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GOUVERNEUR DENTAL ASSOCIATES, P.C.

Company Details

Name: GOUVERNEUR DENTAL ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 31 Jan 1989 (36 years ago)
Entity Number: 1322109
ZIP code: 13642
County: St. Lawrence
Place of Formation: New York
Address: 354 EAST MAIN ST, PO BOX 427, GOUVERNEUR, NY, United States, 13642
Principal Address: 96 SUNRISE CIR S, HERMON, NY, United States, 13652

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
GOUVERNEUR DENTAL ASSOCIATES, P.C. 401K PLAN 2023 161344841 2024-07-10 GOUVERNEUR DENTAL ASSOCIATES, P.C 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 3152874000
Plan sponsor’s address 354 EAST MAIN STREET, GOUVERNEUR, NY, 136420427

Signature of

Role Plan administrator
Date 2024-07-10
Name of individual signing SCOTT R. DAY, DDS
GOUVERNEUR DENTAL ASSOCIATES, P.C. 401K PLAN 2022 161344841 2023-06-14 GOUVERNEUR DENTAL ASSOCIATES, P.C 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 3152874000
Plan sponsor’s address 354 EAST MAIN STREET, GOUVERNEUR, NY, 136420427

Signature of

Role Plan administrator
Date 2023-06-14
Name of individual signing SCOTT R. DAY, DDS
GOUVERNEUR DENTAL ASSOCIATES, P.C. 401K PLAN 2021 161344841 2022-07-27 GOUVERNEUR DENTAL ASSOCIATES, P.C 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 3152874000
Plan sponsor’s address 354 EAST MAIN STREET, GOUVERNEUR, NY, 136420427

Signature of

Role Plan administrator
Date 2022-07-27
Name of individual signing SCOTT R. DAY, DDS
GOUVERNEUR DENTAL ASSOCIATES, P.C. 401K PLAN 2020 161344841 2021-10-05 GOUVERNEUR DENTAL ASSOCIATES, P.C 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 3152874000
Plan sponsor’s address 354 EAST MAIN STREET, GOUVERNEUR, NY, 136420427

Signature of

Role Plan administrator
Date 2021-10-05
Name of individual signing SCOTT R. DAY, DDS
GOUVERNEUR DENTAL ASSOCIATES, P.C. 401K PLAN 2019 161344841 2020-07-14 GOUVERNEUR DENTAL ASSOCIATES, P.C 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 3152874000
Plan sponsor’s address 354 EAST MAIN STREET, GOUVERNEUR, NY, 136420427

Signature of

Role Plan administrator
Date 2020-07-14
Name of individual signing SCOTT R. DAY, DDS
GOUVERNEUR DENTAL ASSOCIATES, P.C. 401K PLAN 2018 161344841 2019-10-01 GOUVERNEUR DENTAL ASSOCIATES, P.C 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 3152874000
Plan sponsor’s address 354 EAST MAIN STREET, GOUVERNEUR, NY, 136420427

Signature of

Role Plan administrator
Date 2019-10-01
Name of individual signing SCOTT R. DAY, DDS
GOUVERNEUR DENTAL ASSOCIATES, P.C. 401K PLAN 2017 161344841 2018-07-24 GOUVERNEUR DENTAL ASSOCIATES, P.C 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 3152874000
Plan sponsor’s address 354 EAST MAIN STREET, GOUVERNEUR, NY, 136420427

Signature of

Role Plan administrator
Date 2018-07-24
Name of individual signing SCOTT R. DAY, DDS
GOUVERNEUR DENTAL ASSOCIATES, P.C. 401K PLAN 2016 161344841 2017-07-21 GOUVERNEUR DENTAL ASSOCIATES, P.C 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 3152874000
Plan sponsor’s address 354 EAST MAIN STREET, GOUVERNEUR, NY, 136420427

Signature of

Role Plan administrator
Date 2017-07-21
Name of individual signing SCOTT R. DAY, DDS
GOUVERNEUR DENTAL ASSOCIATES, P.C. 401K PLAN 2015 161344841 2016-10-13 GOUVERNEUR DENTAL ASSOCIATES, P.C 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 3152874000
Plan sponsor’s address 354 EAST MAIN STREET, GOUVERNEUR, NY, 136420427

Signature of

Role Plan administrator
Date 2016-10-13
Name of individual signing SCOTT R. DAY, DDS
GOUVERNEUR DENTAL ASSOCIATES, P.C. 401K PLAN 2014 161344841 2015-10-15 GOUVERNEUR DENTAL ASSOCIATES, P.C 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621210
Sponsor’s telephone number 3152874000
Plan sponsor’s address 354 EAST MAIN STREET, GOUVERNEUR, NY, 136420427

Signature of

Role Plan administrator
Date 2015-10-15
Name of individual signing SCOTT R. DAY, DDS

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 354 EAST MAIN ST, PO BOX 427, GOUVERNEUR, NY, United States, 13642

Chief Executive Officer

Name Role Address
SCOTT R DAY Chief Executive Officer 354 EAST MAIN ST, PO BOX 427, GOUVERNEUR, NY, United States, 13642

History

Start date End date Type Value
1993-04-13 1999-01-19 Address 26 WILLIAM STREET, GOUVERNEUR, NY, 13642, USA (Type of address: Chief Executive Officer)
1993-04-13 1999-01-19 Address 26 WILLIAM STREET, GOUVERNEUR, NY, 13642, USA (Type of address: Principal Executive Office)
1989-01-31 1999-01-19 Address 26 WILLIAM STREET, GOUVERNEUR, NY, 13642, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130122006256 2013-01-22 BIENNIAL STATEMENT 2013-01-01
110128003466 2011-01-28 BIENNIAL STATEMENT 2011-01-01
090112002706 2009-01-12 BIENNIAL STATEMENT 2009-01-01
070110002595 2007-01-10 BIENNIAL STATEMENT 2007-01-01
050214002060 2005-02-14 BIENNIAL STATEMENT 2005-01-01
030110002034 2003-01-10 BIENNIAL STATEMENT 2003-01-01
010118002368 2001-01-18 BIENNIAL STATEMENT 2001-01-01
990119002436 1999-01-19 BIENNIAL STATEMENT 1999-01-01
940119002959 1994-01-19 BIENNIAL STATEMENT 1994-01-01
930413002794 1993-04-13 BIENNIAL STATEMENT 1993-01-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2898187301 2020-04-29 0248 PPP 354 E. MAIN ST, GOUVERNEUR, NY, 13642-1512
Loan Status Date 2021-03-23
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 82750.31
Loan Approval Amount (current) 82750.31
Undisbursed Amount 0
Franchise Name -
Lender Location ID 47029
Servicing Lender Name Community Bank, National Association
Servicing Lender Address 45-49 Court St, CANTON, NY, 13617-1118
Rural or Urban Indicator R
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address GOUVERNEUR, SAINT LAWRENCE, NY, 13642-1512
Project Congressional District NY-21
Number of Employees 11
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 47029
Originating Lender Name Community Bank, National Association
Originating Lender Address CANTON, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 83398.71
Forgiveness Paid Date 2021-02-16

Date of last update: 27 Feb 2025

Sources: New York Secretary of State