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  5. TATYANA BARANOVSKY, BDS, PROSTHODONTIST PLLC

TATYANA BARANOVSKY, BDS, PROSTHODONTIST PLLC

Company Details

Name: TATYANA BARANOVSKY, BDS, PROSTHODONTIST PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 24 Jan 2020 (5 years ago)
Entity Number: 5695281
ZIP code: 13210
County: Onondaga
Place of Formation: New York
Address: 67 FAIRMEADOW DRIVE, ROCHESTER, NY, United States, 13210

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TATYANA BARANOVSKY, BDS, PROSTHODONTIST, PLLC 401(K) PLAN 2023 844453851 2024-09-30 TATYANA BARANOVSKY, BDS, PROSTHODONTIST, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 3154781001
Plan sponsor’s address 7211 E. GENESEE STREET, FAYETTEVILLE, NY, 13066

Signature of
Role Plan administrator
Date 2024-09-30
Name of individual signing TATYANA BARANOVSKY
Valid signature Filed with authorized/valid electronic signature
TATYANA BARANOVSKY, BDS, PROSTHODONTIST, PLLC CASH BALANCE PLAN 2023 844453851 2024-09-30 TATYANA BARANOVSKY, BDS, PROSTHODONTIST, PLLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 3154781001
Plan sponsor’s address 7211 E. GENESEE STREET, FAYETTEVILLE, NY, 13066

Signature of
Role Plan administrator
Date 2024-09-30
Name of individual signing TATYANA BARANOVSKY
Valid signature Filed with authorized/valid electronic signature
TATYANA BARANOVSKY, BDS, PROSTHODONTIST, PLLC 401(K) PLAN 2022 844453851 2023-10-03 TATYANA BARANOVSKY, BDS, PROSTHODONTIST, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 3154781001
Plan sponsor’s address 7211 E. GENESEE STREET, FAYETTEVILLE, NY, 13066

Signature of
Role Plan administrator
Date 2023-10-03
Name of individual signing TATYANA BARANOVSKY
TATYANA BARANOVSKY, BDS, PROSTHODONTIST, PLLC CASH BALANCE PLAN 2022 844453851 2023-10-03 TATYANA BARANOVSKY, BDS, PROSTHODONTIST, PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 3154781001
Plan sponsor’s address 7211 E. GENESEE STREET, FAYETTEVILLE, NY, 13066

Signature of
Role Plan administrator
Date 2023-10-03
Name of individual signing TATYANA BARANOVSKY
TATYANA BARANOVSKY, BDS, PROSTHODONTIST, PLLC 401(K) PLAN 2021 844453851 2022-06-28 TATYANA BARANOVSKY, BDS, PROSTHODONTIST, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 3154791001
Plan sponsor’s address 1001 E. GENESEE STREET, SYRACUSE, NY, 13210

Signature of
Role Plan administrator
Date 2022-06-24
Name of individual signing TATYANA BARANOVSKY
TATYANA BARANOVSKY, BDS, PROSTHODONTIST, PLLC CASH BALANCE PLAN 2021 844453851 2022-06-28 TATYANA BARANOVSKY, BDS, PROSTHODONTIST, PLLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 3154781001
Plan sponsor’s address 1001 E. GENESEE STREET, SYRACUSE, NY, 13210

Signature of
Role Plan administrator
Date 2022-06-24
Name of individual signing TATYANA BARANOVSKY
TATYANA BARANOVSKY, BDS, PROSTHODONTIST, PLLC CASH BALANCE PLAN 2020 844453851 2021-06-30 TATYANA BARANOVSKY, BDS, PROSTHODONTIST, PLLC 0
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 3154781001
Plan sponsor’s address 1001 E. GENESEE STREET, SYRACUSE, NY, 13210

Signature of
Role Plan administrator
Date 2021-06-30
Name of individual signing TATYANA BARANOVSKY
TATYANA BARANOVSKY, BDS, PROSTHODONTIST PLLC 401(K) PLAN 2020 844453851 2021-06-30 TATYANA BARANOVSKY, BDS, PROSTHODONTIST PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 3154791001
Plan sponsor’s address 1001 E. GENESEE STREET, SYRACUSE, NY, 13210

Signature of
Role Plan administrator
Date 2021-06-30
Name of individual signing TATYANA BARANOVSKY

DOS Process Agent

Name Role Address
TATYANA BARANOVSKY DOS Process Agent 67 FAIRMEADOW DRIVE, ROCHESTER, NY, United States, 13210

Filings

Filing Number Date Filed Type Effective Date
200414000470 2020-04-14 CERTIFICATE OF PUBLICATION 2020-04-14
200124000223 2020-01-24 ARTICLES OF ORGANIZATION 2020-01-24

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 21 Nov 2024

Sources: New York Secretary of State

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