| Name: | SMITH HAVEN DENTISTRY PLLC |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY |
| Status: | Active |
| Date of registration: | 20 Mar 2015 (10 years ago) (Companies founded in March 2015) |
| Entity Number: | 4729550 |
| ZIP code: | 11755 (Companies in Suffolk, 11755) |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | 2233 NESCONSET HIGHWAY, SUITE 101, LAKE GROVE, NY, United States, 11755 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SMITH HAVEN DENTISTRY PLLC 401K PLAN | 2023 | 473505703 | 2024-06-26 | SMITH HAVEN DENTISTRY PLLC | 3 | |||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-06-26 |
| Name of individual signing | THOMAS DOUGLAS |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 6315883636 |
| Plan sponsor’s address | 2233 NESCONSET HIGHWAY, SUITE 101, LAKE GROVE, NY, 11755 |
Signature of
| Role | Plan administrator |
| Date | 2023-04-19 |
| Name of individual signing | THOMAS DOUGLAS |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 6315883636 |
| Plan sponsor’s address | 2233 NESCONSET HIGHWAY, SUITE 101, LAKE GROVE, NY, 11755 |
Signature of
| Role | Plan administrator |
| Date | 2022-05-23 |
| Name of individual signing | THOMAS DOUGLAS |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 6315883636 |
| Plan sponsor’s address | 2233 NESCONSET HIGHWAY, SUITE 101, LAKE GROVE, NY, 11755 |
Signature of
| Role | Plan administrator |
| Date | 2021-06-29 |
| Name of individual signing | THOMAS DOUGLAS |
| Name | Role | Address |
|---|---|---|
| C/O THOMAS R. DOUGLAS | DOS Process Agent | 2233 NESCONSET HIGHWAY, SUITE 101, LAKE GROVE, NY, United States, 11755 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 150810000069 | 2015-08-10 | CERTIFICATE OF PUBLICATION | 2015-08-10 |
| 150320000863 | 2015-03-20 | ARTICLES OF ORGANIZATION | 2015-03-20 |
Date of last update: 24 Nov 2024
Sources: New York Secretary of State
