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GARY BERSON DDS, PLLC

GARY BERSON DDS, PLLC

Company Details

Name:	GARY BERSON DDS, PLLC
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status:	Active
Date of registration:	14 Feb 2019 (6 years ago)
Entity Number:	5494823
ZIP code:	12701
County:	Sullivan
Place of Formation:	New York
Address:	523 BROADWAY, MONTICELLO, NY, United States, 12701

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

GARY BERSON DDS PROFIT SHARING PLAN

2023

833590488

2024-10-03

GARY BERSON DDS PLLC

10

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1992-01-01
Business code	621210
Sponsor’s telephone number	8457963368
Plan sponsor’s address	523 BROADWAY, MONTICELLO, NY, 12701

Signature of

Role	Plan administrator
Date	2024-10-03
Name of individual signing	GARY BERSON
Valid signature	Filed with authorized/valid electronic signature

GARY BERSON DDS PROFIT SHARING PLAN

2022

833590488

2023-10-12

GARY BERSON DDS PLLC

11

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1992-01-01
Business code	621210
Sponsor’s telephone number	8457963368
Plan sponsor’s address	523 BROADWAY, MONTICELLO, NY, 12701

Signature of

Role	Plan administrator
Date	2023-10-13
Name of individual signing	GARY BERSON

GARY BERSON DDS PROFIT SHARING PLAN

2021

833590488

2022-10-02

GARY BERSON DDS PLLC

10

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1992-01-01
Business code	621210
Sponsor’s telephone number	8457963368
Plan sponsor’s address	523 BROADWAY, MONTICELLO, NY, 12701

Signature of

Role	Plan administrator
Date	2022-10-02
Name of individual signing	GARY BERSON

GARY BERSON DDS PROFIT SHARING PLAN

2020

833590488

2021-10-06

GARY BERSON DDS PLLC

10

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1992-01-01
Business code	621210
Sponsor’s telephone number	8457963368
Plan sponsor’s address	523 BROADWAY, MONTICELLO, NY, 12701

Signature of

Role	Plan administrator
Date	2021-10-06
Name of individual signing	GARY BERSON

GARY BERSON DDS PROFIT SHARING PLAN

2019

833590488

2020-09-27

GARY BERSON DDS PLLC

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1992-01-01
Business code	621210
Sponsor’s telephone number	8457963368
Plan sponsor’s address	523 BROADWAY, MONTICELLO, NY, 12701

Signature of

Role	Plan administrator
Date	2020-09-27
Name of individual signing	GARY BERSON

DOS Process Agent

Name	Role	Address
THE LLC	DOS Process Agent	523 BROADWAY, MONTICELLO, NY, United States, 12701

Filings

Filing Number	Date Filed	Type	Effective Date
190603000392	2019-06-03	CERTIFICATE OF PUBLICATION	2019-06-03
190214000529	2019-02-14	ARTICLES OF ORGANIZATION	2019-02-14

Date of last update: 22 Nov 2024

Sources: New York Secretary of State