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  5. BAYSIDE PERIODONTICS AND DENTAL IMPLANTS PLLC

BAYSIDE PERIODONTICS AND DENTAL IMPLANTS PLLC

Company Details

Name: BAYSIDE PERIODONTICS AND DENTAL IMPLANTS PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 27 Sep 2011 (13 years ago)
Entity Number: 4147045
ZIP code: 11361
County: Queens
Place of Formation: New York
Address: 222-15 NORTHERN BOULEVARD, STE LL-F, BAYSIDE, NY, United States, 11361

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 401(K) P/S PLAN 2022 454079715 2023-08-24 BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3472350660
Plan sponsor’s address 21411 35TH AVE UNIT C8, LLF, BAYSIDE, NY, 11361

Plan administrator’s name and address
Administrator’s EIN 454079715
Plan administrator’s name BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC
Plan administrator’s address 21411 35TH AVE UNIT C8, LLF, BAYSIDE, NY, 11361
Administrator’s telephone number 3472350660

Signature of
Role Plan administrator
Date 2023-08-24
Name of individual signing ALICJA MCCRUDDEN
BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 401(K) P/S PLAN 2021 454079715 2022-07-28 BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3472350660
Plan sponsor’s address 22215 NORTHERN BLVD STE, LLF, BAYSIDE, NY, 11361

Plan administrator’s name and address
Administrator’s EIN 454079715
Plan administrator’s name BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC
Plan administrator’s address 22215 NORTHERN BLVD STE, LLF, BAYSIDE, NY, 11361
Administrator’s telephone number 3472350660

Signature of
Role Plan administrator
Date 2022-07-28
Name of individual signing ALICJA MCCRUDDEN
BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 401(K) P/S PLAN 2020 454079715 2021-07-21 BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3472350660
Plan sponsor’s address 22215 NORTHERN BLVD STE, LLF, BAYSIDE, NY, 11361

Plan administrator’s name and address
Administrator’s EIN 454079715
Plan administrator’s name BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC
Plan administrator’s address 22215 NORTHERN BLVD STE, LLF, BAYSIDE, NY, 11361
Administrator’s telephone number 3472350660

Signature of
Role Plan administrator
Date 2021-07-21
Name of individual signing ALICJA MCCRUDDEN
BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 401(K) P/S PLAN 2019 454079715 2020-09-08 BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3472350660
Plan sponsor’s address 22215 NORTHERN BLVD STE, LLF, BAYSIDE, NY, 11361

Plan administrator’s name and address
Administrator’s EIN 454079715
Plan administrator’s name BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC
Plan administrator’s address 22215 NORTHERN BLVD STE, LLF, BAYSIDE, NY, 11361
Administrator’s telephone number 3472350660

Signature of
Role Plan administrator
Date 2020-09-08
Name of individual signing ALICJA MCCRUDDEN
BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 401(K) P/S PLAN 2018 454079715 2019-06-20 BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3472350660
Plan sponsor’s address 22215 NORTHERN BLVD STE, LLF, BAYSIDE, NY, 11361

Plan administrator’s name and address
Administrator’s EIN 454079715
Plan administrator’s name BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC
Plan administrator’s address 22215 NORTHERN BLVD STE, LLF, BAYSIDE, NY, 11361
Administrator’s telephone number 3472350660

Signature of
Role Plan administrator
Date 2019-06-20
Name of individual signing ALICJA MCCRUDDEN
BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 401(K) P/S PLAN 2017 454079715 2018-03-29 BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3472350660
Plan sponsor’s address 22215 NORTHERN BLVD STE, LLF, BAYSIDE, NY, 11361

Plan administrator’s name and address
Administrator’s EIN 454079715
Plan administrator’s name BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC
Plan administrator’s address 22215 NORTHERN BLVD STE, LLF, BAYSIDE, NY, 11361
Administrator’s telephone number 3472350660

Signature of
Role Plan administrator
Date 2018-03-29
Name of individual signing ALICJA MCCRUDDEN
BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 401(K) P/S PLAN 2016 454079715 2017-09-25 BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3472350660
Plan sponsor’s address 22215 NORTHERN BLVD STE, LLF, BAYSIDE, NY, 11361

Plan administrator’s name and address
Administrator’s EIN 454079715
Plan administrator’s name BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC
Plan administrator’s address 22215 NORTHERN BLVD STE, LLF, BAYSIDE, NY, 11361
Administrator’s telephone number 3472350660

Signature of
Role Plan administrator
Date 2017-09-25
Name of individual signing ALICJA MCCRUDDEN
BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 401(K) P/S PLAN 2015 454079715 2016-07-07 BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3472350660
Plan sponsor’s address 22215 NORTHERN BLVD STE, LLF, BAYSIDE, NY, 11361

Plan administrator’s name and address
Administrator’s EIN 454079715
Plan administrator’s name BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC
Plan administrator’s address 22215 NORTHERN BLVD STE, LLF, BAYSIDE, NY, 11361
Administrator’s telephone number 3472350660

Signature of
Role Plan administrator
Date 2016-07-07
Name of individual signing ALICJA MCCRUDDEN

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 222-15 NORTHERN BOULEVARD, STE LL-F, BAYSIDE, NY, United States, 11361

History

Start date End date Type Value
2011-09-27 2013-10-17 Address 222-15 NORTHERN BOULEVARD, BAYSIDE, NY, 11361, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
131017002150 2013-10-17 BIENNIAL STATEMENT 2013-09-01
120503000723 2012-05-03 CERTIFICATE OF PUBLICATION 2012-05-03
111107000231 2011-11-07 CERTIFICATE OF CORRECTION 2011-11-07
110927000954 2011-09-27 ARTICLES OF ORGANIZATION 2011-09-27

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Date of last update: 25 Nov 2024

Sources: New York Secretary of State

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