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  5. WOODLAND DENTAL, P.C.

WOODLAND DENTAL, P.C.

Company Details

Name: WOODLAND DENTAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Jan 2008 (17 years ago)
Entity Number: 3619525
ZIP code: 13902
County: Broome
Place of Formation: New York
Address: PO BOX 5250 80 EXCHANGE ST, 700 SECURITY MUTUAL BLDG, BINGHAMTON, NY, United States, 13902
Principal Address: 1 WOODLAND ROAD, BINGHAMTON, NY, United States, 13901

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
WOODLAND DENTAL PRACTICE 401(K) PROFIT SHARING PLAN 2020 262169446 2021-07-02 WOODLAND DENTAL, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-12-31
Business code 621210
Sponsor’s telephone number 6077239391
Plan sponsor’s address 1 WOODLAND RD., BINGHAMTON, NY, 13901
WOODLAND DENTAL PRACTICE 401(K) PROFIT SHARING PLAN 2019 262169446 2020-09-29 WOODLAND DENTAL, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-12-31
Business code 621210
Sponsor’s telephone number 6077239391
Plan sponsor’s address 1 WOODLAND RD., BINGHAMTON, NY, 13901
WOODLAND DENTAL PRACTICE 401(K) PROFIT SHARING PLAN 2018 262169446 2019-10-11 WOODLAND DENTAL, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-12-31
Business code 621210
Sponsor’s telephone number 6077239391
Plan sponsor’s address 1 WOODLAND RD., BINGHAMTON, NY, 13901
WOODLAND DENTAL PRACTICE 401(K) PROFIT SHARING PLAN 2017 262169446 2018-10-11 WOODLAND DENTAL, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-12-31
Business code 621210
Sponsor’s telephone number 6077239391
Plan sponsor’s address 1 WOODLAND RD., BINGHAMTON, NY, 13901
WOODLAND DENTAL PRACTICE 401(K) PROFIT SHARING PLAN 2015 262169446 2016-07-12 WOODLAND DENTAL, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6077239391
Plan sponsor’s address 1 WOODLAND RD, BINGHAMTON, NY, 13901
WOODLAND DENTAL PRACTICE 401(K) PROFIT SHARING PLAN 2014 262169446 2015-06-22 WOODLAND DENTAL, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6077239391
Plan sponsor’s address ONE WOODLAND ROAD, BINGHAMTON, NY, 13901
WOODLAND DENTAL PRACTICE 401(K) PROFIT SHARING PL 2013 262169446 2014-02-28 WOODLAND DENTAL, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6077239391
Plan sponsor’s address ONE WOODLAND ROAD, BINGHAMTON, NY, 13901

Signature of
Role Plan administrator
Date 2014-02-28
Name of individual signing KATHLEEN LARSON
WOODLAND DENTAL PRACTICE 401(K) PROFIT SHARING PL 2012 262169446 2013-06-07 WOODLAND DENTAL, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6077239391
Plan sponsor’s address ONE WOODLAND ROAD, BINGHAMTON, NY, 13901

Signature of
Role Plan administrator
Date 2013-06-07
Name of individual signing KATHLEEN LARSON
WOODLAND DENTAL PRACTICE 401(K) PROFIT SHARING PL 2011 262169446 2012-06-27 WOODLAND DENTAL, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6077239391
Plan sponsor’s address ONE WOODLAND ROAD, BINGHAMTON, NY, 13901

Plan administrator’s name and address
Administrator’s EIN 262169446
Plan administrator’s name WOODLAND DENTAL, P.C.
Plan administrator’s address ONE WOODLAND ROAD, BINGHAMTON, NY, 13901
Administrator’s telephone number 6077239391

Signature of
Role Plan administrator
Date 2012-06-27
Name of individual signing KATHLEEN LARSON
WOODLAND DENTAL PRACTICE 401(K) PROFIT SHARING PL 2010 262169446 2011-09-27 WOODLAND DENTAL, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6077239391
Plan sponsor’s address ONE WOODLAND ROAD, BINGHAMTON, NY, 13901

Plan administrator’s name and address
Administrator’s EIN 262169446
Plan administrator’s name WOODLAND DENTAL, P.C.
Plan administrator’s address ONE WOODLAND ROAD, BINGHAMTON, NY, 13901
Administrator’s telephone number 6077239391

Signature of
Role Plan administrator
Date 2011-09-27
Name of individual signing KATHLEEN LARSON

Chief Executive Officer

Name Role Address
JOSEPH JAEN DMD Chief Executive Officer 1 WOODLAND ROAD, BINGHAMTON, NY, United States, 13901

DOS Process Agent

Name Role Address
HINMAN HOWARD & KATTELL, LLP ATTN: RONALD L. GREENE, ESQ. DOS Process Agent PO BOX 5250 80 EXCHANGE ST, 700 SECURITY MUTUAL BLDG, BINGHAMTON, NY, United States, 13902

Filings

Filing Number Date Filed Type Effective Date
140306002426 2014-03-06 BIENNIAL STATEMENT 2014-01-01
120214002117 2012-02-14 BIENNIAL STATEMENT 2012-01-01
080117000990 2008-01-17 CERTIFICATE OF INCORPORATION 2008-01-17

Related by officers

HINMAN HOWARD & KATTELL, LLP ATTN: RONALD L. GREENE, ESQ.

SAFAL REALTY, LLC

Related by address

No related companies by address

Date of last update: 27 Nov 2024

Sources: New York Secretary of State

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