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  5. CLARENCE CENTER FAMILY DENTAL PLLC

CLARENCE CENTER FAMILY DENTAL PLLC

Company Details

Name: CLARENCE CENTER FAMILY DENTAL PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 30 Aug 2011 (13 years ago)
Entity Number: 4136249
ZIP code: 14031
County: Erie
Place of Formation: New York
Address: 9280 MAIN ST., CLARENCE, NY, United States, 14031

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CLARENCE CENTER FAMILY DENTAL, PLLC 401(K) PROFIT SHARING PLAN 2023 371647459 2024-05-10 CLARENCE CENTER FAMILY DENTAL, PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 7167419774
Plan sponsor’s address 9280 MAIN STREET, CLARENCE CENTER, NY, 14031

Signature of
Role Plan administrator
Date 2024-05-09
Name of individual signing JEFFREY LEVY
Role Employer/plan sponsor
Date 2024-05-09
Name of individual signing JEFFREY LEVY
CLARENCE CENTER FAMILY DENTAL, PLLC 401(K) PROFIT SHARING PLAN 2022 371647459 2023-06-05 CLARENCE CENTER FAMILY DENTAL, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 7167419774
Plan sponsor’s address 9280 MAIN STREET, CLARENCE CENTER, NY, 14031

Signature of
Role Plan administrator
Date 2023-06-05
Name of individual signing JEFFREY LEVY
Role Employer/plan sponsor
Date 2023-06-05
Name of individual signing JEFFREY LEVY
CLARENCE CENTER FAMILY DENTAL, PLLC 401(K) PROFIT SHARING PLAN 2021 371647459 2022-06-01 CLARENCE CENTER FAMILY DENTAL, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 7167419774
Plan sponsor’s address 9280 MAIN STREET, CLARENCE CENTER, NY, 14031

Signature of
Role Plan administrator
Date 2022-06-01
Name of individual signing JEFFREY LEVY
Role Employer/plan sponsor
Date 2022-06-01
Name of individual signing JEFFREY LEVY
CLARENCE CENTER FAMILY DENTAL, PLLC 401(K) PROFIT SHARING PLAN 2020 371647459 2021-02-24 CLARENCE CENTER FAMILY DENTAL, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 7167419774
Plan sponsor’s address 9280 MAIN STREET, CLARENCE CENTER, NY, 14031

Signature of
Role Plan administrator
Date 2021-02-24
Name of individual signing JEFFREY LEVY
Role Employer/plan sponsor
Date 2021-02-24
Name of individual signing JEFFREY LEVY
CLARENCE CENTER FAMILY DENTAL, PLLC 401(K) PROFIT SHARING PLAN 2019 371647459 2020-02-21 CLARENCE CENTER FAMILY DENTAL, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 7167419774
Plan sponsor’s address 9280 MAIN STREET, CLARENCE CENTER, NY, 14031

Signature of
Role Plan administrator
Date 2020-02-21
Name of individual signing JEFFREY LEVY
Role Employer/plan sponsor
Date 2020-02-21
Name of individual signing JEFFREY LEVY
CLARENCE CENTER FAMILY DENTAL, PLLC 401(K) PROFIT SHARING PLAN 2018 371647459 2019-03-22 CLARENCE CENTER FAMILY DENTAL, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 7167419774
Plan sponsor’s address 9280 MAIN STREET, CLARENCE, NY, 14031

Signature of
Role Plan administrator
Date 2019-03-22
Name of individual signing JEFFREY LEVY
Role Employer/plan sponsor
Date 2019-03-22
Name of individual signing JEFFREY LEVY
CLARENCE CENTER FAMILY DENTAL, PLLC 401(K) PROFIT SHARING PLAN 2017 371647459 2018-03-23 CLARENCE CENTER FAMILY DENTAL, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 7167419774
Plan sponsor’s address 5860 GOODRICH ROAD, CLARENCE CENTER, NY, 14032

Signature of
Role Plan administrator
Date 2018-03-23
Name of individual signing JEFFREY LEVY
Role Employer/plan sponsor
Date 2018-03-23
Name of individual signing JEFFREY LEVY
CLARENCE CENTER FAMILY DENTAL, PLLC 401(K) PROFIT SHARING PLAN 2016 371647459 2017-02-07 CLARENCE CENTER FAMILY DENTAL, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 7167419774
Plan sponsor’s address 5860 GOODRICH ROAD, CLARENCE CENTER, NY, 14032

Signature of
Role Plan administrator
Date 2017-02-07
Name of individual signing JEFFREY LEVY
Role Employer/plan sponsor
Date 2017-02-07
Name of individual signing JEFFREY LEVY
CLARENCE CENTER FAMILY DENTAL, PLLC 401(K) PROFIT SHARING PLAN 2015 371647459 2016-03-02 CLARENCE CENTER FAMILY DENTAL, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 7167419774
Plan sponsor’s address 5860 GOODRICH ROAD, CLARENCE CENTER, NY, 14032

Signature of
Role Plan administrator
Date 2016-03-02
Name of individual signing JEFFREY LEVY
Role Employer/plan sponsor
Date 2016-03-02
Name of individual signing JEFFREY LEVY
CLARENCE CENTER FAMILY DENTAL, PLLC 401(K) PROFIT SHARING PLAN 2014 371647459 2015-02-24 CLARENCE CENTER FAMILY DENTAL, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 7167419774
Plan sponsor’s address 5860 GOODRICH ROAD, CLARENCE CENTER, NY, 14032

Signature of
Role Plan administrator
Date 2015-02-24
Name of individual signing JEFFREY LEVY
Role Employer/plan sponsor
Date 2015-02-24
Name of individual signing JEFFREY LEVY

DOS Process Agent

Name Role Address
CLARENCE CENTER FAMILY DENTAL PLLC DOS Process Agent 9280 MAIN ST., CLARENCE, NY, United States, 14031

History

Start date End date Type Value
2011-08-30 2020-12-18 Address 5860 GOODRICH ROAD, CLARENCE CENTER, NY, 14032, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
201218060494 2020-12-18 BIENNIAL STATEMENT 2019-08-01
130822002091 2013-08-22 BIENNIAL STATEMENT 2013-08-01
120406001073 2012-04-06 CERTIFICATE OF PUBLICATION 2012-04-06
110830000028 2011-08-30 ARTICLES OF ORGANIZATION 2011-08-30

Related by officers

No related officers

Related by address

9280 MAIN ST., CLARENCE, NY, United States, 14031

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Date of last update: 25 Nov 2024

Sources: New York Secretary of State

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