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MARIAN C. PILECKI, DDS, P.C.

Company Details

Name: MARIAN C. PILECKI, DDS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Sep 2009 (15 years ago)
Entity Number: 3854598
ZIP code: 14094
County: Niagara
Place of Formation: New York
Address: 6511 CAMPBELL BOULEVARD, LOCKPORT, NY, United States, 14094
Principal Address: 6511 CAMPBELL BLVD, LOCKPORT, NY, United States, 14094

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
MARIAN C. PILECKI DDS, P.C. 401(K) PROFIT SHARING PLAN 2022 270923036 2023-06-13 MARIAN C. PILECKI DDS, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7166254129
Plan sponsor’s address 6511 CAMPBELL BLVD., LOCKPORT, NY, 14094

Signature of

Role Plan administrator
Date 2023-06-12
Name of individual signing ANDREW E PILECKI
Role Employer/plan sponsor
Date 2023-06-12
Name of individual signing ANDREW E PILECKI
MARIAN C. PILECKI DDS, P.C. 401(K) PROFIT SHARING PLAN 2022 270923036 2023-10-18 MARIAN C. PILECKI DDS, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7166254129
Plan sponsor’s address 6511 CAMPBELL BLVD., LOCKPORT, NY, 14094

Signature of

Role Plan administrator
Date 2023-10-18
Name of individual signing ANDREW E PILECKI
Role Employer/plan sponsor
Date 2023-10-18
Name of individual signing ANDREW E PILECKI
MARIAN C. PILECKI DDS, P.C. 401(K) PROFIT SHARING PLAN 2021 270923036 2022-05-23 MARIAN C. PILECKI DDS, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7166254129
Plan sponsor’s address 6511 CAMPBELL BLVD., LOCKPORT, NY, 14094

Signature of

Role Plan administrator
Date 2022-05-23
Name of individual signing ANDREW E PILECKI
Role Employer/plan sponsor
Date 2022-05-23
Name of individual signing ANDREW E PILECKI
MARIAN C. PILECKI DDS, P.C. 401(K) PROFIT SHARING PLAN 2020 270923036 2021-07-28 MARIAN C. PILECKI DDS, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7166254129
Plan sponsor’s address 6511 CAMPBELL BLVD., LOCKPORT, NY, 14094

Signature of

Role Plan administrator
Date 2021-07-28
Name of individual signing ANDREW E PILECKI
Role Employer/plan sponsor
Date 2021-07-28
Name of individual signing ANDREW E PILECKI
MARIAN C. PILECKI DDS, P.C. 401(K) PROFIT SHARING PLAN 2019 270923036 2020-05-12 MARIAN C. PILECKI DDS, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7166254129
Plan sponsor’s address 6511 CAMPBELL BLVD., LOCKPORT, NY, 14094

Signature of

Role Plan administrator
Date 2020-05-11
Name of individual signing ANDREW E PILECKI
Role Employer/plan sponsor
Date 2020-05-11
Name of individual signing ANDREW E PILECKI
MARIAN C. PILECKI DDS, P.C. 401(K) PROFIT SHARING PLAN 2018 270923036 2019-03-14 MARIAN C PILECKI DDS, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7166254129
Plan sponsor’s address 6511 CAMPBELL BLVD, PENDLETON, NY, 14094
MARIAN C. PILECKI DDS, P.C. 401(K) PROFIT SHARING PLAN 2017 270923036 2018-07-09 MARIAN C PILECKI DDS, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7166254129
Plan sponsor’s address 6511 CAMPBELL BLVD, PENDLETON, NY, 14094
MARIAN C. PILECKI DDS, P.C. 401(K) PROFIT SHARING PLAN 2016 270923036 2017-05-10 MARIAN C PILECKI DDS, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7166254129
Plan sponsor’s address 6511 CAMPBELL BLVD, PENDLETON, NY, 14094

Signature of

Role Plan administrator
Date 2017-05-10
Name of individual signing MARIAN PILECKI
MARIAN C. PILECKI DDS, P.C. 401(K) PROFIT SHARING PLAN 2015 270923036 2016-07-22 MARIAN C PILECKI DDS, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7166254129
Plan sponsor’s address 6511 CAMPBELL BLVD, PENDLETON, NY, 14094

Signature of

Role Plan administrator
Date 2016-07-22
Name of individual signing WENDY POLLEY
MARIAN C. PILECKI DDS, P.C. 401(K) PROFIT SHARING PLAN 2014 270923036 2015-07-30 MARIAN C PILECKI DDS, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7166254129
Plan sponsor’s address 6511 CAMPBELL BLVD, PENDLETON, NY, 14094

Signature of

Role Plan administrator
Date 2015-07-30
Name of individual signing WENDY POLLEY

Chief Executive Officer

Name Role Address
MARIAN C PILECKI DDS Chief Executive Officer 6511 CAMPBELL BLVD, LOCKPORT, NY, United States, 14094

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 6511 CAMPBELL BOULEVARD, LOCKPORT, NY, United States, 14094

Filings

Filing Number Date Filed Type Effective Date
190906060474 2019-09-06 BIENNIAL STATEMENT 2019-09-01
170905007729 2017-09-05 BIENNIAL STATEMENT 2017-09-01
150910006273 2015-09-10 BIENNIAL STATEMENT 2015-09-01
130910006090 2013-09-10 BIENNIAL STATEMENT 2013-09-01
111110002084 2011-11-10 BIENNIAL STATEMENT 2011-09-01
090910000668 2009-09-10 CERTIFICATE OF INCORPORATION 2009-09-10

Date of last update: 26 Nov 2024

Sources: New York Secretary of State