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  5. CAYUGA FAMILY DENTAL LLC

CAYUGA FAMILY DENTAL LLC

Company Details

Name: CAYUGA FAMILY DENTAL LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 17 Jun 2004 (20 years ago)
Entity Number: 3067387
ZIP code: 14850
County: Tompkins
Place of Formation: New York
Address: 2255 N TRIPHAMMER ROAD, STE 63, ITHACA, NY, United States, 14850

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAYUGA FAMILY DENTAL LLC 401(K) PLAN 2020 341996984 2021-03-12 CAYUGA FAMILY DENTAL LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6072576600
Plan sponsor’s address 2255 N. TRIPHAMMER RD., SUITE 63, ITHACA, NY, 14850

Signature of
Role Plan administrator
Date 2021-03-12
Name of individual signing NEERAJ GUPTA
CAYUGA FAMILY DENTAL LLC 401(K) PLAN 2019 341996984 2020-06-12 CAYUGA FAMILY DENTAL LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6072576600
Plan sponsor’s address 2255 N. TRIPHAMMER RD., SUITE 63, ITHACA, NY, 14850

Signature of
Role Plan administrator
Date 2020-06-12
Name of individual signing NEERAJ GUPTA
CAYUGA FAMILY DENTAL LLC 401(K) PLAN 2018 341996984 2019-07-17 CAYUGA FAMILY DENTAL LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6072576600
Plan sponsor’s address 2255 N. TRIPHAMMER RD., SUITE 63, ITHACA, NY, 14850

Signature of
Role Plan administrator
Date 2019-07-16
Name of individual signing NEERAJ GUPTA
CAYUGA FAMILY DENTAL LLC 401(K) PLAN 2017 341996984 2018-09-04 CAYUGA FAMILY DENTAL LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6072576600
Plan sponsor’s address 2255 N. TRIPHAMMER RD., SUITE 63, ITHACA, NY, 14850

Signature of
Role Plan administrator
Date 2018-08-31
Name of individual signing NEERAJ GUPTA
CAYUGA FAMILY DENTAL LLC 401(K) PLAN 2016 341996984 2017-10-12 CAYUGA FAMILY DENTAL LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6072576600
Plan sponsor’s address 2255 N. TRIPHAMMER RD., SUITE 63, ITHACA, NY, 14850

Signature of
Role Plan administrator
Date 2017-08-30
Name of individual signing NEERAJ GUPTA
CAYUGA FAMILY DENTAL LLC 401(K) PLAN 2015 341996984 2016-10-04 CAYUGA FAMILY DENTAL LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6072576600
Plan sponsor’s address 2255 N. TRIPHAMMER RD., SUITE 63, ITHACA, NY, 14850

Signature of
Role Plan administrator
Date 2016-10-04
Name of individual signing NEERAJ GUPTA
CAYUGA FAMILY DENTAL LLC 401(K) PLAN 2014 341996984 2015-07-11 CAYUGA FAMILY DENTAL LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6072576600
Plan sponsor’s address 2255 N. TRIPHAMMER RD., SUITE 63, ITHACA, NY, 14850

Signature of
Role Plan administrator
Date 2015-07-10
Name of individual signing NEERAJ GUPTA
CAYUGA FAMILY DENTAL LLC 401(K) PLAN 2013 341996984 2014-07-01 CAYUGA FAMILY DENTAL LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6072576600
Plan sponsor’s address 2255 N. TRIPHAMMER RD., STE 63, ITHACA, NY, 14850

Signature of
Role Plan administrator
Date 2014-06-20
Name of individual signing NEERAJ GUPTA
CAYUGA FAMILY DENTAL LLC 401(K) PLAN 2012 341996984 2013-07-09 CAYUGA FAMILY DENTAL LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6072576600
Plan sponsor’s address 2255 N. TRIPHAMMER RD., STE 63, ITHACA, NY, 14850

Signature of
Role Plan administrator
Date 2013-07-09
Name of individual signing NEERAJ GUPTA
CAYUGA FAMILY DENTAL LLC 401(K) PLAN 2011 341996984 2012-07-13 CAYUGA FAMILY DENTAL LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6072576600
Plan sponsor’s address 2255 N. TRIPHAMMER RD., STE 63, ITHACA, NY, 14850

Plan administrator’s name and address
Administrator’s EIN 341996984
Plan administrator’s name CAYUGA FAMILY DENTAL LLC
Plan administrator’s address 2255 N. TRIPHAMMER RD., STE 63, ITHACA, NY, 14850
Administrator’s telephone number 6072576600

Signature of
Role Plan administrator
Date 2012-07-12
Name of individual signing NEERAJ GUPTA

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 2255 N TRIPHAMMER ROAD, STE 63, ITHACA, NY, United States, 14850

History

Start date End date Type Value
2004-06-17 2006-05-19 Address TRIPHAMMER MALL, 2255 N. TRIPHAMMER ROAD, ITHACA, NY, 14850, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
180619006162 2018-06-19 BIENNIAL STATEMENT 2018-06-01
140806006692 2014-08-06 BIENNIAL STATEMENT 2014-06-01
120605006408 2012-06-05 BIENNIAL STATEMENT 2012-06-01
100615002111 2010-06-15 BIENNIAL STATEMENT 2010-06-01
080609002853 2008-06-09 BIENNIAL STATEMENT 2008-06-01
060519002059 2006-05-19 BIENNIAL STATEMENT 2006-06-01
041012000223 2004-10-12 AFFIDAVIT OF PUBLICATION 2004-10-12
041012000220 2004-10-12 AFFIDAVIT OF PUBLICATION 2004-10-12
040617000359 2004-06-17 ARTICLES OF ORGANIZATION 2004-06-17

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Date of last update: 28 Nov 2024

Sources: New York Secretary of State

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