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SUFFOLK DENTAL SMILES P.C.

Company Details

Name: SUFFOLK DENTAL SMILES P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 24 Jan 2014 (11 years ago)
Entity Number: 4518517
ZIP code: 11706
County: Suffolk
Place of Formation: New York
Address: 375 E MAIN STREET, SUITE 19, BAY SHORE, NY, United States, 11706

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUFFOLK DENTAL SMILES, P.C. 401K PLAN 2023 464675467 2024-04-19 SUFFOLK DENTAL SMILES, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6316650165
Plan sponsor’s address 375 E MAIN ST SUITE 19, BAY SHORE, NY, 117060000

Signature of

Role Plan administrator
Date 2024-04-19
Name of individual signing SURESH PATEL
SUFFOLK DENTAL SMILES, P.C. 401K PLAN 2022 464675467 2023-05-18 SUFFOLK DENTAL SMILES, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6316650165
Plan sponsor’s address 375 E MAIN ST SUITE 19, BAY SHORE, NY, 117060000

Signature of

Role Plan administrator
Date 2023-05-18
Name of individual signing SURESH PATEL
SUFFOLK DENTAL SMILES, P.C. 401K PLAN 2021 464675467 2022-05-04 SUFFOLK DENTAL SMILES, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6316650165
Plan sponsor’s address 375 E MAIN ST SUITE 19, BAY SHORE, NY, 117060000

Signature of

Role Plan administrator
Date 2022-05-04
Name of individual signing SURESH PATEL
SUFFOLK DENTAL SMILES, P.C. 401K PLAN 2020 464675467 2021-09-20 SUFFOLK DENTAL SMILES, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6316650165
Plan sponsor’s address 375 E MAIN ST SUITE 19, BAY SHORE, NY, 117060000

Signature of

Role Plan administrator
Date 2021-09-20
Name of individual signing SURESH PATEL
SUFFOLK DENTAL SMILES, P.C. 401K PLAN 2019 464675467 2020-06-26 SUFFOLK DENTAL SMILES, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6316650165
Plan sponsor’s address 375 E MAIN ST SUITE 19, BAY SHORE, NY, 117060000

Signature of

Role Plan administrator
Date 2020-06-26
Name of individual signing SURESH PATEL
SUFFOLK DENTAL SMILES, P. C. 401(K) PLAN 2018 464675467 2019-09-10 SUFFOLK DENTAL SMILES, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6316650165
Plan sponsor’s address 375 E. MAIN ST - SUITE 19, BAY SHONE, NY, 11706

Signature of

Role Plan administrator
Date 2019-09-10
Name of individual signing SURESH PATEL
Role Employer/plan sponsor
Date 2019-09-10
Name of individual signing SURESH PATEL
SUFFOLK DENTAL SMILES, P. C. 401(K) PLAN 2017 464675467 2018-07-10 SUFFOLK DENTAL SMILES, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6316650165
Plan sponsor’s address 375 E. MAIN ST - SUITE 19, BAY SHONE, NY, 11706

Signature of

Role Plan administrator
Date 2018-07-10
Name of individual signing SURESH PATEL
Role Employer/plan sponsor
Date 2018-07-10
Name of individual signing SURESH PATEL
SUFFOLK DENTAL SMILES, P. C. 401(K) PLAN 2016 464675467 2017-08-23 SUFFOLK DENTAL SMILES, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6316650165
Plan sponsor’s address 375 E. MAIN ST - SUITE 19, BAY SHONE, NY, 11706

Signature of

Role Plan administrator
Date 2017-08-23
Name of individual signing SURESH PATEL
SUFFOLK DENTAL SMILES, P. C. 401(K) PLAN 2015 464675467 2016-10-14 SUFFOLK DENTAL SMILES, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6316650165
Plan sponsor’s address 375 E. MAIN ST - SUITE 19, BAY SHONE, NY, 11706

Signature of

Role Plan administrator
Date 2016-10-14
Name of individual signing SURESH PATEL

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 375 E MAIN STREET, SUITE 19, BAY SHORE, NY, United States, 11706

Filings

Filing Number Date Filed Type Effective Date
140124000128 2014-01-24 CERTIFICATE OF INCORPORATION 2014-01-24

Date of last update: 24 Nov 2024

Sources: New York Secretary of State