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  5. THOMAS S. CLARK, DMD, P.C.

THOMAS S. CLARK, DMD, P.C.

Company Details

Name: THOMAS S. CLARK, DMD, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Aug 1992 (32 years ago)
Entity Number: 1660130
ZIP code: 14618
County: Monroe
Place of Formation: New York
Address: 1360 MONROE AVENUE, ROCHESTER, NY, United States, 14618

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
THOMAS S CLARK DMD P C 401 K PROFIT SHARING PLAN TRUST 2015 161423862 2016-07-16 THOMAS S CLARK DMD P C 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5852448100
Plan sponsor’s address 1360 MONROE AVE, ROCHESTER, NY, 146181006

Signature of
Role Plan administrator
Date 2016-07-16
Name of individual signing THOMAS CLARK
THOMAS S CLARK DMD P C 401 K PROFIT SHARING PLAN TRUST 2014 161423862 2015-07-24 THOMAS S CLARK DMD P C 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5852448100
Plan sponsor’s address 1360 MONROE AVE, ROCHESTER, NY, 146181006

Signature of
Role Plan administrator
Date 2015-07-24
Name of individual signing THOMAS CLARK
THOMAS S CLARK DMD P C 401 K PROFIT SHARING PLAN TRUST 2013 161423862 2014-07-30 THOMAS S CLARK DMD P C 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5852448100
Plan sponsor’s address 1360 MONROE AVE, ROCHESTER, NY, 146181006

Signature of
Role Plan administrator
Date 2014-07-30
Name of individual signing THOMAS S. CLARK, DMD
THOMAS S CLARK DMD P C 401 K PROFIT SHARING PLAN TRUST 2012 161423862 2013-07-29 THOMAS S CLARK DMD P C 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5852448100
Plan sponsor’s address 1360 MONROE AVE, ROCHESTER, NY, 146181006

Signature of
Role Plan administrator
Date 2013-07-29
Name of individual signing THOMAS S CLARK DMD P C
THOMAS S CLARK DMD P C 401 K PROFIT SHARING PLAN TRUST 2011 161423862 2012-07-30 THOMAS S CLARK DMD P C 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5852448100
Plan sponsor’s address 1360 MONROE AVE, ROCHESTER, NY, 146181006

Plan administrator’s name and address
Administrator’s EIN 161423862
Plan administrator’s name THOMAS S CLARK DMD P C
Plan administrator’s address 1360 MONROE AVE, ROCHESTER, NY, 146181006
Administrator’s telephone number 5852448100

Signature of
Role Plan administrator
Date 2012-07-30
Name of individual signing THOMAS S CLARK DMD P C
THOMAS S CLARK DMD P C 401 K PROFIT SHARING PLAN TRUST 2010 161423862 2011-07-29 THOMAS S CLARK DMD P C 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5852448100
Plan sponsor’s address 1360 MONROE AVE, ROCHESTER, NY, 146181006

Plan administrator’s name and address
Administrator’s EIN 161423862
Plan administrator’s name THOMAS S CLARK DMD P C
Plan administrator’s address 1360 MONROE AVE, ROCHESTER, NY, 146181006
Administrator’s telephone number 5852448100

Signature of
Role Plan administrator
Date 2011-07-29
Name of individual signing THOMAS S CLARK DMD P C
THOMAS S CLARK DMD P C 2009 161423862 2010-08-16 THOMAS S CLARK DMD P C 9
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5852448100
Plan sponsor’s address 1360 MONROE AVE, ROCHESTER, NY, 146181006

Plan administrator’s name and address
Administrator’s EIN 161423862
Plan administrator’s name THOMAS S CLARK DMD P C
Plan administrator’s address 1360 MONROE AVE, ROCHESTER, NY, 146181006
Administrator’s telephone number 5852448100

Signature of
Role Plan administrator
Date 2010-08-16
Name of individual signing THOMAS S CLARK DMD P C
THOMAS S CLARK DMD P C 2009 161423862 2010-08-06 THOMAS S CLARK DMD P C 9
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5852448100
Plan sponsor’s address 1360 MONROE AVE, ROCHESTER, NY, 146181006

Plan administrator’s name and address
Administrator’s EIN 161423862
Plan administrator’s name THOMAS S CLARK DMD P C
Plan administrator’s address 1360 MONROE AVE, ROCHESTER, NY, 146181006
Administrator’s telephone number 5852448100

Signature of
Role Plan administrator
Date 2010-08-06
Name of individual signing THOMAS S CLARK DMD P C
THOMAS S CLARK DMD P C 2009 161423862 2010-08-16 THOMAS S CLARK DMD P C 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5852448100
Plan sponsor’s address 1360 MONROE AVE, ROCHESTER, NY, 146181006

Plan administrator’s name and address
Administrator’s EIN 161423862
Plan administrator’s name THOMAS S CLARK DMD P C
Plan administrator’s address 1360 MONROE AVE, ROCHESTER, NY, 146181006
Administrator’s telephone number 5852448100

Signature of
Role Plan administrator
Date 2010-08-16
Name of individual signing THOMAS S CLARK DMD P C

Chief Executive Officer

Name Role Address
THOMAS S CLARK, DMD Chief Executive Officer 1360 MONROE AVENUE, ROCHESTER, NY, United States, 14618

DOS Process Agent

Name Role Address
THOMAS S. CLARK, DMD, P.C. DOS Process Agent 1360 MONROE AVENUE, ROCHESTER, NY, United States, 14618

History

Start date End date Type Value
2016-08-17 2020-08-21 Address 1360 MONROE AVENUE, ROCHESTER, NY, 14618, USA (Type of address: Service of Process)
2010-09-07 2016-08-17 Address 1360 MONROE AVENUE, ROCHESTER, NY, 14618, 1006, USA (Type of address: Service of Process)
1998-08-12 2010-09-07 Address 1360 MONROE AVE, ROCHESTER, NY, 14618, 1006, USA (Type of address: Chief Executive Officer)
1998-08-12 2010-09-07 Address 1360 MONROE AVE, ROCHESTER, NY, 14618, 1006, USA (Type of address: Service of Process)
1998-08-12 2010-09-07 Address 1360 MONROE AVE, ROCHESTER, NY, 14618, 1006, USA (Type of address: Principal Executive Office)
1996-09-24 1998-08-12 Address 900 WINTON RD S, ROCHESTER, NY, 14618, 1628, USA (Type of address: Chief Executive Officer)
1996-09-24 1998-08-12 Address 900 WINTON RD S, ROCHESTER, NY, 14618, 1628, USA (Type of address: Principal Executive Office)
1996-09-24 1998-08-12 Address 900 WINTON RD S, ROCHESTER, NY, 14618, 1628, USA (Type of address: Service of Process)
1992-08-19 1996-09-24 Address 900 WINTON ROAD SOUTH, ROCHESTER, NY, 14618, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200821060005 2020-08-21 BIENNIAL STATEMENT 2020-08-01
180820006372 2018-08-20 BIENNIAL STATEMENT 2018-08-01
160817006314 2016-08-17 BIENNIAL STATEMENT 2016-08-01
140811006031 2014-08-11 BIENNIAL STATEMENT 2014-08-01
120824002574 2012-08-24 BIENNIAL STATEMENT 2012-08-01
100907002563 2010-09-07 BIENNIAL STATEMENT 2010-08-01
080812002659 2008-08-12 BIENNIAL STATEMENT 2008-08-01
060912002176 2006-09-12 BIENNIAL STATEMENT 2006-08-01
040927002611 2004-09-27 BIENNIAL STATEMENT 2004-08-01
020830002281 2002-08-30 BIENNIAL STATEMENT 2002-08-01

Related by officers

No related officers

Related by address

1360 MONROE AVENUE, ROCHESTER, NY, United States, 14618

JANE RUOFF, PHD, PSYCHOLOGICAL SERVICES, PLLC

Date of last update: 04 Jan 2025

Sources: New York Secretary of State

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