type of address: Service of Process)
2002-06-13 2010-06-17 Address 1300 UNION TPKE, 307, NEW HYDE PARK, NY, 11040, USA (Type of address: Chief Executive Officer)
2002-06-13 2010-06-17 Address 1300 UNION TPKE, 307, NEW HYDE PARK, NY, 11040, USA (Type of address: Principal Executive Office)
2002-06-13 2010-06-17 Address 1300 UNION TPKE, 307, NEW HYDE PARK, NY, 11040, USA (Type of address: Service of Process)
2000-06-07 2002-06-13 Address 306 HARBOR DRIVE, LIDO BEACH, NY, 11561, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
180604008420 2018-06-04 BIENNIAL STATEMENT 2018-06-01
160602006601 2016-06-02 BIENNIAL STATEMENT 2016-06-01
160211000328 2016-02-11 CERTIFICATE OF AMENDMENT 2016-02-11
151210006122 2015-12-10 BIENNIAL STATEMENT 2014-06-01
120702006032 2012-07-02 BIENNIAL STATEMENT 2012-06-01
100617002468 2010-06-17 BIENNIAL STATEMENT 2010-06-01
080610002471 2008-06-10 BIENNIAL STATEMENT 2008-06-01
060607002681 2006-06-07 BIENNIAL STATEMENT 2006-06-01
040628002381 2004-06-28 BIENNIAL STATEMENT 2004-06-01
020613002054 2002-06-13 BIENNIAL STATEMENT 2002-06-01

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 29 Nov 2024

Sources: New York Secretary of State

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