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WOODBURY FAMILY DENTAL, PLLC

Company Details

Name: WOODBURY FAMILY DENTAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 19 Dec 2008 (16 years ago) (Companies founded in December 2008)
Entity Number: 3755030
ZIP code: 10926 (Companies in Orange, 10926)
County: Orange
Place of Formation: New York
Address: TRIANGLE PLAZA, 118 RIVER ROAD, SUITE 14, HARRIMAN, NY, United States, 10926

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WOODBURY FAMILY DENTAL PLLC 401(K) PROFIT SHARING PLAN & TRUST 2023 264146955 2024-05-16 WOODBURY FAMILY DENTAL PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812990
Sponsor’s telephone number 8457821800
Plan sponsor’s address 505 STATE ROUTE 208- STE23, MONROE, NY, 10950

Signature of
Role Plan administrator
Date 2024-05-16
Name of individual signing CATHERINE LEWIS
WOODBURY FAMILY DENTAL PLLC 401(K) PROFIT SHARING PLAN & TRUST 2022 264146955 2023-06-08 WOODBURY FAMILY DENTAL PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812990
Sponsor’s telephone number 8457821800
Plan sponsor’s address 505 STATE ROUTE 208- STE23, MONROE, NY, 10950

Signature of
Role Plan administrator
Date 2023-06-08
Name of individual signing CATHERINE LEWIS
WOODBURY FAMILY DENTAL PLLC 401(K) PROFIT SHARING PLAN & TRUST 2021 264146955 2022-06-30 WOODBURY FAMILY DENTAL PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812990
Sponsor’s telephone number 8457821800
Plan sponsor’s address 505 STATE ROUTE 208- STE23, MONROE, NY, 10950

Signature of
Role Plan administrator
Date 2022-06-30
Name of individual signing CATHERINE LEWIS
WOODBURY FAMILY DENTAL PLLC 401(K) PROFIT SHARING PLAN & TRUST 2020 264146955 2021-06-01 WOODBURY FAMILY DENTAL PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812990
Sponsor’s telephone number 8457821800
Plan sponsor’s address 505 STATE ROUTE 208- STE23, MONROE, NY, 10950

Signature of
Role Plan administrator
Date 2021-06-01
Name of individual signing CATHERINE LEWIS
WOODBURY FAMILY DENTAL PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 264146955 2020-07-21 WOODBURY FAMILY DENTAL PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812990
Sponsor’s telephone number 8457821800
Plan sponsor’s address 505 STATE ROUTE 208- STE23, MONROE, NY, 10950

Signature of
Role Plan administrator
Date 2020-07-21
Name of individual signing CATHY LEWIS
WOODBURY FAMILY DENTAL PLLC 401 K PROFIT SHARING PLAN TRUST 2018 264146955 2019-08-20 WOODBURY FAMILY DENTAL PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812990
Sponsor’s telephone number 8457821800
Plan sponsor’s address 505 STATE ROUTE 208- STE23, MONROE, NY, 10950

Signature of
Role Plan administrator
Date 2019-08-20
Name of individual signing CATHERINE LEWIS
WOODBURY FAMILY DENTAL PLLC 401 K PROFIT SHARING PLAN TRUST 2017 264146955 2019-08-20 WOODBURY FAMILY DENTAL PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812990
Sponsor’s telephone number 8457821800
Plan sponsor’s address 505 STATE ROUTE 208- STE23, MONROE, NY, 10950

Signature of
Role Plan administrator
Date 2019-08-20
Name of individual signing CATHERINE LEWIS

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent TRIANGLE PLAZA, 118 RIVER ROAD, SUITE 14, HARRIMAN, NY, United States, 10926

Filings

Filing Number Date Filed Type Effective Date
141211006741 2014-12-11 BIENNIAL STATEMENT 2014-12-01
121228002024 2012-12-28 BIENNIAL STATEMENT 2012-12-01
101209002269 2010-12-09 BIENNIAL STATEMENT 2010-12-01
091106000391 2009-11-06 CERTIFICATE OF PUBLICATION 2009-11-06
081219000590 2008-12-19 ARTICLES OF ORGANIZATION 2009-01-01

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Date of last update: 08 Nov 2024

Sources: New York Secretary of State

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