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KEITH H. HASDAY, D.D.S., P.C.

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Company Details

Name: KEITH H. HASDAY, D.D.S., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 May 1990 (35 years ago)
Entity Number: 1448099
ZIP code: 11570
County: Nassau
Place of Formation: New York
Address: 132 n park ave, Rockville Centre, NY, United States, 11570
Principal Address: 132 N PARK AVE, ROCKVILLE CENTRE, NY, United States, 11570

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
KEITH H. HASDAY, DDS Chief Executive Officer 132 N PARK AVE, ROCKVILLE CENTRE, NY, United States, 11570

DOS Process Agent

Name Role Address
KEITH H. HASDAY, DDS DOS Process Agent 132 n park ave, Rockville Centre, NY, United States, 11570

National Provider Identifier

NPI Number:
1114789773
Certification Date:
2024-01-29

Authorized Person:

Name:
JENNY GARCIA ROCHA
Role:
SR CREDENTAILING TEAM LEAD
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
5166787248

Form 5500 Series

Employer Identification Number (EIN):
113015208
Plan Year:
2023
Number Of Participants:
25
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
26
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
27
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
22
Sponsors Telephone Number:

History

Start date End date Type Value
2024-05-01 2024-05-01 Address 132 N PARK AVE, ROCKVILLE CENTRE, NY, 11570, USA (Type of address: Chief Executive Officer)
2024-05-01 2024-12-31 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-12-19 2024-05-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-11-30 2024-05-01 Address 132 N PARK AVE, ROCKVILLE CENTRE, NY, 11570, USA (Type of address: Chief Executive Officer)
2023-11-30 2023-12-19 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
240501042544 2024-05-01 BIENNIAL STATEMENT 2024-05-01
231130019234 2023-11-30 BIENNIAL STATEMENT 2022-05-01
180507006137 2018-05-07 BIENNIAL STATEMENT 2018-05-01
160510006004 2016-05-10 BIENNIAL STATEMENT 2016-05-01
140602007267 2014-06-02 BIENNIAL STATEMENT 2014-05-01

Paycheck Protection Program

Jobs Reported:
20
Initial Approval Amount:
$199,310
Date Approved:
2020-04-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$199,310
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$202,138.56
Servicing Lender:
Signature Bank
Use of Proceeds:
Payroll: $199,310

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Date of last update: 15 Mar 2025

Sources: New York Secretary of State