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  5. MERRICK PEDIATRIC DENTISTRY PLLC

MERRICK PEDIATRIC DENTISTRY PLLC

Company Details

Name: MERRICK PEDIATRIC DENTISTRY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 30 Sep 2011 (13 years ago)
Entity Number: 4148417
ZIP code: 11566
County: Nassau
Place of Formation: New York
Address: 1649 KENSINGTON AVE., MERRICK, NY, United States, 11566

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MERRICK PEDIATRIC DENTISTRY 401K 2023 453521265 2024-10-14 MERRICK PEDIATRIC DENTISTRY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5165471997
Plan sponsor’s address 1756A MERRICK AVE., MERRICK, NY, 11566

Signature of
Role Plan administrator
Date 2024-10-14
Name of individual signing RANIA ELBAZ, DDS
Valid signature Filed with authorized/valid electronic signature
MERRICK PEDIATRIC DENTISTRY 401K 2022 453521265 2023-10-04 MERRICK PEDIATRIC DENTISTRY 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5165471997
Plan sponsor’s address 1756A MERRICK AVE., MERRICK, NY, 11566

Signature of
Role Plan administrator
Date 2023-10-04
Name of individual signing RANIA ELBAZ, DDS
MERRICK PEDIATRIC DENTISTRY 401K 2021 453521265 2022-10-03 MERRICK PEDIATRIC DENTISTRY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5165471997
Plan sponsor’s address 1756A MERRICK AVE., MERRICK, NY, 11566

Signature of
Role Plan administrator
Date 2022-10-03
Name of individual signing RANIA ELBAZ, DDS
MERRICK PEDIATRIC DENTISTRY 401K 2020 453521265 2021-10-15 MERRICK PEDIATRIC DENTISTRY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5165471997
Plan sponsor’s address 1756A MERRICK AVE., MERRICK, NY, 11566

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing RANIA ELBAZ, DDS
MERRICK PEDIATRIC DENTISTRY 401K 2019 453521265 2020-10-06 MERRICK PEDIATRIC DENTISTRY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5165471997
Plan sponsor’s address 1756A MERRICK AVE., MERRICK, NY, 11566

Signature of
Role Plan administrator
Date 2020-10-06
Name of individual signing RANIA ELBAZ, DDS
MERRICK PEDIATRIC DENTISTRY 401K 2018 453521265 2019-09-08 MERRICK PEDIATRIC DENTISTRY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5165471997
Plan sponsor’s address 1756A MERRICK AVE., MERRICK, NY, 11566

Signature of
Role Plan administrator
Date 2019-09-08
Name of individual signing RANIA ELBAZ, DDS
MERRICK PEDIATRIC DENTISTRY 401K 2017 453521265 2018-06-11 MERRICK PEDIATRIC DENTISTRY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5165471997
Plan sponsor’s address 1756A MERRICK AVE., MERRICK, NY, 11566

Signature of
Role Plan administrator
Date 2018-06-11
Name of individual signing RANIA ELBAZ, DDS
MERRICK PEDIATRIC DENTISTRY 401K 2016 453521265 2017-09-12 MERRICK PEDIATRIC DENTISTRY 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5165471997
Plan sponsor’s address 1756A MERRICK AVE., MERRICK, NY, 11566

Signature of
Role Plan administrator
Date 2017-09-12
Name of individual signing RANIA ELBAZ, DDS

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1649 KENSINGTON AVE., MERRICK, NY, United States, 11566

Filings

Filing Number Date Filed Type Effective Date
120203000976 2012-02-03 CERTIFICATE OF PUBLICATION 2012-02-03
110930000378 2011-09-30 ARTICLES OF ORGANIZATION 2011-09-30

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No related companies by address

Date of last update: 25 Nov 2024

Sources: New York Secretary of State

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