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GALLERY 57 DENTAL, PLLC

Company Details

Name: GALLERY 57 DENTAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 31 Oct 2005 (19 years ago) (Companies founded in October 2005)
Entity Number: 3275019
ZIP code: 10019 (Companies in New York, 10019)
County: New York
Place of Formation: New York
Address: 24 WEST 57TH STREET, NEW YORK, NY, United States, 10019

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GALLERY 57 DENTAL 401(K) PLAN 2023 204319702 2024-07-23 GALLERY 57 DENTAL 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2122468700
Plan sponsor’s address 156 WEST 56TH STREET, SUITE 903, NEW YORK, NY, 10019

Signature of

Role Plan administrator
Date 2024-07-23
Name of individual signing NICK RICE
GALLERY 57 DENTAL 401(K) PLAN 2022 204319702 2023-07-13 GALLERY 57 DENTAL 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2122468700
Plan sponsor’s address 24 W 57TH ST, STE 701, NEW YORK, NY, 10019

Signature of

Role Plan administrator
Date 2023-07-13
Name of individual signing SHIRLEY HORNER
GALLERY 57 DENTAL 401(K) PLAN 2021 204319702 2022-08-29 GALLERY 57 DENTAL 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2122468700
Plan sponsor’s address 24 W 57TH ST, STE 701, NEW YORK, NY, 10019

Signature of

Role Plan administrator
Date 2022-08-29
Name of individual signing NICK RICE
GALLERY 57 DENTAL 401(K) PLAN 2020 204319702 2021-06-04 GALLERY 57 DENTAL 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2122468700
Plan sponsor’s address 24 WEST 57TH STREET, SUITE 701, NEW YORK, NY, 10019

Signature of

Role Plan administrator
Date 2021-06-04
Name of individual signing STEFANI BRANNON
GALLERY 57 DENTAL 401(K) PLAN 2019 204319702 2020-07-31 GALLERY 57 DENTAL 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2122468700
Plan sponsor’s address 24 WEST 57TH STREET, SUITE 701, NEW YORK, NY, 10019

Signature of

Role Plan administrator
Date 2020-07-30
Name of individual signing STEFANI BRANNON
GALLERY 57 DENTAL 401(K) PLAN 2018 204319702 2019-10-03 GALLERY 57 DENTAL 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2122468700
Plan sponsor’s address 24 WEST 57TH STREET, SUITE 701, NEW YORK, NY, 10019

Signature of

Role Plan administrator
Date 2019-10-03
Name of individual signing STEFANI BRANNON
GALLERY 57 DENTAL 401(K) PLAN 2017 204319702 2018-09-25 GALLERY 57 DENTAL 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2122468700
Plan sponsor’s address 24 WEST 57TH STREET, SUITE 701, NEW YORK, NY, 10019

Signature of

Role Plan administrator
Date 2018-09-25
Name of individual signing STEFANI BRANNON
GALLERY 57 DENTAL 401(K) PLAN 2016 204319702 2017-08-14 GALLERY 57 DENTAL 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2122468700
Plan sponsor’s address 24 WEST 57TH STREET, SUITE 701, NEW YORK, NY, 10019

Signature of

Role Plan administrator
Date 2017-07-31
Name of individual signing STEFANI BRANNON
GALLERY 57 DENTAL 401(K) PLAN 2015 204319702 2016-07-05 GALLERY 57 DENTAL 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2122468700
Plan sponsor’s address 24 WEST 57TH STREET, SUITE 701, NEW YORK, NY, 10019

Signature of

Role Plan administrator
Date 2016-07-05
Name of individual signing STEFANI BRANNON
GALLERY 57 DENTAL 401(K) PLAN 2014 204319702 2015-05-20 GALLERY 57 DENTAL 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2122468700
Plan sponsor’s address 24 WEST 57TH STREET, SUITE 701, NEW YORK, NY, 10019

Signature of

Role Plan administrator
Date 2015-05-20
Name of individual signing STEFANI BRANNON

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 24 WEST 57TH STREET, NEW YORK, NY, United States, 10019

Filings

Filing Number Date Filed Type Effective Date
171010006952 2017-10-10 BIENNIAL STATEMENT 2017-10-01
131015006849 2013-10-15 BIENNIAL STATEMENT 2013-10-01
111114002428 2011-11-14 BIENNIAL STATEMENT 2011-10-01
091021002629 2009-10-21 BIENNIAL STATEMENT 2009-10-01
071023002118 2007-10-23 BIENNIAL STATEMENT 2007-10-01
060321000528 2006-03-21 CERTIFICATE OF AMENDMENT 2006-03-21
051031000356 2005-10-31 ARTICLES OF ORGANIZATION 2005-10-31

Date of last update: 10 Nov 2024

Sources: New York Secretary of State