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  5. ANDOLINO ORTHODONTICS, P.C.

ANDOLINO ORTHODONTICS, P.C.

Company Details

Name: ANDOLINO ORTHODONTICS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 Jul 1981 (43 years ago)
Entity Number: 708481
ZIP code: 10017
County: New York
Place of Formation: New York
Address: 622 THIRD AVENUE, NEW YORK, NY, United States, 10017

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
ANDOLINO ORTHODONTICS, PC 401(K) PLAN 2016 134044426 2017-10-07 ANDOLINO ORTHODONTICS, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-07-25
Business code 621210
Sponsor’s telephone number 2127535575
Plan sponsor’s address 41 EAST 57TH STREET, SUITE 2600, NEW YORK, NY, 10022

Signature of
Role Plan administrator
Date 2017-10-07
Name of individual signing SHARON LEWIS
ANDOLINO ORTHODONTICS, PC 401(K) PLAN 2015 134044426 2016-06-29 ANDOLINO ORTHODONTICS, P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-07-25
Business code 621210
Sponsor’s telephone number 2127535575
Plan sponsor’s address 41 EAST 57TH STREET, SUITE 2600, NEW YORK, NY, 10022

Signature of
Role Plan administrator
Date 2016-06-29
Name of individual signing SHARON LEWIS
ANDOLINO ORTHODONTICS, PC 401(K) PLAN 2014 134044426 2015-12-01 ANDOLINO ORTHODONTICS, P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-07-25
Business code 621210
Sponsor’s telephone number 2127535575
Plan sponsor’s address 41 EAST 57TH STREET, SUITE 2600, NEW YORK, NY, 10022

Signature of
Role Plan administrator
Date 2015-12-01
Name of individual signing SHARON LEWIS
ANDOLINO ORTHODONTICS, PC 401(K) PLAN 2014 134044426 2015-10-28 ANDOLINO ORTHODONTICS, P.C. 6
Three-digit plan number (PN) 002
Effective date of plan 1979-07-25
Business code 621210
Sponsor’s telephone number 2127535575
Plan sponsor’s address 41 EAST 57TH STREET, SUITE 2600, NEW YORK, NY, 10022

Signature of
Role Plan administrator
Date 2015-10-28
Name of individual signing SHARON LEWIS
ANDOLINO ORTHODONTICS, PC 401(K) PLAN 2013 134044426 2014-07-07 ANDOLINO ORTHODONTICS, P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-07-25
Business code 621210
Sponsor’s telephone number 2127535575
Plan sponsor’s address 41 EAST 57TH STREET, SUITE 2600, NEW YORK, NY, 10022

Signature of
Role Plan administrator
Date 2014-07-07
Name of individual signing CHAROL MATOS
ANDOLINO ORTHODONTICS, PC 401(K) PLAN 2012 134044426 2013-07-30 ANDOLINO ORTHODONTICS, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-07-25
Business code 621210
Sponsor’s telephone number 2127535575
Plan sponsor’s address 41 EAST 57TH STREET, SUITE 2600, NEW YORK, NY, 10022

Signature of
Role Plan administrator
Date 2013-07-30
Name of individual signing KATHY BARNES
ANDOLINO ORTHODONTICS, PC 401(K) PLAN 2011 134044426 2012-06-18 ANDOLINO ORTHODONTICS, P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-07-25
Business code 621210
Sponsor’s telephone number 2127535575
Plan sponsor’s address 41 EAST 57TH STREET, SUITE 2600, NEW YORK, NY, 10022

Plan administrator’s name and address
Administrator’s EIN 134044426
Plan administrator’s name ANDOLINO ORTHODONTICS, P.C.
Plan administrator’s address 41 EAST 57TH STREET, SUITE 2600, NEW YORK, NY, 10022
Administrator’s telephone number 2127535575

Signature of
Role Plan administrator
Date 2012-06-18
Name of individual signing KATHY BARNES
ANDOLINO ORTHODONTICS, PC 401(K) PLAN 2010 134044426 2011-07-14 ANDOLINO ORTHODONTICS, P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-07-25
Business code 623000
Sponsor’s telephone number 2127535575
Plan sponsor’s address 41 EAST 57TH STREET, SUITE 2600, NEW YORK, NY, 10022

Plan administrator’s name and address
Administrator’s EIN 134044426
Plan administrator’s name ANDOLINO ORTHODONTICS, P.C.
Plan administrator’s address 41 EAST 57TH STREET, SUITE 2600, NEW YORK, NY, 10022
Administrator’s telephone number 2127535575

Signature of
Role Plan administrator
Date 2011-07-14
Name of individual signing STACEY KEARNS

DOS Process Agent

Name Role Address
PHILIP N. ROTGIN DOS Process Agent 622 THIRD AVENUE, NEW YORK, NY, United States, 10017

History

Start date End date Type Value
1991-03-01 2009-09-16 Name BOYLAN-ANDOLINO DENTAL ASSOCIATES, P.C.
1981-07-01 1991-03-01 Name BRENDAN J. BOYLAN, D.D.S. & GREGORY W. SANFORD, D.M.D., P.C.

Filings

Filing Number Date Filed Type Effective Date
090916000573 2009-09-16 CERTIFICATE OF AMENDMENT 2009-09-16
910301000253 1991-03-01 CERTIFICATE OF AMENDMENT 1991-03-01
A777814-4 1981-07-01 CERTIFICATE OF INCORPORATION 1981-07-01

Related by officers

PHILIP N. ROTGIN

JON COLIN KELLNER, D.D.S., P.C. LOWYD W. R. BALLANTYNE, JR., M.D., P.C. ROBERT B. BROSS, M. D., P. C. MALCOLM B. ZOLA, D. D. S., P. C. B. B. CUMELLA, M. D., P. C. DOROTHY J. SUSSKIND, INC. ARTHUR N. GABRIEL, M. D., P. C. JOSEPH J. BOSCARINO, D.D.S., & KEVIN M. LOSHAK, D.D.S., P.C. NEIL BARTON, M. D., P. C. THOMAS DIGAN RIZZO, M. D., P. C.

Related by address

622 THIRD AVENUE, NEW YORK, NY, United States, 10017

1E93 LLC APOLOGUE, INC. BROCK OPPORTUNITY FUND, L.P. CARL NECKWEAR COMPANY, INC. COOPER REALTY AND ASSOCIATES INC CS BOWERY PARTNERS LLC EDWARD S. LUSTBADER, D.D.S., P.C. GRACE HANLON LLC HECHT HEALTH CARE ASSOCIATES, LLC

Date of last update: 16 Nov 2024

Sources: New York Secretary of State

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