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LATHAM PERIODONTICS PLLC

Company Details

Name: LATHAM PERIODONTICS PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 08 Apr 2015 (10 years ago)
Entity Number: 4739120
County: Albany
Place of Formation: New York
Address: 815 TROY-SCHENECTADY ROAD, LATHAM, NY, United States, 12110
Address ZIP Code: 12110

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LATHAM PERIODONTICS 401(K) P/S PLAN 2023 473796334 2024-08-05 LATHAM PERIODONTICS 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 5187851067
Plan sponsor’s address 815 TROY SCHENECTADY RD, LATHAM, NY, 12110

Signature of

Role Plan administrator
Date 2024-08-05
Name of individual signing JANG CHOI
LATHAM PERIODONTICS 401(K) P/S PLAN 2022 473796334 2023-05-08 LATHAM PERIODONTICS 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 5187851067
Plan sponsor’s address 815 TROY SCHENECTADY RD, LATHAM, NY, 12110

Plan administrator’s name and address

Administrator’s EIN 473796334
Plan administrator’s name LATHAM PERIODONTICS
Plan administrator’s address 815 TROY SCHENECTADY RD, LATHAM, NY, 12110
Administrator’s telephone number 5187851067

Signature of

Role Plan administrator
Date 2023-05-08
Name of individual signing JANG CHOI
LATHAM PERIODONTICS 401(K) P/S PLAN 2022 473796334 2023-02-26 LATHAM PERIODONTICS 9
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 5187851067
Plan sponsor’s address 815 TROY SCHENECTADY RD, LATHAM, NY, 12110

Plan administrator’s name and address

Administrator’s EIN 473796334
Plan administrator’s name LATHAM PERIODONTICS
Plan administrator’s address 815 TROY SCHENECTADY RD, LATHAM, NY, 12110
Administrator’s telephone number 5187851067

Signature of

Role Plan administrator
Date 2023-02-26
Name of individual signing JANG CHOI
LATHAM PERIODONTICS 401(K) P/S PLAN 2021 473796334 2022-07-25 LATHAM PERIODONTICS 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 5187851067
Plan sponsor’s address 815 TROY SCHENECTADY RD, LATHAM, NY, 12110

Plan administrator’s name and address

Administrator’s EIN 473796334
Plan administrator’s name LATHAM PERIODONTICS
Plan administrator’s address 815 TROY SCHENECTADY RD, LATHAM, NY, 12110
Administrator’s telephone number 5187851067

Signature of

Role Plan administrator
Date 2022-07-25
Name of individual signing JANG CHOI
LATHAM PERIODONTICS 401(K) P/S PLAN 2020 473796334 2021-05-14 LATHAM PERIODONTICS 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 5187851067
Plan sponsor’s address 815 TROY SCHENECTADY RD, LATHAM, NY, 12110

Plan administrator’s name and address

Administrator’s EIN 473796334
Plan administrator’s name LATHAM PERIODONTICS
Plan administrator’s address 815 TROY SCHENECTADY RD, LATHAM, NY, 12110
Administrator’s telephone number 5187851067

Signature of

Role Plan administrator
Date 2021-05-14
Name of individual signing JANG CHOI
LATHAM PERIODONTICS 401(K) P/S PLAN 2019 473796334 2020-06-02 LATHAM PERIODONTICS 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 5187851067
Plan sponsor’s address 815 TROY SCHENECTADY RD, LATHAM, NY, 12110

Plan administrator’s name and address

Administrator’s EIN 473796334
Plan administrator’s name LATHAM PERIODONTICS
Plan administrator’s address 815 TROY SCHENECTADY RD, LATHAM, NY, 12110
Administrator’s telephone number 5187851067

Signature of

Role Plan administrator
Date 2020-06-02
Name of individual signing JANG CHOI
LATHAM PERIODONTICS 401(K) P/S PLAN 2018 473796334 2019-05-08 LATHAM PERIODONTICS 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 5187851067
Plan sponsor’s address 815 TROY SCHENECTADY RD, LATHAM, NY, 12110

Plan administrator’s name and address

Administrator’s EIN 473796334
Plan administrator’s name LATHAM PERIODONTICS
Plan administrator’s address 815 TROY SCHENECTADY RD, LATHAM, NY, 12110
Administrator’s telephone number 5187851067

Signature of

Role Plan administrator
Date 2019-05-08
Name of individual signing JANG CHOI

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 815 TROY-SCHENECTADY ROAD, LATHAM, NY, United States, 12110

Filings

Filing Number Date Filed Type Effective Date
221213000319 2022-12-13 BIENNIAL STATEMENT 2021-04-01
170419006043 2017-04-19 BIENNIAL STATEMENT 2017-04-01
150713000790 2015-07-13 CERTIFICATE OF PUBLICATION 2015-07-13
150408000553 2015-04-08 ARTICLES OF ORGANIZATION 2015-04-08

Date of last update: 06 Nov 2024

Sources: New York Secretary of State