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  5. DAVID J. STEVENS D.D.S. P.C.

DAVID J. STEVENS D.D.S. P.C.

Company Details

Name: DAVID J. STEVENS D.D.S. P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 31 Jan 2003 (22 years ago)
Entity Number: 2864434
ZIP code: 10804
County: Westchester
Place of Formation: New York
Address: 84 BROADFIELD ROAD, NEW ROCHELLE, NY, United States, 10804
Principal Address: 1228 PELHAM PARKWAY SOUTH, BRONX, NY, United States, 10461

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
DAVID J. STEVENS, D.D.S., P.C. 401(K) PLAN 2023 421574811 2024-10-14 DAVID J. STEVENS, D.D.S., P. C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621210
Sponsor’s telephone number 9178265200
Plan sponsor’s address 1228 PELHAM PARKWAY SOUTH, BRONX, NY, 10461

Signature of
Role Plan administrator
Date 2024-10-14
Name of individual signing DAVID STEVENS
Valid signature Filed with authorized/valid electronic signature
DAVID J. STEVENS, D.D.S., P.C. 401(K) PLAN 2022 421574811 2023-09-14 DAVID J. STEVENS, D.D.S., P. C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621210
Sponsor’s telephone number 9178265200
Plan sponsor’s address 1228 PELHAM PARKWAY SOUTH, BRONX, NY, 10461

Signature of
Role Plan administrator
Date 2023-09-14
Name of individual signing DAVID STEVENS
Role Employer/plan sponsor
Date 2023-09-14
Name of individual signing DAVID STEVENS
DAVID J. STEVENS, D.D.S., P.C. 401(K) PLAN 2021 421574811 2022-10-13 DAVID J. STEVENS, D.D.S., P. C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621210
Sponsor’s telephone number 9178265200
Plan sponsor’s address 1228 PELHAM PARKWAY SOUTH, BRONX, NY, 10461

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing DAVID J. STEVENS
DAVID J. STEVENS, D.D.S., P.C. 401(K) PLAN 2020 421574811 2021-10-13 DAVID J. STEVENS, D.D.S., P. C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621210
Sponsor’s telephone number 9178265200
Plan sponsor’s address 1228 PELHAM PARKWAY SOUTH, BRONX, NY, 10461

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing DAVID J. STEVENS
DAVID J. STEVENS, D.D.S., P.C. 401(K) PLAN 2019 421574811 2020-09-11 DAVID J. STEVENS, D.D.S., P. C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621210
Sponsor’s telephone number 9178265200
Plan sponsor’s address 1228 PELHAM PARKWAY SOUTH, BRONX, NY, 10461

Signature of
Role Plan administrator
Date 2020-09-11
Name of individual signing DAVID STEVENS
DAVID J. STEVENS, D.D.S., P.C. 401(K) PLAN 2018 421574811 2019-10-04 DAVID J. STEVENS, D.D.S., P. C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621210
Sponsor’s telephone number 9178265200
Plan sponsor’s address 1228 PELHAM PARKWAY SOUTH, BRONX, NY, 10461

Signature of
Role Plan administrator
Date 2019-10-04
Name of individual signing DAVID STEVENS
Role Employer/plan sponsor
Date 2019-10-04
Name of individual signing DAVID STEVENS
DAVID J. STEVENS, D.D.S., P.C. 401(K) PLAN 2017 421574811 2018-10-11 DAVID J. STEVENS, D.D.S., P. C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621210
Sponsor’s telephone number 9178265200
Plan sponsor’s address 1228 PELHAM PARKWAY SOUTH, BRONX, NY, 10461

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing DAVID STEVENS
DAVID J. STEVENS, D.D.S., P.C. 401(K) PLAN 2016 421574811 2017-10-13 DAVID J. STEVENS, D.D.S., P. C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621210
Sponsor’s telephone number 9178265200
Plan sponsor’s address 1228 PELHAM PARKWAY SOUTH, BRONX, NY, 10461

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing DAVID J. STEVENS
DAVID J. STEVENS, D.D.S., P.C. 401(K) PLAN 2015 421574811 2016-10-14 DAVID J. STEVENS, D.D.S., P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621210
Sponsor’s telephone number 9178265200
Plan sponsor’s address 1228 PELHAM PARKWAY SOUTH, BRONX, NY, 10461

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing DAVID STEVENS DDS
Role Employer/plan sponsor
Date 2016-10-14
Name of individual signing DAVID STEVENS DDS
DAVID J. STEVENS, D.D.S., P.C. 401(K) PLAN 2014 421574811 2015-10-15 DAVID J. STEVENS, D.D.S., P.C. 13
Three-digit plan number (PN) 001
Effective date of plan 2002-07-01
Business code 621210
Sponsor’s telephone number 9178265200
Plan sponsor’s address 1228 PELHAM PARKWAY SOUTH, BRONX, NY, 10461

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing DAVID STEVENS

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 84 BROADFIELD ROAD, NEW ROCHELLE, NY, United States, 10804

Chief Executive Officer

Name Role Address
DAVID J STEVENS DDS Chief Executive Officer 1228 PELHAM PARKWAY SOUTH, BRONX, NY, United States, 10461

Filings

Filing Number Date Filed Type Effective Date
160202006676 2016-02-02 BIENNIAL STATEMENT 2015-01-01
130326002195 2013-03-26 BIENNIAL STATEMENT 2013-01-01
110413002458 2011-04-13 BIENNIAL STATEMENT 2011-01-01
090220002887 2009-02-20 BIENNIAL STATEMENT 2009-01-01
050222002271 2005-02-22 BIENNIAL STATEMENT 2005-01-01
030131000711 2003-01-31 CERTIFICATE OF INCORPORATION 2003-01-31

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Related by address

84 BROADFIELD ROAD, NEW ROCHELLE, NY, United States, 10804

NARRAGANSETT HOLDINGS LLC

Date of last update: 11 Nov 2024

Sources: New York Secretary of State

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