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WESTFIELD FAMILY DENTAL PLLC

Company Details

Name: WESTFIELD FAMILY DENTAL PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 06 Aug 2020 (4 years ago) (Companies founded in August 2020)
Entity Number: 5806182
ZIP code: 14572 (Companies in Chautauqua, 14572)
County: Chautauqua
Place of Formation: New York
Address: 18 PLEASANTSIDE DRIVE, WAYLAND, NY, United States, 14572

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WESTFIELD FAMILY DENTAL PLLC 401(K) P/S PLAN 2023 852462092 2024-05-14 WESTFIELD FAMILY DENTAL PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 6077680832
Plan sponsor’s address 6 E 2ND ST, WESTFIELD, NY, 14787

Signature of

Role Plan administrator
Date 2024-05-14
Name of individual signing JOSHUA LEE
WESTFIELD FAMILY DENTAL PLLC 401(K) P/S PLAN 2022 852462092 2023-03-09 WESTFIELD FAMILY DENTAL PLLC 7
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 339110
Sponsor’s telephone number 6077680832
Plan sponsor’s address 6 E 2ND ST, WESTFIELD, NY, 14787

Plan administrator’s name and address

Administrator’s EIN 852462092
Plan administrator’s name WESTFIELD FAMILY DENTAL PLLC
Plan administrator’s address 6 E 2ND ST, WESTFIELD, NY, 14787
Administrator’s telephone number 6077680832

Signature of

Role Plan administrator
Date 2023-03-09
Name of individual signing JOSHUA LEE
WESTFIELD FAMILY DENTAL PLLC 401(K) P/S PLAN 2022 852462092 2023-05-20 WESTFIELD FAMILY DENTAL PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 339110
Sponsor’s telephone number 6077680832
Plan sponsor’s address 6 E 2ND ST, WESTFIELD, NY, 14787

Plan administrator’s name and address

Administrator’s EIN 852462092
Plan administrator’s name WESTFIELD FAMILY DENTAL PLLC
Plan administrator’s address 6 E 2ND ST, WESTFIELD, NY, 14787
Administrator’s telephone number 6077680832

Signature of

Role Plan administrator
Date 2023-05-20
Name of individual signing JOSHUA LEE
WESTFIELD FAMILY DENTAL PLLC 401(K) P/S PLAN 2021 852462092 2022-06-25 WESTFIELD FAMILY DENTAL PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 339110
Sponsor’s telephone number 6077680832
Plan sponsor’s address 6 E 2ND ST, WESTFIELD, NY, 14787

Plan administrator’s name and address

Administrator’s EIN 852462092
Plan administrator’s name WESTFIELD FAMILY DENTAL PLLC
Plan administrator’s address 6 E 2ND ST, WESTFIELD, NY, 14787
Administrator’s telephone number 6077680832

Signature of

Role Plan administrator
Date 2022-06-25
Name of individual signing JOSHUA LEE

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 18 PLEASANTSIDE DRIVE, WAYLAND, NY, United States, 14572

Filings

Filing Number Date Filed Type Effective Date
210323000100 2021-03-23 CERTIFICATE OF PUBLICATION 2021-03-23
200806000418 2020-08-06 ARTICLES OF ORGANIZATION 2020-08-06

Date of last update: 21 Nov 2024

Sources: New York Secretary of State