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FORTH-TROMBLEE, DENTAL ASSOCIATES, PLLC

Company Details

Name: FORTH-TROMBLEE, DENTAL ASSOCIATES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 06 Dec 2000 (24 years ago) (Companies founded in December 2000)
Entity Number: 2580845
ZIP code: 13212 (Companies in Onondaga, 13212)
County: Onondaga
Place of Formation: New York
Address: 5241 WITZ DRIVE, N SYRACUSE, NY, United States, 13212

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC SAFE HARBOR 401(K) PLAN 2023 161597692 2024-06-06 FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621210
Sponsor’s telephone number 3154584794
Plan sponsor’s address 5241 WITZ DR., NORTH SYRACUSE, NY, 13212

Signature of
Role Plan administrator
Date 2024-06-06
Name of individual signing BRIAN TROMBLEE
FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC CASH BALANCE PLAN 2023 161597692 2024-08-22 FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 3154584794
Plan sponsor’s address 5241 WITZ DR., NORTH SYRACUSE, NY, 13212

Signature of
Role Plan administrator
Date 2024-08-22
Name of individual signing BRIAN TROMBLEE
FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC CASH BALANCE PLAN 2022 161597692 2023-06-29 FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 3154584794
Plan sponsor’s address 5241 WITZ DR., NORTH SYRACUSE, NY, 13212

Signature of
Role Plan administrator
Date 2023-06-29
Name of individual signing BRIAN TROMBLEE
FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC SAFE HARBOR 401(K) PLAN 2022 161597692 2023-04-03 FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621210
Sponsor’s telephone number 3154584794
Plan sponsor’s address 5241 WITZ DR., NORTH SYRACUSE, NY, 13212

Signature of
Role Plan administrator
Date 2023-04-03
Name of individual signing BRIAN TROMBLEE
FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC CASH BALANCE PLAN 2021 161597692 2022-07-19 FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 3154584794
Plan sponsor’s address 5241 WITZ DR., NORTH SYRACUSE, NY, 13212

Signature of
Role Plan administrator
Date 2022-07-19
Name of individual signing BRIAN TROMBLEE
FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC SAFE HARBOR 401(K) PLAN 2021 161597692 2022-07-15 FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621210
Sponsor’s telephone number 3154584794
Plan sponsor’s address 5241 WITZ DR., NORTH SYRACUSE, NY, 13212

Signature of
Role Plan administrator
Date 2022-07-14
Name of individual signing BRIAN TROMBLEE
Role Employer/plan sponsor
Date 2022-07-14
Name of individual signing BRIAN TROMBLEE
FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC SAFE HARBOR 401(K) PLAN 2020 161597692 2021-08-29 FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621210
Sponsor’s telephone number 3154584794
Plan sponsor’s address 5241 WITZ DR., NORTH SYRACUSE, NY, 13212

Signature of
Role Plan administrator
Date 2021-08-29
Name of individual signing BRIAN TROMBLEE
Role Employer/plan sponsor
Date 2021-08-29
Name of individual signing BRIAN TROMBLEE
FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC SAFE HARBOR 401(K) PLAN 2019 161597692 2020-06-23 FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621210
Sponsor’s telephone number 3154584794
Plan sponsor’s address 5241 WITZ DR., NORTH SYRACUSE, NY, 13212

Signature of
Role Plan administrator
Date 2020-06-22
Name of individual signing BRIAN TROMBLEE
Role Employer/plan sponsor
Date 2020-06-22
Name of individual signing BRIAN TROMBLEE
FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC SAFE HARBOR 401(K) PLAN 2018 161597692 2019-08-12 FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621210
Sponsor’s telephone number 3154584794
Plan sponsor’s address 5241 WITZ DR., NORTH SYRACUSE, NY, 13212

Signature of
Role Plan administrator
Date 2019-08-12
Name of individual signing BRIAN TROMBLEE
Role Employer/plan sponsor
Date 2019-08-12
Name of individual signing BRIAN TROMBLEE
FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC SAFE HARBOR 401(K) PLAN 2017 161597692 2018-06-28 FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621210
Sponsor’s telephone number 3154584794
Plan sponsor’s address 5241 WITZ DR., NORTH SYRACUSE, NY, 13212

Signature of
Role Plan administrator
Date 2018-06-28
Name of individual signing BRIAN TROMBLEE
Role Employer/plan sponsor
Date 2018-06-28
Name of individual signing BRIAN TROMBLEE

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 5241 WITZ DRIVE, N SYRACUSE, NY, United States, 13212

History

Start date End date Type Value
2006-12-01 2010-12-08 Address ATTN: MEMBER, 3903 BREWERTON ROAD, N SYRACUSE, NY, 13212, USA (Type of address: Service of Process)
2000-12-06 2006-12-01 Address ATTN MEMBER, 3903 BREWERTON ROAD, NORTH SYRACUSE, NY, 13212, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
201209060023 2020-12-09 BIENNIAL STATEMENT 2020-12-01
181212006307 2018-12-12 BIENNIAL STATEMENT 2018-12-01
161205006472 2016-12-05 BIENNIAL STATEMENT 2016-12-01
141222006417 2014-12-22 BIENNIAL STATEMENT 2014-12-01
121212006259 2012-12-12 BIENNIAL STATEMENT 2012-12-01
101208002530 2010-12-08 BIENNIAL STATEMENT 2010-12-01
081118002460 2008-11-18 BIENNIAL STATEMENT 2008-12-01
061201002266 2006-12-01 BIENNIAL STATEMENT 2006-12-01
041202002528 2004-12-02 BIENNIAL STATEMENT 2004-12-01
021119002157 2002-11-19 BIENNIAL STATEMENT 2002-12-01

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Date of last update: 11 Nov 2024

Sources: New York Secretary of State

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