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JAY B. LUBLINER, DMD, PLLC

Company Details

Name: JAY B. LUBLINER, DMD, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 20 Sep 2011 (13 years ago)
Entity Number: 4144074
County: Nassau
Place of Formation: New York
Address: 89 GRAND AVENUE, MASSAPEQUA, NY, United States, 11758
Address ZIP Code: 11758

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JAY B LUBLINER DMD PLLC 401(K) PROFIT SHARING PLAN & TRUST 2023 453506541 2024-02-01 JAY B LUBLINER DMD PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 5167980223
Plan sponsor’s address 89 GRAND AVE, MASSAPEQUA, NY, 117584905

Signature of

Role Plan administrator
Date 2024-02-01
Name of individual signing JAY LUBLINER
JAY B LUBLINER DMD PLLC 401(K) PROFIT SHARING PLAN & TRUST 2022 453506541 2023-03-30 JAY B LUBLINER DMD PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 5167980223
Plan sponsor’s address 89 GRAND AVE, MASSAPEQUA, NY, 117584905

Signature of

Role Plan administrator
Date 2023-03-30
Name of individual signing JAY B. LUBLINER
JAY B LUBLINER DMD PLLC 401(K) PROFIT SHARING PLAN & TRUST 2021 453506541 2022-03-30 JAY B LUBLINER DMD PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 5167980223
Plan sponsor’s address 89 GRAND AVE, MASSAPEQUA, NY, 117584905

Signature of

Role Plan administrator
Date 2022-03-30
Name of individual signing JAY LUBLINER
JAY B LUBLINER DMD PLLC 401(K) PROFIT SHARING PLAN & TRUST 2020 453506541 2021-04-02 JAY B LUBLINER DMD PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 5167980223
Plan sponsor’s address 89 GRAND AVE, MASSAPEQUA, NY, 117584905

Signature of

Role Plan administrator
Date 2021-04-02
Name of individual signing JAY B. LUBLINER
JAY B LUBLINER DMD PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 453506541 2020-04-10 JAY B LUBLINER DMD PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 5167980223
Plan sponsor’s address 89 GRAND AVE, MASSAPEQUA, NY, 117584905

Signature of

Role Plan administrator
Date 2020-04-10
Name of individual signing JAY B. LUBLINER
JAY B LUBLINER DMD PLLC 401 K PROFIT SHARING PLAN TRUST 2018 453506541 2019-05-16 JAY B LUBLINER DMD PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 5167980223
Plan sponsor’s address 89 GRAND AVE, MASSAPEQUA, NY, 117584905

Signature of

Role Plan administrator
Date 2019-05-16
Name of individual signing JAY B. LUBLINER
JAY B LUBLINER DMD PLLC 401 K PROFIT SHARING PLAN TRUST 2017 453506541 2018-04-26 JAY B LUBLINER DMD PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 5167980223
Plan sponsor’s address 89 GRAND AVE, MASSAPEQUA, NY, 117584905

Signature of

Role Plan administrator
Date 2018-04-26
Name of individual signing JAY B.LUBLINER
JAY B LUBLINER DMD PLLC 401 K PROFIT SHARING PLAN TRUST 2016 453506541 2017-05-15 JAY B LUBLINER DMD PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 5167980223
Plan sponsor’s address 89 GRAND AVE, MASSAPEQUA, NY, 117584905

Signature of

Role Plan administrator
Date 2017-05-15
Name of individual signing JAY LUBLINER
JAY B LUBLINER DMD PLLC 401 K PROFIT SHARING PLAN TRUST 2015 453506541 2016-05-12 JAY B LUBLINER DMD PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 5167980223
Plan sponsor’s address 89 GRAND AVE, MASSAPEQUA, NY, 117584905

Signature of

Role Plan administrator
Date 2016-05-12
Name of individual signing JAY B. LUBLINER
JAY B LUBLINER DMD PLLC 401 K PROFIT SHARING PLAN TRUST 2014 453506541 2015-05-28 JAY B LUBLINER DMD PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 5167980223
Plan sponsor’s address 89 GRAND AVE, MASSAPEQUA, NY, 117584905

Signature of

Role Plan administrator
Date 2015-05-28
Name of individual signing JAY B. LUBLINER

DOS Process Agent

Name Role Address
C/O JAY B. LUBLINER DOS Process Agent 89 GRAND AVENUE, MASSAPEQUA, NY, United States, 11758

History

Start date End date Type Value
2011-09-20 2023-09-01 Address 89 GRAND AVENUE, MASSAPEQUA, NY, 11758, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230901000419 2023-09-01 BIENNIAL STATEMENT 2023-09-01
210901004328 2021-09-01 BIENNIAL STATEMENT 2021-09-01
190903060182 2019-09-03 BIENNIAL STATEMENT 2019-09-01
170905006154 2017-09-05 BIENNIAL STATEMENT 2017-09-01
130909006694 2013-09-09 BIENNIAL STATEMENT 2013-09-01
111221000450 2011-12-21 CERTIFICATE OF PUBLICATION 2011-12-21
110920000798 2011-09-20 ARTICLES OF ORGANIZATION 2011-09-20

Date of last update: 07 Nov 2024

Sources: New York Secretary of State