| Name: | KATIE CLOUGH-PERIN, DDS, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 06 Apr 2015 (10 years ago) |
| Entity Number: | 4737794 |
| ZIP code: | 13601 |
| County: | Jefferson |
| Place of Formation: | New York |
| Address: | 26624 CHISHOLM TRAIL, WATERTOWN, NY, United States, 13601 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR. KATIE CLOUGH-PERIN, DDS, P.C. 401(K) RETIREMENT PLAN | 2023 | 473656479 | 2024-10-10 | KATIE CLOUGH-PERIN, DDS, P.C. | 7 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-10-10 |
| Name of individual signing | DR. KATIE CLOUGH-PERIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3152214213 |
| Plan sponsor’s address | 1340 WASHINGTON STREET, WATERTOWN, NY, 136014541 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-12 |
| Name of individual signing | DR. KATIE CLOUGH-PERIN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3152214213 |
| Plan sponsor’s address | 1340 WASHINGTON STREET, WATERTOWN, NY, 136014541 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-23 |
| Name of individual signing | DR. KATIE CLOUGH-PERIN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3152214213 |
| Plan sponsor’s address | 1340 WASHINGTON STREET, WATERTOWN, NY, 136014541 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-15 |
| Name of individual signing | DR. KATIE CLOUGH-PERIN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3152214213 |
| Plan sponsor’s address | 1340 WASHINGTON STREET, WATERTOWN, NY, 136014541 |
Signature of
| Role | Plan administrator |
| Date | 2020-10-13 |
| Name of individual signing | DR. KATIE CLOUGH-PERIN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3152214213 |
| Plan sponsor’s address | 1340 WASHINGTON STREET, WATERTOWN, NY, 13601 |
Signature of
| Role | Plan administrator |
| Date | 2019-10-15 |
| Name of individual signing | DR. KATIE CLOUGH-PERIN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3152214213 |
| Plan sponsor’s address | 1340 WASHINGTON STREET, WATERTOWN, NY, 13601 |
Signature of
| Role | Plan administrator |
| Date | 2018-10-04 |
| Name of individual signing | DR. KATIE CLOUGH-PERIN |
| Name | Role | Address |
|---|---|---|
| DR. KATIE CLOUGH-PERIN | DOS Process Agent | 26624 CHISHOLM TRAIL, WATERTOWN, NY, United States, 13601 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 150406000549 | 2015-04-06 | CERTIFICATE OF INCORPORATION | 2015-04-06 |
Date of last update: 24 Nov 2024
Sources: New York Secretary of State
