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OTSEGO DENTAL CARE PLLC

Company Details

Name: OTSEGO DENTAL CARE PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 20 Sep 2013 (11 years ago)
Entity Number: 4461790
ZIP code: 13820
County: Otsego
Place of Formation: New York
Address: 32 MAIN STREET, ONEONTA, NY, United States, 13820

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OTSEGO DENTAL CARE, PLLC 401(K) PLAN 2023 463784245 2024-07-17 OTSEGO DENTAL CARE, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 6074413200
Plan sponsor’s address 32 MAIN STREET, ONEONTA, NY, 13820

Plan administrator’s name and address

Administrator’s EIN 463784245
Plan administrator’s name OTSEGO DENTAL CARE, PLLC
Plan administrator’s address 32 MAIN STREET, ONEONTA, NY, 13820
Administrator’s telephone number 6074413200

Signature of

Role Plan administrator
Date 2024-07-17
Name of individual signing DR. HOLLIS HEINZERLING
OTSEGO DENTAL CARE, PLLC 401(K) PLAN 2022 463784245 2023-05-18 OTSEGO DENTAL CARE, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 6074413200
Plan sponsor’s address 32 MAIN STREET, ONEONTA, NY, 13820

Plan administrator’s name and address

Administrator’s EIN 463784245
Plan administrator’s name OTSEGO DENTAL CARE, PLLC
Plan administrator’s address 32 MAIN STREET, ONEONTA, NY, 13820
Administrator’s telephone number 6074413200

Signature of

Role Plan administrator
Date 2023-05-18
Name of individual signing DR. HOLLIS HEINZERLING
OTSEGO DENTAL CARE, PLLC 401(K) PLAN 2021 463784245 2022-06-28 OTSEGO DENTAL CARE, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 6074413200
Plan sponsor’s address 32 MAIN STREET, ONEONTA, NY, 13820

Plan administrator’s name and address

Administrator’s EIN 463784245
Plan administrator’s name OTSEGO DENTAL CARE, PLLC
Plan administrator’s address 32 MAIN STREET, ONEONTA, NY, 13820
Administrator’s telephone number 6074413200

Signature of

Role Plan administrator
Date 2022-06-28
Name of individual signing DR. HOLLIS HEINZERLING
OTSEGO DENTAL CARE, PLLC 401(K) PLAN 2020 463784245 2021-08-24 OTSEGO DENTAL CARE, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 6074413200
Plan sponsor’s address 32 MAIN STREET, ONEONTA, NY, 13820

Plan administrator’s name and address

Administrator’s EIN 463784245
Plan administrator’s name OTSEGO DENTAL CARE, PLLC
Plan administrator’s address 32 MAIN STREET, ONEONTA, NY, 13820
Administrator’s telephone number 6074413200

Signature of

Role Plan administrator
Date 2021-08-24
Name of individual signing DR. HOLLIS HEINZERLING
OTSEGO DENTAL CARE, PLLC 401(K) PLAN 2019 463784245 2020-05-08 OTSEGO DENTAL CARE, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 6074413200
Plan sponsor’s address 32 MAIN STREET, ONEONTA, NY, 13820

Plan administrator’s name and address

Administrator’s EIN 463784245
Plan administrator’s name OTSEGO DENTAL CARE, PLLC
Plan administrator’s address 32 MAIN STREET, ONEONTA, NY, 13820
Administrator’s telephone number 6074413200

Signature of

Role Plan administrator
Date 2020-05-08
Name of individual signing DR. HOLLIS HEINZERLING
OTSEGO DENTAL CARE, PLLC 401(K) PLAN 2018 463784245 2019-05-29 OTSEGO DENTAL CARE, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 6074413200
Plan sponsor’s address 32 MAIN STREET, ONEONTA, NY, 13820

Plan administrator’s name and address

Administrator’s EIN 463784245
Plan administrator’s name OTSEGO DENTAL CARE, PLLC
Plan administrator’s address 32 MAIN STREET, ONEONTA, NY, 13820
Administrator’s telephone number 6074413200

Signature of

Role Plan administrator
Date 2019-05-29
Name of individual signing DR. HOLLIS HEINZERLING
OTSEGO DENTAL CARE, PLLC 401(K) PLAN 2017 463784245 2018-04-25 OTSEGO DENTAL CARE, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 6074413200
Plan sponsor’s address 32 MAIN STREET, ONEONTA, NY, 13820

Plan administrator’s name and address

Administrator’s EIN 463784245
Plan administrator’s name OTSEGO DENTAL CARE, PLLC
Plan administrator’s address 32 MAIN STREET, ONEONTA, NY, 13820
Administrator’s telephone number 6074413200

Signature of

Role Plan administrator
Date 2018-04-25
Name of individual signing DR. HOLLIS HEINZERLING
OTSEGO DENTAL CARE, PLLC 401(K) PLAN 2016 463784245 2017-05-26 OTSEGO DENTAL CARE, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 6074413200
Plan sponsor’s address 32 MAIN STREET, ONEONTA, NY, 13820

Plan administrator’s name and address

Administrator’s EIN 463784245
Plan administrator’s name OTSEGO DENTAL CARE, PLLC
Plan administrator’s address 32 MAIN STREET, ONEONTA, NY, 13820
Administrator’s telephone number 6074413200

Signature of

Role Plan administrator
Date 2017-05-26
Name of individual signing DR. HOLLIS HEINZERLING

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 32 MAIN STREET, ONEONTA, NY, United States, 13820

History

Start date End date Type Value
2013-12-02 2023-09-08 Address 32 MAIN STREET, ONEONTA, NY, 13820, USA (Type of address: Service of Process)
2013-09-20 2013-12-02 Address 57 EAST STATE STREET, SHERBURNE, NY, 13460, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230908000952 2023-09-08 BIENNIAL STATEMENT 2023-09-01
210913000511 2021-09-13 BIENNIAL STATEMENT 2021-09-13
190906060130 2019-09-06 BIENNIAL STATEMENT 2019-09-01
170906006111 2017-09-06 BIENNIAL STATEMENT 2017-09-01
150903006400 2015-09-03 BIENNIAL STATEMENT 2015-09-01
140312000039 2014-03-12 CERTIFICATE OF PUBLICATION 2014-03-12
131202000619 2013-12-02 CERTIFICATE OF CHANGE 2013-12-02
130920000504 2013-09-20 ARTICLES OF ORGANIZATION 2013-09-20

Date of last update: 24 Nov 2024

Sources: New York Secretary of State