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ELIZABETH MATHEW, DDS, PLLC

Company Details

Name: ELIZABETH MATHEW, DDS, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 04 Sep 2008 (16 years ago) (Companies founded in September 2008)
Entity Number: 3716630
ZIP code: 10566 (Companies in Rockland, 10566)
County: Rockland
Place of Formation: New York
Address: 1000 N. DIVISION ST., STE. 2C, PEEKSKILL, NY, United States, 10566

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELIZABETH MATHEW DDS PLLC 401(K) PROFIT SHARING PLAN & TRUST 2023 263319002 2024-06-25 ELIZABETH MATHEW, DDS, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9148061194
Plan sponsor’s address 538 WESTERN HIGHWAY, BLAUVELT, NY, 10913

Signature of

Role Plan administrator
Date 2024-06-25
Name of individual signing SHIRLEY HORNER
ELIZABETH MATHEW DDS PLLC 401(K) PROFIT SHARING PLAN & TRUST 2022 263319002 2023-04-11 ELIZABETH MATHEW DDS PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9148061194
Plan sponsor’s address 538 WESTERN HIGHWAY, BLAUVELT, NY, 10913

Signature of

Role Plan administrator
Date 2023-04-11
Name of individual signing ELIZABETH MATHEW
ELIZABETH MATHEW DDS PLLC 401(K) PROFIT SHARING PLAN & TRUST 2021 263319002 2022-06-01 ELIZABETH MATHEW DDS PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9148061194
Plan sponsor’s address 538 WESTERN HIGHWAY, BLAUVELT, NY, 10913

Signature of

Role Plan administrator
Date 2022-06-01
Name of individual signing ELIZABETH MATHEW
ELIZABETH MATHEW DDS PLLC 401(K) PROFIT SHARING PLAN & TRUST 2020 263319002 2021-10-02 ELIZABETH MATHEW DDS PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9148061194
Plan sponsor’s address 538 WESTERN HIGHWAY, BLAUVELT, NY, 10913

Signature of

Role Plan administrator
Date 2021-10-02
Name of individual signing ELIZABETH MATHEW
ELIZABETH MATHEW DDS PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 263319002 2020-04-14 ELIZABETH MATHEW DDS PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9148061194
Plan sponsor’s address 538 WESTERN HIGHWAY, BLAUVELT, NY, 10913

Signature of

Role Plan administrator
Date 2020-04-14
Name of individual signing ELIZABETH MATHEW
ELIZABETH MATHEW, DDS 401 K PROFIT SHARING PLAN TRUST 2018 263319002 2019-10-28 ELIZABETH MATHEW DDS PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9148061194
Plan sponsor’s address 538 WESTERN HIGHWAY, BLAUVELT, NY, 10913

Signature of

Role Plan administrator
Date 2019-10-28
Name of individual signing ELIZABETH MATHEW
ELIZABETH MATHEW, DDS 401 K PROFIT SHARING PLAN TRUST 2018 263319002 2019-10-27 ELIZABETH MATHEW DDS PLLC 2
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9148061194
Plan sponsor’s address 538 WESTERN HIGHWAY, BLAUVELT, NY, 10913

Signature of

Role Plan administrator
Date 2019-10-27
Name of individual signing ELIZABETH MATHEW
ELIZABETH MATHEW, DDS 401 K PROFIT SHARING PLAN TRUST 2017 263319002 2019-10-27 ELIZABETH MATHEW DDS PLLC 1
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9148061194
Plan sponsor’s address 538 WESTERN HIGHWAY, BLAUVELT, NY, 10913

Signature of

Role Plan administrator
Date 2019-10-27
Name of individual signing ELIZABETH MATHEW
ELIZABETH MATHEW, DDS 401 K PROFIT SHARING PLAN TRUST 2017 263319002 2019-10-27 ELIZABETH MATHEW DDS PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9148061194
Plan sponsor’s address 538 WESTERN HIGHWAY, BLAUVELT, NY, 10913

Signature of

Role Plan administrator
Date 2019-10-27
Name of individual signing ELIZABETH MATHEW
ELIZABETH MATHEW, DDS 401 K PROFIT SHARING PLAN TRUST 2016 263319002 2017-07-28 ELIZABETH MATHEW DDS PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9148061194
Plan sponsor’s address 538 WESTERN HIGHWAY, BLAUVELT, NY, 10913

Signature of

Role Plan administrator
Date 2017-07-28
Name of individual signing ELIZABETH MATHEW

DOS Process Agent

Name Role Address
NAT J. AZZNARA W DOS Process Agent 1000 N. DIVISION ST., STE. 2C, PEEKSKILL, NY, United States, 10566

Filings

Filing Number Date Filed Type Effective Date
080904000697 2008-09-04 ARTICLES OF ORGANIZATION 2008-09-04

Date of last update: 08 Nov 2024

Sources: New York Secretary of State