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TRIPLE CITIES FAMILY DENTAL, P.C.

TRIPLE CITIES FAMILY DENTAL, P.C.

Company Details

Name:	TRIPLE CITIES FAMILY DENTAL, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	21 Jan 1975 (50 years ago)
Entity Number:	360782
ZIP code:	13905
County:	Broome
Place of Formation:	New York
Address:	18 LEROY ST, BINGHAMTON, NY, United States, 13905
Principal Address:	18 LEROY STREET, BINGHAMTON, NY, United States, 13905

Contact Details

Phone +1 607-723-8377

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

TRIPLE CITIES FAMILY DENTAL P.C. 401(K) PLAN

2023

161038516

2024-07-11

TRIPLE CITIES FAMILY DENTAL P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1976-01-01
Business code	621210
Sponsor’s telephone number	6077238377
Plan sponsor’s address	18 LEROY STREET, BINGHAMTON, NY, 13905

Signature of

Role	Plan administrator
Date	2024-07-11
Name of individual signing	DAVID SALOMONS, DDS

TRIPLE CITIES FAMILY DENTAL P.C. 401(K) PLAN

2022

161038516

2023-09-14

TRIPLE CITIES FAMILY DENTAL P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1976-01-01
Business code	621210
Sponsor’s telephone number	6077238377
Plan sponsor’s address	18 LEROY STREET, BINGHAMTON, NY, 13905

Signature of

Role	Plan administrator
Date	2023-09-14
Name of individual signing	DAVID SALOMONS, DDS

TRIPLE CITIES FAMILY DENTAL P.C. 401(K) PLAN

2021

161038516

2022-10-07

TRIPLE CITIES FAMILY DENTAL P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1976-01-01
Business code	621210
Sponsor’s telephone number	6077238377
Plan sponsor’s address	18 LEROY STREET, BINGHAMTON, NY, 13905

Signature of

Role	Plan administrator
Date	2022-10-07
Name of individual signing	DAVID SALOMONS, DDS

TRIPLE CITIES FAMILY DENTAL, PC 401(K) PLAN

2020

161038516

2021-02-15

TRIPLE CITIES FAMILY DENTAL P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1976-01-01
Business code	621210
Sponsor’s telephone number	6077238377
Plan sponsor’s address	18 LEROY ST., BINGHAMTON, NY, 13905

Signature of

Role	Plan administrator
Date	2021-02-15
Name of individual signing	CHARLES SIMPSON

Chief Executive Officer

Name	Role	Address
DAVID SALOMONS, DDS	Chief Executive Officer	18 LEROY STREET, BINGHAMTON, NY, United States, 13905

DOS Process Agent

Name	Role	Address
DAVID SALOMONS, DDS	DOS Process Agent	18 LEROY ST, BINGHAMTON, NY, United States, 13905

History

Start date	End date	Type	Value
2020-06-17	2021-01-07	Address	18 LEROY STREET, BINGHAMTON, NY, 13905, USA (Type of address: Service of Process)
2012-09-10	2019-10-31	Name	SHAKUN SALOMONS & BRAY, DENTAL P.C.
2011-01-13	2020-06-17	Address	DAVID C BRAY DMD, 18 LEROY STREET, BINGHAMTON, NY, 13905, USA (Type of address: Service of Process)
2011-01-13	2020-06-17	Address	18 LEROY STREET, BINGHAMTON, NY, 13905, USA (Type of address: Chief Executive Officer)
2007-02-02	2011-01-13	Address	DAVID C BRAY DMD, 18 LEROY ST, BINGHAMTON, NY, 13905, USA (Type of address: Service of Process)
2005-02-03	2011-01-13	Address	18 LEROY ST, BINGHAMTON, NY, 13905, USA (Type of address: Chief Executive Officer)
2005-02-03	2007-02-02	Address	18 LEROY ST, BINGHAMTON, NY, 13905, USA (Type of address: Service of Process)
2004-06-25	2012-09-10	Name	LEVINE, SHAKUN, SALOMONS & BRAY DENTAL P.C.
1997-07-01	2004-06-25	Name	LEVINE, SHAKUN & SALOMONS, DENTAL P.C.
1997-02-18	2005-02-03	Address	18 LEROY ST., BINGHAMTON, NY, 13905, USA (Type of address: Chief Executive Officer)
1997-02-18	2005-02-03	Address	DAVID SALOMONS DDS, 18 LEROY ST., BINGHAMTON, NY, 13905, USA (Type of address: Service of Process)
1993-03-01	2011-01-13	Address	18 LEROY STREET, BINGHAMTON, NY, 13905, USA (Type of address: Principal Executive Office)
1993-03-01	1997-02-18	Address	WILLIAM R. SHAKUN DMD, 18 LEROY STREET, BINGHAMTON, NY, 13905, USA (Type of address: Service of Process)
1993-03-01	1997-02-18	Address	18 LEROY STREET, BINGHAMTON, NY, 13905, USA (Type of address: Chief Executive Officer)
1987-10-07	1997-07-01	Name	LEVY, LEVINE & SHAKUN, DENTAL P.C.
1983-10-07	1987-10-07	Name	DRS. MELAMED, LEVY, LEVINE & SHAKUN, DENTAL P.C.
1983-09-09	1983-10-07	Name	SHAKUN, DENTAL P.C.
1975-01-21	2023-11-27	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1975-01-21	1993-03-01	Address	18 LEROY ST., BINGHAMTON, NY, 13905, USA (Type of address: Service of Process)
1975-01-21	1983-09-09	Name	MYRON A. MELAMED, D.D.S., MORTON H. LEVY, D.D.S. AND HARVEY S. LEVINE, D.M.D., P.C.

Filings

Filing Number	Date Filed	Type	Effective Date
210107060977	2021-01-07	BIENNIAL STATEMENT	2021-01-01
200617060514	2020-06-17	BIENNIAL STATEMENT	2019-01-01
191031000521	2019-10-31	CERTIFICATE OF AMENDMENT	2019-10-31
20180713018	2018-07-13	ASSUMED NAME CORP INITIAL FILING	2018-07-13
130118006019	2013-01-18	BIENNIAL STATEMENT	2013-01-01
120910000352	2012-09-10	CERTIFICATE OF AMENDMENT	2012-09-10
110113002734	2011-01-13	BIENNIAL STATEMENT	2011-01-01
081230002281	2008-12-30	BIENNIAL STATEMENT	2009-01-01
070202002120	2007-02-02	BIENNIAL STATEMENT	2007-01-01
050203002260	2005-02-03	BIENNIAL STATEMENT	2005-01-01
040625000826	2004-06-25	CERTIFICATE OF AMENDMENT	2004-06-25
030108002390	2003-01-08	BIENNIAL STATEMENT	2003-01-01
010105002550	2001-01-05	BIENNIAL STATEMENT	2001-01-01
990120002564	1999-01-20	BIENNIAL STATEMENT	1999-01-01
970701000044	1997-07-01	CERTIFICATE OF AMENDMENT	1997-07-01
970218002438	1997-02-18	BIENNIAL STATEMENT	1997-01-01
940120002074	1994-01-20	BIENNIAL STATEMENT	1994-01-01
930301002622	1993-03-01	BIENNIAL STATEMENT	1993-01-01
B552375-4	1987-10-07	CERTIFICATE OF AMENDMENT	1987-10-07
B027386-4	1983-10-07	CERTIFICATE OF AMENDMENT	1983-10-07
B018671-4	1983-09-09	CERTIFICATE OF AMENDMENT	1983-09-09
A208761-6	1975-01-21	CERTIFICATE OF INCORPORATION	1975-01-21

Date of last update: 17 Nov 2024

Sources: New York Secretary of State

TRIPLE CITIES FAMILY DENTAL, P.C.

Company Details

form 5500

Chief Executive Officer

DOS Process Agent

History

Filings

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