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M. R. LEWIS, D.M.D., P.C.

Company Details

Name: M. R. LEWIS, D.M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 24 Jul 1981 (43 years ago)
Entity Number: 713169
ZIP code: 14604
County: Monroe
Place of Formation: New York
Address: 1117 TEMPLE BLDG., 14 FRANKLIN ST., ROCHESTER, NY, United States, 14604

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
M.R. LEWIS, D.M.D., P.C., PROFIT SHARING PLAN 2013 160977293 2014-07-31 M.R. LEWIS, D.M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-12-01
Business code 621111
Sponsor’s telephone number 5853252474
Plan sponsor’s address 820 TEMPLE BUILDING, ROCHESTER, NY, 14604

Signature of

Role Plan administrator
Date 2014-07-31
Name of individual signing MICHAEL R. LEWIS DMD
Role Employer/plan sponsor
Date 2014-07-31
Name of individual signing MICHAEL R. LEWIS DMD
M.R. LEWIS, D.M.D., P.C., PROFIT SHARING PLAN 2012 160977293 2013-08-29 M.R. LEWIS, D.M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-12-01
Business code 621111
Sponsor’s telephone number 5853252474
Plan sponsor’s address 820 TEMPLE BUILDING, ROCHESTER, NY, 14604

Signature of

Role Plan administrator
Date 2013-08-29
Name of individual signing MICHAEL R. LEWIS DMD
Role Employer/plan sponsor
Date 2013-08-29
Name of individual signing MICHAEL R. LEWIS DMD
M.R. LEWIS, D.M.D., P.C., PROFIT SHARING PLAN 2011 160977293 2012-10-01 M.R. LEWIS, D.M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-12-01
Business code 621111
Sponsor’s telephone number 5853252474
Plan sponsor’s address 820 TEMPLE BUILDING, ROCHESTER, NY, 14604

Plan administrator’s name and address

Administrator’s EIN 160977293
Plan administrator’s name M.R. LEWIS, D.M.D., P.C.
Plan administrator’s address 820 TEMPLE BUILDING, ROCHESTER, NY, 14604
Administrator’s telephone number 5853252474

Signature of

Role Plan administrator
Date 2012-10-01
Name of individual signing MICHAEL R. LEWIS DMD
Role Employer/plan sponsor
Date 2012-10-01
Name of individual signing MICHAEL R. LEWIS DMD
M.R. LEWIS, D.M.D., P.C., PROFIT SHARING PLAN 2010 160977293 2011-10-10 M.R. LEWIS, D.M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1970-12-01
Business code 621111
Sponsor’s telephone number 5853252474
Plan sponsor’s address 820 TEMPLE BUILDING, ROCHESTER, NY, 14604

Plan administrator’s name and address

Administrator’s EIN 160977293
Plan administrator’s name M.R. LEWIS, D.M.D., P.C.
Plan administrator’s address 820 TEMPLE BUILDING, ROCHESTER, NY, 14604
Administrator’s telephone number 5853252474

Signature of

Role Plan administrator
Date 2011-10-10
Name of individual signing MICHAEL R. LEWIS DMD
Role Employer/plan sponsor
Date 2011-10-10
Name of individual signing MICHAEL R. LEWIS DMD

DOS Process Agent

Name Role Address
BURNETT D.D.S. AND LEWIS D.M.D., P.C. DOS Process Agent 1117 TEMPLE BLDG., 14 FRANKLIN ST., ROCHESTER, NY, United States, 14604

Filings

Filing Number Date Filed Type Effective Date
B330967-3 1986-03-10 CERTIFICATE OF AMENDMENT 1986-03-10
A784595-6 1981-07-24 CERTIFICATE OF CONSOLIDATION 1981-07-24

Date of last update: 16 Nov 2024

Sources: New York Secretary of State