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RICHARD J. BOLLON, D.D.S., P.C.

Company Details

Name: RICHARD J. BOLLON, D.D.S., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 22 Feb 1980 (45 years ago)
Entity Number: 610315
County: Nassau
Place of Formation: New York
Address: 2 HEMLOCK COURT, OYSTER BAY, NY, United States, 11771
Address ZIP Code: 11771
Principal Address: 366 NORTH BROADWAY, SUITE LOBBY W-7, JERICHO, NY, United States, 11753
Principal Address ZIP Code: 11753

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RICHARD J. BOLLON D.D.S., P.C. PROFIT SHARING PLAN 2020 112529325 2021-06-02 RICHARD J. BOLLON D.D.S., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621210
Sponsor’s telephone number 5168222131
Plan sponsor’s address 366 NORTH BROADWAY., SUITE LW-7, JERICHO, NY, 11753

Signature of
Role Plan administrator
Date 2021-06-02
Name of individual signing RICHARD BOLLON DDS PC
Role Employer/plan sponsor
Date 2021-06-02
Name of individual signing RICHARD BOLLON DDS PC
RICHARD J. BOLLON D.D.S., P.C. PROFIT SHARING PLAN 2019 112529325 2020-09-25 RICHARD J. BOLLON D.D.S., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621210
Sponsor’s telephone number 5168222131
Plan sponsor’s address 366 NORTH BROADWAY, JERICHO, NY, 11753

Signature of
Role Plan administrator
Date 2020-09-25
Name of individual signing RICHARD BOLLON
Role Employer/plan sponsor
Date 2020-09-25
Name of individual signing RICHARD BOLLON
RICHARD J. BOLLON D.D.S., P.C. PROFIT SHARING PLAN 2018 112529325 2019-08-28 RICHARD J. BOLLON D.D.S., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621210
Sponsor’s telephone number 5168222131
Plan sponsor’s address 366 NORTH BROADWAY, JERICHO, NY, 11753

Signature of
Role Plan administrator
Date 2019-08-27
Name of individual signing RICHARD BOLLON DDS PC
Role Employer/plan sponsor
Date 2019-08-27
Name of individual signing RICHARD BOLLON DDS PC
RICHARD J. BOLLON D.D.S., P.C. PROFIT SHARING PLAN 2017 112529325 2018-07-16 RICHARD J. BOLLON D.D.S., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621210
Sponsor’s telephone number 5168222131
Plan sponsor’s address 366 NORTH BROADWAY, JERICHO, NY, 11753

Signature of
Role Plan administrator
Date 2018-07-16
Name of individual signing RICHARD BOLLON
Role Employer/plan sponsor
Date 2018-07-16
Name of individual signing RICHARD BOLLON
RICHARD J. BOLLON D.D.S., P.C. PROFIT SHARING PLAN 2016 112529325 2017-09-26 RICHARD J. BOLLON D.D.S., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621210
Sponsor’s telephone number 5168222131
Plan sponsor’s address 366 NORTH BROADWAY, JERICHO, NY, 11753

Signature of
Role Plan administrator
Date 2017-09-26
Name of individual signing RICHARD BOLLON
Role Employer/plan sponsor
Date 2017-09-26
Name of individual signing RICHARD BOLLON
RICHARD J. BOLLON D.D.S., P.C. PROFIT SHARING PLAN 2015 112529325 2016-07-27 RICHARD J. BOLLON D.D.S., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621210
Sponsor’s telephone number 5168222131
Plan sponsor’s address 366 NORTH BROADWAY, JERICHO, NY, 11753

Signature of
Role Plan administrator
Date 2016-07-26
Name of individual signing RICHARD BOLLON DDS PC
Role Employer/plan sponsor
Date 2016-07-26
Name of individual signing RICHARD BOLLON DDS PC
RICHARD J. BOLLON D.D.S., P.C. PROFIT SHARING PLAN 2014 112529325 2015-09-29 RICHARD J. BOLLON D.D.S., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621210
Sponsor’s telephone number 5168222131
Plan sponsor’s address 366 NORTH BROADWAY, JERICHO, NY, 11753

Signature of
Role Plan administrator
Date 2015-09-29
Name of individual signing RICHARD BOLLON
Role Employer/plan sponsor
Date 2015-09-29
Name of individual signing RICHARD BOLLON
RICHARD J. BOLLON D.D.S., P.C. PROFIT SHARING PLAN 2013 112529325 2014-09-24 RICHARD J. BOLLON D.D.S., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621210
Sponsor’s telephone number 5168222131
Plan sponsor’s address 366 NORTH BROADWAY, JERICHO, NY, 11753

Signature of
Role Plan administrator
Date 2014-09-23
Name of individual signing RICHARD BOLLON
Role Employer/plan sponsor
Date 2014-09-23
Name of individual signing RICHARD BOLLON
RICHARD J. BOLLON D.D.S., P.C. PROFIT SHARING PLAN 2012 112529325 2013-09-24 RICHARD J. BOLLON D.D.S., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621210
Sponsor’s telephone number 5168222131
Plan sponsor’s address 366 NORTH BROADWAY, JERICHO, NY, 11753

Signature of
Role Plan administrator
Date 2013-09-24
Name of individual signing RICHARD BOLLON
Role Employer/plan sponsor
Date 2013-09-24
Name of individual signing RICHARD BOLLON
RICHARD J. BOLLON D.D.S., P.C. PROFIT SHARING PLAN 2011 112529325 2012-10-09 RICHARD J. BOLLON D.D.S., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621210
Sponsor’s telephone number 5168222131
Plan sponsor’s address 366 NORTH BROADWAY, JERICHO, NY, 11753

Plan administrator’s name and address
Administrator’s EIN 112529325
Plan administrator’s name RICHARD J. BOLLON D.D.S., P.C.
Plan administrator’s address 366 NORTH BROADWAY, JERICHO, NY, 11753
Administrator’s telephone number 5168222131

Signature of
Role Plan administrator
Date 2012-10-09
Name of individual signing RICHARD BOLLON
Role Employer/plan sponsor
Date 2012-10-09
Name of individual signing RICHARD BOLLON

Chief Executive Officer

Name Role Address
RICHARD J BOLLON, DDS Chief Executive Officer 366 NORTH BROADWAY, SUITE LOBBY W-7, JERICHO, NY, United States, 11753

DOS Process Agent

Name Role Address
RICHARD J. BOLLON DOS Process Agent 2 HEMLOCK COURT, OYSTER BAY, NY, United States, 11771

Filings

Filing Number Date Filed Type Effective Date
140404002155 2014-04-04 BIENNIAL STATEMENT 2014-02-01
120411002882 2012-04-11 BIENNIAL STATEMENT 2012-02-01
100308002405 2010-03-08 BIENNIAL STATEMENT 2010-02-01
080317002623 2008-03-17 BIENNIAL STATEMENT 2008-02-01
060309002632 2006-03-09 BIENNIAL STATEMENT 2006-02-01
040203002482 2004-02-03 BIENNIAL STATEMENT 2004-02-01
020207002538 2002-02-07 BIENNIAL STATEMENT 2002-02-01
000308002609 2000-03-08 BIENNIAL STATEMENT 2000-02-01
980130002638 1998-01-30 BIENNIAL STATEMENT 1998-02-01
940413002029 1994-04-13 BIENNIAL STATEMENT 1994-02-01

Related by officers

No related officers

Related by address

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Date of last update: 16 Nov 2024

Sources: New York Secretary of State

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