Menu
Search icon

CHAMPLAIN SMILES INC.

Company Details

Name: CHAMPLAIN SMILES INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 20 Apr 2005 (20 years ago)
Entity Number: 3193421
County: Clinton
Place of Formation: New York
Address: 46 COURT STREET, PLATTSBURGH, NY, United States, 12901
Address ZIP Code: 12901
Principal Address: 212 TOM MILLER ROAD, PLATTSBURGH, NY, United States, 12901
Principal Address ZIP Code: 12901

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
CHAMPLAIN SMILES INC 401(K) PLAN 2023 810671714 2024-09-17 CHAMPLAIN SMILES INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5183242273
Plan sponsor’s address 212 TOM MILLER RD, PLATTSBURGH, NY, 12901

Signature of
Role Plan administrator
Date 2024-09-17
Name of individual signing JEFF GRAVES
Valid signature Filed with authorized/valid electronic signature
CHAMPLAIN SMILES INC 401(K) PLAN 2019 810671714 2020-11-13 CHAMPLAIN SMILES INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5183242273
Plan sponsor’s address 212 TOM MILLER RD, PLATTSBURGH, NY, 12901

Signature of
Role Plan administrator
Date 2020-11-13
Name of individual signing JEFF GRAVES
CHAMPLAIN SMILES INC 401(K) PLAN 2019 810671714 2020-11-12 CHAMPLAIN SMILES INC 7
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5183242273
Plan sponsor’s address 212 TOM MILLER RD, PLATTSBURGH, NY, 12901

Signature of
Role Plan administrator
Date 2020-11-12
Name of individual signing JEFF GRAVES
CHAMPLAIN SMILES INC 401(K) PLAN 2019 810671714 2020-11-04 CHAMPLAIN SMILES INC 7
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5183242273
Plan sponsor’s address 212 TOM MILLER RD, PLATTSBURGH, NY, 12901

Signature of
Role Plan administrator
Date 2020-11-04
Name of individual signing JEFF GRAVES
CHAMPLAIN SMILES INC 401(K) PLAN 2018 810671714 2019-08-20 CHAMPLAIN SMILES INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5183242273
Plan sponsor’s address 212 TOM MILLER RD, PLATTSBURGH, NY, 12901

Signature of
Role Plan administrator
Date 2019-08-20
Name of individual signing JEFF GRAVES
CHAMPLAIN SMILES INC 401(K) PLAN 2017 810671714 2020-11-12 CHAMPLAIN SMILES INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5183242273
Plan sponsor’s address 212 TOM MILLER RD, PLATTSBURGH, NY, 12901

Signature of
Role Plan administrator
Date 2020-11-12
Name of individual signing JEFF GRAVES
CHAMPLAIN SMILES INC 401(K) PLAN 2016 810671714 2017-07-20 CHAMPLAIN SMILES INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5183242273
Plan sponsor’s address 212 TOM MILLER RD, PLATTSBURGH, NY, 12901

Signature of
Role Plan administrator
Date 2017-07-20
Name of individual signing JEFF GRAVES
CHAMPLAIN SMILES INC 401(K) PLAN 2015 810671714 2016-10-06 CHAMPLAIN SMILES INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5183242273
Plan sponsor’s address 212 TOM MILLER RD, PLATTSBURGH, NY, 12901

Signature of
Role Plan administrator
Date 2016-10-06
Name of individual signing JEFF GRAVES
CHAMPLAIN SMILES INC 401(K) PLAN 2014 810671714 2016-01-06 CHAMPLAIN SMILES INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5183242273
Plan sponsor’s address 212 TOM MILLER RD, PLATTSBURGH, NY, 12901

Signature of
Role Plan administrator
Date 2016-01-06
Name of individual signing JEFF GRAVES
CHAMPLAIN SMILES, INC. PROFIT SHARING PLAN 2013 810671714 2014-10-15 CHAMPLAIN SMILES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5183242273
Plan sponsor’s address 762 STATE ROUTE 3, SUITE 1, PLATTSBURGH, NY, 12901

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing ATHENA GRAVES

Chief Executive Officer

Name Role Address
ATHENA A GRAVES Chief Executive Officer 212 TOM MILLER ROAD, PLATTSBURGH, NY, United States, 12901

DOS Process Agent

Name Role Address
GARY L FAVRO DOS Process Agent 46 COURT STREET, PLATTSBURGH, NY, United States, 12901

Agent

Name Role Address
WILLIAM A FAUREAV, ESQ. Agent 206 WEST BAY PLAZA, PLATTSBURGH, NY, 12901

History

Start date End date Type Value
2018-02-21 2021-04-01 Address 46 COURT STREET, PLATTSBURGH, NY, 12901, USA (Type of address: Service of Process)
2009-04-10 2018-02-21 Address 762 STATE ROUTE 3, STE 1, PLATTSBURGH, NY, 12901, USA (Type of address: Chief Executive Officer)
2009-04-10 2018-02-21 Address 762 STATE ROUTE 3, STE 1, PLATTSBURGH, NY, 12901, USA (Type of address: Principal Executive Office)
2005-07-29 2018-02-21 Address 206 WEST BAY PLAZA, PLATTSBURGH, NY, 12901, USA (Type of address: Service of Process)
2005-04-20 2005-07-29 Address 720 CATALINA BLVD, ENDWELL, NY, 13760, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210401060295 2021-04-01 BIENNIAL STATEMENT 2021-04-01
180221002038 2018-02-21 BIENNIAL STATEMENT 2017-04-01
171018000073 2017-10-18 ANNULMENT OF DISSOLUTION 2017-10-18
DP-2151187 2016-06-29 DISSOLUTION BY PROCLAMATION 2016-06-29
130513002108 2013-05-13 BIENNIAL STATEMENT 2013-04-01
110620002303 2011-06-20 BIENNIAL STATEMENT 2011-04-01
090410002924 2009-04-10 BIENNIAL STATEMENT 2009-04-01
050729000821 2005-07-29 CERTIFICATE OF CHANGE 2005-07-29
050420000001 2005-04-20 CERTIFICATE OF INCORPORATION 2005-04-20

Related by officers

No related officers

Related by address

46 COURT STREET, PLATTSBURGH, NY, United States, 12901

CLARE & CARL'S, INC. LAW OFFICES OF GARY L. FAVRO PLLC

Date of last update: 10 Nov 2024

Sources: New York Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2024 nycompanysearch.com