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  5. SMILE SANCTUARY DENTAL, PLLC

SMILE SANCTUARY DENTAL, PLLC

Company Details

Name: SMILE SANCTUARY DENTAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 20 Feb 2007 (18 years ago)
Entity Number: 3478425
ZIP code: 12866
County: Saratoga
Place of Formation: New York
Address: 200 CHURCH STREET, SARATOGA SPRINGS, NY, United States, 12866

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SARATOGA SMILE CARE 401(K) PLAN 2023 263555619 2024-07-23 SMILE SANCTUARY DENTAL PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 5185846768
Plan sponsor’s address 200 CHURCH ST, SARATOGA SPRINGS, NY, 12866

Signature of
Role Plan administrator
Date 2024-07-23
Name of individual signing CHRIS HORNE
SMILE SANCTUARY DENTAL PLLC 401(K) PROFIT SHARING PLAN & TRUST 2022 263555619 2023-09-25 SMILE SANCTUARY DENTAL PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 5185846768
Plan sponsor’s address 200 CHURCH ST, SARATOGA SPRINGS, NY, 128661010

Signature of
Role Plan administrator
Date 2023-09-25
Name of individual signing LEISHA WASHBURN
SMILE SANCTUARY DENTAL PLLC 401(K) PROFIT SHARING PLAN & TRUST 2021 263555619 2022-08-23 SMILE SANCTUARY DENTAL PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 5185846768
Plan sponsor’s address 200 CHURCH ST, SARATOGA SPRINGS, NY, 128661010

Signature of
Role Plan administrator
Date 2022-08-23
Name of individual signing LEISHA WASHBURN
SMILE SANCTUARY DENTAL PLLC 401(K) PROFIT SHARING PLAN & TRUST 2020 263555619 2021-07-08 SMILE SANCTUARY DENTAL PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 5185846768
Plan sponsor’s address 200 CHURCH ST, SARATOGA SPRINGS, NY, 128661010

Signature of
Role Plan administrator
Date 2021-07-08
Name of individual signing LEISHA WASHBURN
SMILE SANCTUARY DENTAL PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 263555619 2020-07-23 SMILE SANCTUARY DENTAL PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 5185846768
Plan sponsor’s address 200 CHURCH ST, SARATOGA SPRINGS, NY, 128661010

Signature of
Role Plan administrator
Date 2020-07-23
Name of individual signing LEISHA
SMILE SANCTUARY DENTAL PLLC 401 K PROFIT SHARING PLAN TRUST 2018 263555619 2019-07-28 SMILE SANCTUARY DENTAL PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 5185846768
Plan sponsor’s address 200 CHURCH ST, SARATOGA SPRINGS, NY, 128661010

Signature of
Role Plan administrator
Date 2019-07-28
Name of individual signing MARK MOREAU
SMILE SANCTUARY DENTAL PLLC 401 K PROFIT SHARING PLAN TRUST 2017 263555619 2018-07-09 SMILE SANCTUARY DENTAL PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 5185846768
Plan sponsor’s address 200 CHURCH ST, SARATOGA SPRINGS, NY, 128661010

Signature of
Role Plan administrator
Date 2018-07-09
Name of individual signing MARK MOREAU
SMILE SANCTUARY DENTAL PLLC 401 K PROFIT SHARING PLAN TRUST 2016 263555619 2017-07-18 SMILE SANCTUARY DENTAL PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 5185846768
Plan sponsor’s address 200 CHURCH ST, SARATOGA SPRINGS, NY, 128661010

Signature of
Role Plan administrator
Date 2017-07-18
Name of individual signing MARK MOREAU
SMILE SANCTUARY DENTAL PLLC 401 K PROFIT SHARING PLAN TRUST 2015 263555619 2016-07-10 SMILE SANCTUARY DENTAL, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 5185846768
Plan sponsor’s address 200 CHURCH ST, SARATOGA SPRINGS, NY, 128661010

Signature of
Role Plan administrator
Date 2016-07-10
Name of individual signing MARK MOREAU
SMILE SANCTUARY DENTAL PLLC 401 K PROFIT SHARING PLAN TRUST 2014 263555619 2015-07-25 SMILE SANCTUARY DENTAL, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 5185846768
Plan sponsor’s address 200 CHURCH ST, SARATOGA SPRINGS, NY, 128661010

Signature of
Role Plan administrator
Date 2015-07-25
Name of individual signing MARK MOREAU

Agent

Name Role Address
LEKKI HILL DUPREY & BHATT, P.C. Agent 21 COURT ST, CANTON, NY, 13617

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 200 CHURCH STREET, SARATOGA SPRINGS, NY, United States, 12866

History

Start date End date Type Value
2009-02-02 2012-10-24 Address 200 CHURCH ST, SARATOGA SPRINGS, NY, 12866, USA (Type of address: Service of Process)
2007-02-20 2009-02-02 Address 22 PARK STREET, CANTON, NY, 13617, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130227002548 2013-02-27 BIENNIAL STATEMENT 2013-02-01
121024000907 2012-10-24 CERTIFICATE OF CHANGE 2012-10-24
090202003397 2009-02-02 BIENNIAL STATEMENT 2009-02-01
080227001015 2008-02-27 CERTIFICATE OF PUBLICATION 2008-02-27
070220000027 2007-02-20 ARTICLES OF ORGANIZATION 2007-02-20

Related by officers

THE LLC

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Related by address

200 CHURCH STREET, SARATOGA SPRINGS, NY, United States, 12866

SMILE SANCTUARY II, INC.

Date of last update: 27 Nov 2024

Sources: New York Secretary of State

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