Menu
Search icon

ANN BORGSTROM, D.D.S., P.C.

Company Details

Name: ANN BORGSTROM, D.D.S., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 14 Sep 2001 (23 years ago)
Entity Number: 2680296
County: Ontario
Date of dissolution: 06 Sep 2017
Place of Formation: New York
Address: 97 MAIN STREET, BLOOMFIELD, NY, United States, 14469
Address ZIP Code: 14469
Principal Address: 191 PARRISH STREET, CANANDAIGUA, NY, United States, 11424
Principal Address ZIP Code:

Shares Details

Shares issued 200

Share Par Value 0.01

Type PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANN BORGSTROM, DDS, P.C. PROFIT SHARING 401(K) PLAN 2017 161612735 2018-06-26 ANN BORGSTROM, D.D.S., P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 5853940710
Plan sponsor’s address 191 PARRISH ST., CANANDAIGUA, NY, 14424

Signature of
Role Plan administrator
Date 2018-06-26
Name of individual signing ANN BORGSTROM, DDS
Role Employer/plan sponsor
Date 2018-06-26
Name of individual signing ANN BORGSTROM, DDS., PC.
ANN BORGSTROM, DDS, P. C. PROFIT SHARING 401(K) PLAN 2017 161612735 2018-09-03 ANN BORGSTROM, D.D.S., P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 5853940710
Plan sponsor’s address 191 PARRISH ST., CANANDAIGUA, NY, 14424

Signature of
Role Plan administrator
Date 2018-09-03
Name of individual signing ANN BORGSTROM, DDS
ANN BORGSTROM, DDS, P. C. PROFIT SHARING 401(K) PLAN 2017 161612735 2018-08-21 ANN BORGSTROM, D.D.S., P.C. 1
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 5853940710
Plan sponsor’s address 191 PARRISH ST., CANANDAIGUA, NY, 14424

Signature of
Role Plan administrator
Date 2018-08-21
Name of individual signing ANN BORGSTROM, DDS
ANN BORGSTROM, DDS, P.C. PROFIT SHARING 401(K) PLAN 2016 161612735 2017-03-15 ANN BORGSTROM, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 5853940710
Plan sponsor’s address 191 PARRISH ST, CANANDAIGUA, NY, 14424

Signature of
Role Plan administrator
Date 2017-03-15
Name of individual signing ANN BORGSTROM, DDS
ANN BORGSTROM, D. D. S. , P. C. PROFIT SHARING 401(K) PLAN 2015 161612735 2016-06-05 ANN BORGSTROM, D.D.S., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 5853940710
Plan sponsor’s address 191 PARRISH STREET, CANANDAIGUA, NY, 14424

Signature of
Role Plan administrator
Date 2016-06-05
Name of individual signing ANN BORGSTROM, DDS
ANN BORGSTROM, D.D.S., P.C. PROFIT SHARING 401(K) PLAN 2014 161612735 2015-04-29 ANN BORGSTROM, D.D.S., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 5853940710
Plan sponsor’s address 191 PARRISH STREET, CANANDAIGUA, NY, 14424

Signature of
Role Plan administrator
Date 2015-04-29
Name of individual signing ANN BORGSTROM, DDS
ANN BORGSTROM, D.D.S., P.C. PROFIT SHARING 401(K) PLAN 2013 161612735 2014-06-27 ANN BORGSTROM, D.D.S., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 5853940710
Plan sponsor’s address 191 PARRISH STREET, CANANDAIGUA, NY, 14424

Signature of
Role Plan administrator
Date 2014-06-27
Name of individual signing ANN BORGSTROM, DDS
ANN BORGSTROM, D.D.S., P.C. PROFIT SHARING 401(K) PLAN 2012 161612735 2013-04-25 ANN BORGSTROM, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 5853940710
Plan sponsor’s address 191 PARRISH STREET, CANANDAIGUA, NY, 14424

Signature of
Role Plan administrator
Date 2013-04-25
Name of individual signing ANN BORGSTROM, D.D.S.
ANN BORGSTROM, D.D.S., P.C. PROFIT SHARING 401(K) PLAN 2011 161612735 2012-06-22 ANN BORGSTROM, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 5853940710
Plan sponsor’s address 191 PARRISH STREET, CANANDAIGUA, NY, 14424

Plan administrator’s name and address
Administrator’s EIN 161612735
Plan administrator’s name ANN BORGSTROM, D.D.S., P.C.
Plan administrator’s address 191 PARRISH STREET, CANANDAIGUA, NY, 14424
Administrator’s telephone number 5853940710

Signature of
Role Plan administrator
Date 2012-06-22
Name of individual signing ANN BORGSTROM, D.D.S.
ANN BORGSTROM, DDS, PC PROFIT SHARING 401(K) PLAN 2010 161612735 2011-03-30 ANN BORGSTROM, D.D.S.,P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 5853940710
Plan sponsor’s address 191 PARRISH STREET, CANANDAIGUA, NY, 14424

Plan administrator’s name and address
Administrator’s EIN 161612735
Plan administrator’s name ANN BORGSTROM, D.D.S.,P.C.
Plan administrator’s address 191 PARRISH STREET, CANANDAIGUA, NY, 14424
Administrator’s telephone number 5853940710

Signature of
Role Plan administrator
Date 2011-03-30
Name of individual signing ANN BORGSTROM, D.D.S.

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 97 MAIN STREET, BLOOMFIELD, NY, United States, 14469

Chief Executive Officer

Name Role Address
DR. ANN BORGSTROM Chief Executive Officer 191 PARRISH STREET, CANANDAIGUA, NY, United States, 14424

History

Start date End date Type Value
2001-09-14 2016-09-15 Address 191 PARRISH STREET, CANANDAIGUA, NY, 14424, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
170906000650 2017-09-06 CERTIFICATE OF DISSOLUTION 2017-09-06
160915000412 2016-09-15 CERTIFICATE OF CHANGE 2016-09-15
151016006096 2015-10-16 BIENNIAL STATEMENT 2015-09-01
130911006370 2013-09-11 BIENNIAL STATEMENT 2013-09-01
110916002615 2011-09-16 BIENNIAL STATEMENT 2011-09-01
090825002885 2009-08-25 BIENNIAL STATEMENT 2009-09-01
071026002733 2007-10-26 BIENNIAL STATEMENT 2007-09-01
051202002729 2005-12-02 BIENNIAL STATEMENT 2005-09-01
030917002547 2003-09-17 BIENNIAL STATEMENT 2003-09-01
010914000029 2001-09-14 CERTIFICATE OF INCORPORATION 2001-09-14

Related by officers

THE CORPORATION

ARSHIA DESIGNS INC. AAA VACUUM CORP. ATLANTICA TELECOM, INC. MISTY SPORTSWEAR, INC. INRACKS, INC. FAT JAMS ELECTRONICS INC. CROQUEMBOUCHE, INC. LONG BEACH PEDIATRIC GROUP, P.C. LAW OFFICES OF JOSEPH A. GRECO, P.C. TEREZ, INC.

Related by address

97 MAIN STREET, BLOOMFIELD, NY, United States, 14469

ANN BORGSTROM, LLC

Date of last update: 24 Oct 2024

Sources: New York Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2024 nycompanysearch.com