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JACK S. ROTH DDS, P.C.

JACK S. ROTH DDS, P.C.

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Company Details

Name:	JACK S. ROTH DDS, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	16 Jan 1996 (30 years ago)
Entity Number:	1990050
ZIP code:	11566
County:	New York
Place of Formation:	New York
Address:	3111 CAMDEN LANE, MERRICK, NY, United States, 11566
Principal Address:	133 EAST 58TH ST, #308, NEW YORK, NY, United States, 10022

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	3111 CAMDEN LANE, MERRICK, NY, United States, 11566

Chief Executive Officer

Name	Role	Address
JACK S ROTH	Chief Executive Officer	133 EAST 58TH ST, #308, NEW YORK, NY, United States, 10022

Form 5500 Series

Employer Identification Number (EIN):

133868573

Plan Year:

2021

Number Of Participants:

4

Sponsors Telephone Number:

2128382011

File:

Plan Year:

2021

Number Of Participants:

3

Sponsors Telephone Number:

2128382011

File:

Plan Year:

2020

Number Of Participants:

3

Sponsors Telephone Number:

2128382011

File:

Plan Year:

2020

Number Of Participants:

2

Sponsors Telephone Number:

2128382011

File:

Plan Year:

2019

Number Of Participants:

3

Sponsors Telephone Number:

2128382011

File:

Filings

Filing Number	Date Filed	Type	Effective Date
140409002149	2014-04-09	BIENNIAL STATEMENT	2014-01-01
120222002092	2012-02-22	BIENNIAL STATEMENT	2012-01-01
100414003101	2010-04-14	BIENNIAL STATEMENT	2010-01-01
080116002787	2008-01-16	BIENNIAL STATEMENT	2008-01-01
060214002683	2006-02-14	BIENNIAL STATEMENT	2006-01-01

Paycheck Protection Program

Jobs Reported:

2

Initial Approval Amount:

$41,400

Date Approved:

2021-02-19

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$41,400

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$41,814

Servicing Lender:

Citibank, N.A.

Use of Proceeds:

Payroll: $41,400

Jobs Reported:

2

Initial Approval Amount:

$41,400

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$41,400

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$41,788.7

Servicing Lender:

Citibank, N.A.

Use of Proceeds:

Payroll: $41,400

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Date of last update: 14 Mar 2025

Sources: New York Secretary of State