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MY SIMON DENTISTRY PLLC

Company Details

Name: MY SIMON DENTISTRY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 06 Nov 2014 (10 years ago)
Entity Number: 4662305
ZIP code: 11510
County: Nassau
Place of Formation: New York
Address: 960 ATLANTIC AVENUE, BALDWIN, NY, United States, 11510

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MY SIMON DENTISTRY, PLLC 401(K) PROFIT SHARING PLN 2023 472283450 2024-02-20 MY SIMON DENTISTRY, PLLC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5163771818
Plan sponsor’s address 960 ATLANTIC AVENUE, BALDWIN, NY, 11510
MY SIMON DENTISTRY, PLLC 401(K) PROFIT SHARING PLN 2022 472283450 2023-02-22 MY SIMON DENTISTRY, PLLC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5163771818
Plan sponsor’s address 960 ATLANTIC AVENUE, BALDWIN, NY, 11510
MY SIMON DENTISTRY, PLLC 401(K) PROFIT SHARING PLN 2021 472283450 2022-03-10 MY SIMON DENTISTRY, PLLC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5163771818
Plan sponsor’s address 960 ATLANTIC AVENUE, BALDWIN, NY, 11510
MY SIMON DENTISTRY, PLLC 401(K) PROFIT SHARING PLN 2020 472283450 2021-02-16 MY SIMON DENTISTRY, PLLC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5163771818
Plan sponsor’s address 960 ATLANTIC AVENUE, BALDWIN, NY, 11510
MY SIMON DENTISTRY, PLLC 401(K) PROFIT SHARING PLN 2019 472283450 2020-01-30 MY SIMON DENTISTRY, PLLC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5163771818
Plan sponsor’s address 960 ATLANTIC AVENUE, BALDWIN, NY, 11510
MY SIMON DENTISTRY, PLLC 401(K) PROFIT SHARING PLN 2018 472283450 2019-04-03 MY SIMON DENTISTRY, PLLC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5163771818
Plan sponsor’s address 960 ATLANTIC AVENUE, BALDWIN, NY, 11510
MY SIMON DENTISTRY, PLLC. 2017 472283450 2018-02-22 MY SIMON DENTISTRY, PLLC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5163771818
Plan sponsor’s address 960 ATLANTIC AVENUE, BALDWIN, NY, 11510
MY SIMON DENTISTRY, PLLC. 2016 472283450 2017-02-08 MY SIMON DENTISTRY, PLLC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5163771818
Plan sponsor’s address 960 ATLANTIC AVENUE, BALDWIN, NY, 11510

Signature of

Role Plan administrator
Date 2017-02-08
Name of individual signing MATTHEW SIMON, DDS.

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 960 ATLANTIC AVENUE, BALDWIN, NY, United States, 11510

Filings

Filing Number Date Filed Type Effective Date
150317000011 2015-03-17 CERTIFICATE OF PUBLICATION 2015-03-17
141106000341 2014-11-06 ARTICLES OF ORGANIZATION 2014-11-06

Date of last update: 24 Nov 2024

Sources: New York Secretary of State