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GREENBUSH FAMILY DENTAL, PLLC

Company Details

Name: GREENBUSH FAMILY DENTAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 28 Jan 2003 (22 years ago) (Companies founded in January 2003)
Entity Number: 2862106
ZIP code: 12144 (Companies in Rensselaer, 12144)
County: Rensselaer
Place of Formation: New York
Address: C/O ANGELA DONG, DDS, MANAGER, 2 EMPIRE DRIVE, RENSSELAER, NY, United States, 12144

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GREENBUSH FAMILY DENTAL 401(K) PROFIT SHARING 2023 510448310 2024-07-09 GREENBUSH FAMILY DENTAL PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-09-10
Business code 621210
Sponsor’s telephone number 5186691545
Plan sponsor’s address 18 CRIMSON CT., CASTLETON, NY, 12033

Signature of
Role Plan administrator
Date 2024-07-09
Name of individual signing ANGELA DONG
Role Employer/plan sponsor
Date 2024-07-09
Name of individual signing ANGELA DONG
GREENBUSH FAMILY DENTAL 401(K) PROFIT SHARING 2022 510448310 2023-05-11 GREENBUSH FAMILY DENTAL PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-09-10
Business code 621210
Sponsor’s telephone number 5186691545
Plan sponsor’s address 18 CRIMSON CT., CASTLETON, NY, 12033

Signature of
Role Plan administrator
Date 2023-05-11
Name of individual signing ANGELA Q DONG
GREENBUSH FAMILY DENTAL 401(K) PROFIT SHARING 2021 510448310 2022-06-22 GREENBUSH FAMILY DENTAL PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-09-10
Business code 621210
Sponsor’s telephone number 5186691545
Plan sponsor’s address 18 CRIMSON CT., CASTLETON, NY, 12033

Signature of
Role Plan administrator
Date 2022-06-22
Name of individual signing ANGELA Q DONG
Role Employer/plan sponsor
Date 2022-06-22
Name of individual signing ANGELA Q DONG
GREENBUSH FAMILY DENTAL 401(K) PROFIT SHARING 2020 510448310 2021-06-23 GREENBUSH FAMILY DENTAL PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-09-10
Business code 621210
Sponsor’s telephone number 5186691545
Plan sponsor’s address 18 CRIMSON CT., CASTLETON, NY, 12033

Signature of
Role Plan administrator
Date 2021-06-23
Name of individual signing ANGELA DONG
Role Employer/plan sponsor
Date 2021-06-23
Name of individual signing ANGELA DONG
GREENBUSH FAMILY DENTAL 401(K) PROFIT SHARING 2019 510448310 2020-04-28 GREENBUSH FAMILY DENTAL PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-09-10
Business code 621210
Sponsor’s telephone number 5186691545
Plan sponsor’s address 18 CRIMSON CT., CASTLETON, NY, 12033

Signature of
Role Plan administrator
Date 2020-04-28
Name of individual signing ANGELA DONG
Role Employer/plan sponsor
Date 2020-04-28
Name of individual signing ANGELA DONG
GREENBUSH FAMILY DENTAL 401(K) PROFIT SHARING 2018 510448310 2019-06-06 GREENBUSH FAMILY DENTAL PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-09-10
Business code 621210
Sponsor’s telephone number 5186691545
Plan sponsor’s address 18 CRIMSON CT., CASTLETON, NY, 12033

Signature of
Role Plan administrator
Date 2019-06-06
Name of individual signing ANGELA DONG
Role Employer/plan sponsor
Date 2019-06-06
Name of individual signing ANGELA DONG
GREENBUSH FAMILY DENTAL 401(K) PROFIT SHARING 2017 510448310 2018-05-21 GREENBUSH FAMILY DENTAL PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-09-10
Business code 621210
Sponsor’s telephone number 5186691545
Plan sponsor’s address 18 CRIMSON CT., CASTLETON, NY, 12033

Signature of
Role Plan administrator
Date 2018-05-14
Name of individual signing ANGELA DONG
GREENBUSH FAMILY DENTAL 401(K) PROFIT SHARING 2016 510448310 2017-08-07 GREENBUSH FAMILY DENTAL PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-09-10
Business code 621210
Sponsor’s telephone number 5186691545
Plan sponsor’s address 18 CRIMSON CT., CASTLETON, NY, 12033

Signature of
Role Plan administrator
Date 2017-06-29
Name of individual signing ANGELA DONG
GREENBUSH FAMILY DENTAL 401(K) PROFIT SHARING 2015 510448310 2016-07-21 GREENBUSH FAMILY DENTAL PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-09-10
Business code 621210
Sponsor’s telephone number 5186691545
Plan sponsor’s address 18 CRIMSON CT., CASTLETON, NY, 12033

Signature of
Role Plan administrator
Date 2016-07-21
Name of individual signing ANGELA DONG
Role Employer/plan sponsor
Date 2016-07-21
Name of individual signing ANGELA DONG
GREENBUSH FAMILY DENTAL 401(K) PROFIT SHARING 2014 510448310 2015-06-28 GREENBUSH FAMILY DENTAL PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-09-10
Business code 621210
Sponsor’s telephone number 5186691545
Plan sponsor’s address 18 CRIMSON CT., CASTLETON, NY, 12033

Signature of
Role Plan administrator
Date 2015-06-28
Name of individual signing ANGELA DONG
Role Employer/plan sponsor
Date 2015-06-28
Name of individual signing ANGELA DONG

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent C/O ANGELA DONG, DDS, MANAGER, 2 EMPIRE DRIVE, RENSSELAER, NY, United States, 12144

Filings

Filing Number Date Filed Type Effective Date
030128000008 2003-01-28 ARTICLES OF ORGANIZATION 2003-01-28

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Date of last update: 11 Nov 2024

Sources: New York Secretary of State

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