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NANCY M. ROSEN D.M.D. PLLC

NANCY M. ROSEN D.M.D. PLLC

Company Details

Name:	NANCY M. ROSEN D.M.D. PLLC
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status:	Active
Date of registration:	11 May 2012 (13 years ago)
Entity Number:	4244270
ZIP code:	10021
County:	New York
Place of Formation:	New York
Address:	20 EAST 74TH STREET, 6A, NEW YORK, NY, United States, 10021

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

NANCY M. ROSEN, D.M.D. PLLC 401(K) PLAN

2023

200803923

2024-09-10

NANCY M. ROSEN, D.M.D. PLLC

4

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	2128888327
Plan sponsor’s address	30 EAST 60TH STREET, ROOM 408, NEW YORK, NY, 10022

NANCY M. ROSEN, D.M.D. PLLC 401(K) PLAN

2022

200803923

2023-06-27

NANCY M. ROSEN, D.M.D. PLLC

3

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	2128888327
Plan sponsor’s address	30 EAST 60TH STREET, ROOM 408, NEW YORK, NY, 10022

Signature of

Role	Plan administrator
Date	2023-06-27
Name of individual signing	NANCY M. ROSEN

NANCY M. ROSEN, D.M.D. PLLC 401(K) PLAN

2021

200803923

2022-05-26

NANCY M. ROSEN, D.M.D. PLLC

3

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	2128888327
Plan sponsor’s address	30 EAST 60TH STREET, ROOM 408, NEW YORK, NY, 10022

Signature of

Role	Plan administrator
Date	2022-05-26
Name of individual signing	NANCY M. ROSEN

NANCY M. ROSEN, D.M.D. PLLC 401(K) PLAN

2020

200803923

2021-08-17

NANCY M. ROSEN, D.M.D. PLLC

4

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	2128888327
Plan sponsor’s address	30 EAST 60TH STREET, ROOM 408, NEW YORK, NY, 10022

Signature of

Role	Plan administrator
Date	2021-08-17
Name of individual signing	NANCY M. ROSEN

NANCY M. ROSEN, D.M.D. PLLC 401(K) PLAN

2019

200803923

2020-08-03

NANCY M. ROSEN, D.M.D. PLLC

0

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	2128888327
Plan sponsor’s address	30 EAST 60TH STREET, ROOM 408, NEW YORK, NY, 10022

Signature of

Role	Plan administrator
Date	2020-08-03
Name of individual signing	NANCY M. ROSEN

DOS Process Agent

Name	Role	Address
NANCY ROSEN	DOS Process Agent	20 EAST 74TH STREET, 6A, NEW YORK, NY, United States, 10021

Filings

Filing Number	Date Filed	Type	Effective Date
200519060022	2020-05-19	BIENNIAL STATEMENT	2020-05-01
140520006013	2014-05-20	BIENNIAL STATEMENT	2014-05-01
120821001480	2012-08-21	CERTIFICATE OF PUBLICATION	2012-08-21
120511000204	2012-05-11	ARTICLES OF ORGANIZATION	2012-05-11

Date of last update: 25 Nov 2024

Sources: New York Secretary of State