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LAKE COUNTRY DENTAL PLLC

Company Details

Name: LAKE COUNTRY DENTAL PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 29 Oct 2009 (15 years ago) (Companies founded in October 2009)
Entity Number: 3872853
ZIP code: 14456 (Companies in Ontario, 14456)
County: Ontario
Place of Formation: New York
Address: 404 WILLIAM STREET, STE 5, GENEVA, NY, United States, 14456

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKE COUNTRY DENTAL, PLLC 401(K) PLAN 2023 271282167 2024-06-13 LAKE COUNTRY DENTAL, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3157893067
Plan sponsor’s address 404 WILLIAM ST, SUITE 5, GENEVA, NY, 14456

Signature of
Role Plan administrator
Date 2024-06-12
Name of individual signing LISA MULKIN
LAKE COUNTRY DENTAL, PLLC 401(K) PLAN 2022 271282167 2023-08-30 LAKE COUNTRY DENTAL, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3157893067
Plan sponsor’s address 404 WILLIAM ST, SUITE 5, GENEVA, NY, 14456

Signature of
Role Plan administrator
Date 2023-08-30
Name of individual signing LISA MULKIN
LAKE COUNTRY DENTAL, PLLC 401(K) PLAN 2021 271282167 2022-10-12 LAKE COUNTRY DENTAL, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3157893067
Plan sponsor’s address 404 WILLIAM ST, SUITE 5, GENEVA, NY, 14456

Signature of
Role Plan administrator
Date 2022-10-11
Name of individual signing LISA MULKIN
Role Employer/plan sponsor
Date 2022-10-11
Name of individual signing LISA MULKIN
LAKE COUNTRY DENTAL, PLLC 401(K) PLAN 2020 271282167 2021-09-17 LAKE COUNTRY DENTAL, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3157893067
Plan sponsor’s address 404 WILLIAM ST, SUITE 5, GENEVA, NY, 14456

Signature of
Role Plan administrator
Date 2021-09-17
Name of individual signing LISA MULKIN
LAKE COUNTRY DENTAL, PLLC 401(K) PLAN 2019 271282167 2020-09-11 LAKE COUNTRY DENTAL, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3157893067
Plan sponsor’s address 404 WILLIAM ST, SUITE 5, GENEVA, NY, 14456

Signature of
Role Plan administrator
Date 2020-09-11
Name of individual signing LISA MULKIN
LAKE COUNTRY DENTAL, PLLC 401(K) PLAN 2018 271282167 2019-07-11 LAKE COUNTRY DENTAL, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3157893067
Plan sponsor’s address 404 WILLIAM ST, SUITE 5, GENEVA, NY, 14456

Signature of
Role Plan administrator
Date 2019-07-11
Name of individual signing LISA MULKIN
LAKE COUNTRY DENTAL, PLLC 401(K) PLAN 2017 271282167 2018-09-18 LAKE COUNTRY DENTAL, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3157893067
Plan sponsor’s address 404 WILLIAM ST, SUITE 5, GENEVA, NY, 14456

Signature of
Role Plan administrator
Date 2018-09-18
Name of individual signing LISA MULKIN
LAKE COUNTRY DENTAL, PLLC 401(K) PLAN 2016 271282167 2017-04-26 LAKE COUNTRY DENTAL, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3157893067
Plan sponsor’s address 404 WILLIAM ST STE 5, GENEVA, NY, 14456

Signature of
Role Plan administrator
Date 2017-04-26
Name of individual signing LISA MULKIN
LAKE COUNTRY DENTAL, PLLC 401(K) PLAN 2015 271282167 2016-05-12 LAKE COUNTRY DENTAL, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3157893067
Plan sponsor’s address 404 WILLIAM ST STE 5, GENEVA, NY, 14456

Signature of
Role Plan administrator
Date 2016-05-12
Name of individual signing LISA MULKIN
LAKE COUNTRY DENTAL, PLLC 401(K) PLAN 2014 271282167 2015-04-09 LAKE COUNTRY DENTAL, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3157893067
Plan sponsor’s address 404 WILLIAM ST STE 5, GENEVA, NY, 14456

Signature of
Role Plan administrator
Date 2015-04-08
Name of individual signing LISA MULKIN

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 404 WILLIAM STREET, STE 5, GENEVA, NY, United States, 14456

History

Start date End date Type Value
2009-10-29 2011-10-17 Address 404 WILLIAMS STREET, GENEVA, NY, 14456, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
131113002172 2013-11-13 BIENNIAL STATEMENT 2013-10-01
111017002672 2011-10-17 BIENNIAL STATEMENT 2011-10-01
091231000547 2009-12-31 CERTIFICATE OF PUBLICATION 2009-12-31
091029000228 2009-10-29 ARTICLES OF ORGANIZATION 2009-10-29

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Date of last update: 08 Nov 2024

Sources: New York Secretary of State

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