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HARTSDALE DENTAL GROUP, P.C.

Company Details

Name: HARTSDALE DENTAL GROUP, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 14 Apr 1982 (43 years ago)
Entity Number: 763765
ZIP code: 10530
County: Westchester
Place of Formation: New York
Principal Address: 80 EAST HARTSDALE AVENUE, HARTSDALE, NY, United States, 10530
Address: 80 E HARTSDALE AVE, HARTSDALE, NY, United States, 10530

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
HARTSDALE DENTAL GROUP, P.C. DEFINED BENEFIT PLAN 2015 133085148 2016-06-23 HARTSDALE DENTAL GROUP, P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9735799583
Plan sponsor’s address 57 INDIAN HILL ROAD, POUND RIDGE, NY, 10576
HARTSDALE DENTAL GROUP, P.C. DEFINED BENEFIT PLAN 2015 133085148 2016-06-24 HARTSDALE DENTAL GROUP, P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9735799583
Plan sponsor’s address 57 INDIAN HILL ROAD, POUND RIDGE, NY, 10576
HARTSDALE DENTAL GROUP, P.C. DEFINED BENEFIT PLAN 2014 133085148 2015-10-15 HARTSDALE DENTAL GROUP, P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9735799583
Plan sponsor’s address 80 EAST HARTSDALE AVE., HARTSDALE, NY, 10530
HARTSDALE DENTAL GROUP, P.C. DEFINED BENEFIT PLAN 2013 133085148 2014-10-15 HARTSDALE DENTAL GROUP, P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9147615500
Plan sponsor’s address 80 EAST HARTSDALE AVE., HARTSDALE, NY, 10530
HARTSDALE DENTAL GROUP, P.C. DEFINED BENEFIT PLAN 2013 133085148 2014-10-15 HARTSDALE DENTAL GROUP, P.C. 3
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9147615500
Plan sponsor’s address 80 EAST HARTSDALE AVE., HARTSDALE, NY, 10530
HARTSDALE DENTAL GROUP, P.C. DEFINED BENEFIT PLAN 2012 133085148 2013-10-14 HARTSDALE DENTAL GROUP, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9147615500
Plan sponsor’s address 80 EAST HARTSDALE AVE., HARTSDALE, NY, 10530

Signature of

Role Plan administrator
Date 2013-10-14
Name of individual signing KATHLEEN DONELLI
Role Employer/plan sponsor
Date 2013-10-14
Name of individual signing KATHLEEN DONELLI
HARTSDALE DENTAL GROUP, P.C. DEFINED BENEFIT PLAN 2011 133085148 2012-10-12 HARTSDALE DENTAL GROUP, P.C. 8
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9147615500
Plan sponsor’s address 80 EAST HARTSDALE AVE., HARTSDALE, NY, 10530

Plan administrator’s name and address

Administrator’s EIN 133085148
Plan administrator’s name HARTSDALE DENTAL GROUP, P.C.
Plan administrator’s address 80 EAST HARTSDALE AVE., HARTSDALE, NY, 10530
Administrator’s telephone number 9147615500

Signature of

Role Plan administrator
Date 2012-10-12
Name of individual signing KATHLEEN DONELLI
Role Employer/plan sponsor
Date 2012-10-12
Name of individual signing KATHLEEN DONELLI
HARTSDALE DENTAL GROUP, P.C. DEFINED BENEFIT PLAN 2011 133085148 2012-10-12 HARTSDALE DENTAL GROUP, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9147615500
Plan sponsor’s address 80 EAST HARTSDALE AVE., HARTSDALE, NY, 10530

Plan administrator’s name and address

Administrator’s EIN 133085148
Plan administrator’s name HARTSDALE DENTAL GROUP, P.C.
Plan administrator’s address 80 EAST HARTSDALE AVE., HARTSDALE, NY, 10530
Administrator’s telephone number 9147615500

Signature of

Role Plan administrator
Date 2012-10-12
Name of individual signing KATHLEEN DONELLI
Role Employer/plan sponsor
Date 2012-10-12
Name of individual signing KATHLEEN DONELLI
HARTSDALE DENTAL GROUP, P.C. DEFINED BENEFIT PLAN 2010 133085148 2011-04-29 HARTSDALE DENTAL GROUP, P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9735799583
Plan sponsor’s address 80 EAST HARTSDALE AVE., HARTSDALE, NY, 10530

Plan administrator’s name and address

Administrator’s EIN 133085148
Plan administrator’s name HARTSDALE DENTAL GROUP, P.C.
Plan administrator’s address 80 EAST HARTSDALE AVE., HARTSDALE, NY, 10530
Administrator’s telephone number 9735799583

Signature of

Role Plan administrator
Date 2011-04-28
Name of individual signing RICHARD DONELLI
Role Employer/plan sponsor
Date 2011-04-28
Name of individual signing RICHARD DONELLI
HARTSDALE DENTAL GROUP, P.C. DEFINED BENEFIT PLAN 2009 431995279 2010-09-08 HARTSDALE DENTAL GROUP, P.C. 6
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9735799583
Plan sponsor’s address 80 EAST HARTSDALE AVE., HARTSDALE, NY, 10530

Plan administrator’s name and address

Administrator’s EIN 431995279
Plan administrator’s name HARTSDALE DENTAL GROUP, P.C.
Plan administrator’s address 80 EAST HARTSDALE AVE., HARTSDALE, NY, 10530
Administrator’s telephone number 9735799583

Signature of

Role Plan administrator
Date 2010-09-08
Name of individual signing RICHARD DONELLI
Role Employer/plan sponsor
Date 2010-09-08
Name of individual signing RICHARD DONELLI

Chief Executive Officer

Name Role Address
RICHARD A. DONELLI Chief Executive Officer 80 EAST HARTSDALE AVENUE, HARTSDALE, NY, United States, 10530

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 80 E HARTSDALE AVE, HARTSDALE, NY, United States, 10530

History

Start date End date Type Value
1993-07-01 2000-04-13 Address 80 EAST HARTSDALE GROUP, HARTSDALE, NY, 10530, USA (Type of address: Service of Process)
1982-04-14 1993-07-01 Address 660 MADISON AVE, NEW YORK, NY, 10021, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
100420002574 2010-04-20 BIENNIAL STATEMENT 2010-04-01
080331003191 2008-03-31 BIENNIAL STATEMENT 2008-04-01
060413003447 2006-04-13 BIENNIAL STATEMENT 2006-04-01
040408002235 2004-04-08 BIENNIAL STATEMENT 2004-04-01
020329003021 2002-03-29 BIENNIAL STATEMENT 2002-04-01
000413002888 2000-04-13 BIENNIAL STATEMENT 2000-04-01
980414002136 1998-04-14 BIENNIAL STATEMENT 1998-04-01
960425002674 1996-04-25 BIENNIAL STATEMENT 1996-04-01
930701002176 1993-07-01 BIENNIAL STATEMENT 1993-04-01
A859173-7 1982-04-14 CERTIFICATE OF INCORPORATION 1982-04-14

Date of last update: 16 Nov 2024

Sources: New York Secretary of State