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  5. POLASKI DENTAL GROUP, PLLC

POLASKI DENTAL GROUP, PLLC

Company Details

Name: POLASKI DENTAL GROUP, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 08 Jun 1995 (30 years ago)
Entity Number: 1929256
ZIP code: 12477
County: Ulster
Place of Formation: New York
Address: 8 ULSTER AVENUE, SAUGERTIES, NY, United States, 12477

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
POLASKI DENTAL GROUP PLLC 401(K) PLAN 2023 141783555 2024-07-31 POLASKI DENTAL GROUP PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 8452463070
Plan sponsor’s address 8 ULSTER AVENUE, SAUGERTIES, NY, 12477

Signature of
Role Plan administrator
Date 2024-07-31
Name of individual signing FARAH POLASKI
Role Employer/plan sponsor
Date 2024-07-31
Name of individual signing FARAH POLASKI
POLASKI DENTAL GROUP PLLC 401(K) PLAN 2022 141783555 2023-07-31 POLASKI DENTAL GROUP PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 8452463070
Plan sponsor’s address 8 ULSTER AVENUE, SAUGERTIES, NY, 12477

Signature of
Role Plan administrator
Date 2023-07-31
Name of individual signing FARAH POLASKI
Role Employer/plan sponsor
Date 2023-07-31
Name of individual signing FARAH POLASKI
POLASKI DENTAL GROUP PLLC 401(K) PLAN 2021 141783555 2022-10-14 POLASKI DENTAL GROUP PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 8452463070
Plan sponsor’s address 8 ULSTER AVENUE, SAUGERTIES, NY, 12477

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing FARAH POLASKI
POLASKI DENTAL GROUP PLLC 401(K) PLAN 2020 141783555 2021-10-15 POLASKI DENTAL GROUP PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 8452463070
Plan sponsor’s address 8 ULSTER AVENUE, SAUGERTIES, NY, 12477

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing FARAH POLASKI
POLASKI DENTAL GROUP PLLC 401(K) PLAN 2019 141783555 2020-10-13 POLASKI DENTAL GROUP PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 8452463070
Plan sponsor’s address 8 ULSTER AVENUE, SAUGERTIES, NY, 12477

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing FARAH POLASKI
POLASKI DENTAL GROUP PLLC 401(K) PLAN 2018 141783555 2019-08-20 POLASKI DENTAL GROUP PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 8452463070
Plan sponsor’s address 8 ULSTER AVENUE, SAUGERTIES, NY, 12477

Signature of
Role Plan administrator
Date 2019-08-20
Name of individual signing FARAH POLASKI
POLASKI DENTAL GROUP PLLC 401(K) PLAN 2017 141783555 2018-09-27 POLASKI DENTAL GROUP PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 8452463070
Plan sponsor’s address 8 ULSTER AVENUE, SAUGERTIES, NY, 12477

Signature of
Role Plan administrator
Date 2018-09-27
Name of individual signing FARAH POLASKI
POLASKI DENTAL GROUP PLLC 401(K) PLAN 2016 141783555 2017-06-01 POLASKI DENTAL GROUP PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 8452463070
Plan sponsor’s address 8 ULSTER AVENUE, SAUGERTIES, NY, 12477

Signature of
Role Plan administrator
Date 2017-06-01
Name of individual signing FARAH POLASKI
POLASKI DENTAL GROUP PLLC 401(K) PLAN 2015 141783555 2016-07-19 POLASKI DENTAL GROUP PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 8452463070
Plan sponsor’s address 8 ULSTER AVENUE, SAUGERTIES, NY, 12477

Signature of
Role Plan administrator
Date 2016-07-19
Name of individual signing FARAH POLASKI
POLASKI DENTAL GROUP PLLC 401(K) PLAN 2014 141783555 2015-07-08 POLASKI DENTAL GROUP PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 8452463070
Plan sponsor’s address 8 ULSTER AVENUE, SAUGERTIES, NY, 12477

Signature of
Role Plan administrator
Date 2015-07-08
Name of individual signing FARAH POLASKI

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 8 ULSTER AVENUE, SAUGERTIES, NY, United States, 12477

History

Start date End date Type Value
1997-06-18 2017-11-16 Address ROUTE 9W, BOX 378, LAKE KATRINE, NY, 12449, USA (Type of address: Service of Process)
1995-06-08 1997-06-18 Address 673 W SAUGERTIES WOODSTOCK RD, SAUGERTIES, NY, 12477, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
171116002033 2017-11-16 BIENNIAL STATEMENT 2017-06-01
010613002278 2001-06-13 BIENNIAL STATEMENT 2001-06-01
990603002030 1999-06-03 BIENNIAL STATEMENT 1999-06-01
970618002636 1997-06-18 BIENNIAL STATEMENT 1997-06-01
950608000555 1995-06-08 ARTICLES OF ORGANIZATION 1995-06-08

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9140877207 2020-04-28 0202 PPP 8 Ulster Avenue, Saugerties, NY, 12477
Loan Status Date 2021-07-08
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 77600
Loan Approval Amount (current) 77600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 46391
Servicing Lender Name Manufacturers and Traders Trust Company
Servicing Lender Address One M & T Plaza, 15th Fl, BUFFALO, NY, 14203
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Saugerties, ULSTER, NY, 12477-0001
Project Congressional District NY-19
Number of Employees 10
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 46391
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address BUFFALO, NY
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 78488.68
Forgiveness Paid Date 2021-06-24
7510538303 2021-01-28 0202 PPS 8 Ulster Ave, Saugerties, NY, 12477-1211
Loan Status Date 2021-11-06
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 77612
Loan Approval Amount (current) 77612
Undisbursed Amount 0
Franchise Name -
Lender Location ID 46391
Servicing Lender Name Manufacturers and Traders Trust Company
Servicing Lender Address One M & T Plaza, 15th Fl, BUFFALO, NY, 14203
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Saugerties, ULSTER, NY, 12477-1211
Project Congressional District NY-19
Number of Employees 11
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 46391
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address BUFFALO, NY
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 78171.23
Forgiveness Paid Date 2021-10-26

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Related by address

8 ULSTER AVENUE, SAUGERTIES, NY, United States, 12477

ELLEN RUSSELL FINGER RESIDENCE FOR WOMEN

Date of last update: 14 Mar 2025

Sources: New York Secretary of State

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