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GREAT NECK/MID-ISLAND DENTAL ASSOCIATES LLP

Company Details

Name: GREAT NECK/MID-ISLAND DENTAL ASSOCIATES LLP
Jurisdiction: New York
Legal type: DOMESTIC REGISTERED LIMITED LIABILITY PARTNERSHIP
Status: Active
Date of registration: 30 Dec 1996 (28 years ago)
Entity Number: 2097097
ZIP code: 11021
County: Blank
Place of Formation: New York
Address: 611 NORTHERN BLVD., SUITE 100, GREAT NECK, NY, United States, 11021

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GREAT NECK DENTAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST 2020 112483361 2021-06-03 GREAT NECK/MID-ISLAND DENTAL ASSOCIATES LLP 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 5164875500
Plan sponsor’s address 611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208

Plan administrator’s name and address

Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES INC.
Plan administrator’s address 1800 WALT WHITMAN RD STE 110, MELVILLE, NY, 117473065
Administrator’s telephone number 6312490500

Signature of

Role Plan administrator
Date 2021-06-03
Name of individual signing ANTHONY WARD AS ATTORNEY
GREAT NECK DENTAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST 2019 112483361 2020-03-09 GREAT NECK/MID-ISLAND DENTAL ASSOCIATES LLP 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 5164875500
Plan sponsor’s address 611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208

Plan administrator’s name and address

Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES INC.
Plan administrator’s address 1800 WALT WHITMAN RD STE 110, MELVILLE, NY, 117473065
Administrator’s telephone number 6312490500

Signature of

Role Plan administrator
Date 2020-03-09
Name of individual signing ANTHONY WARD AS ATTORNEY
GREAT NECK DENTAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST 2018 112483361 2019-07-29 GREAT NECK/MID-ISLAND DENTAL ASSOCIATES LLP 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 5164875500
Plan sponsor’s address 611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208

Plan administrator’s name and address

Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES INC.
Plan administrator’s address 1800 WALT WHITMAN RD STE 110, MELVILLE, NY, 117473065
Administrator’s telephone number 6312490500

Signature of

Role Plan administrator
Date 2019-07-29
Name of individual signing ANTHONY WARD
GREAT NECK DENTAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST 2017 112483361 2018-02-13 GREAT NECK/MID-ISLAND DENTAL ASSOCIATES LLP 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 5164875500
Plan sponsor’s mailing address 611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208
Plan sponsor’s address 611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208

Plan administrator’s name and address

Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES INC.
Plan administrator’s address 1800 WALT WHITMAN RD STE 110, MELVILLE, NY, 11747
Administrator’s telephone number 6312490500

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 18
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 18
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2018-02-13
Name of individual signing ANTHONY WARD
Valid signature Filed with authorized/valid electronic signature
GREAT NECK DENTAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST 2016 112483361 2017-01-04 GREAT NECK/MID-ISLAND DENTAL ASSOCIATES LLP 58
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 5164875500
Plan sponsor’s mailing address 611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208
Plan sponsor’s address 611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208

Plan administrator’s name and address

Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES INC.
Plan administrator’s address 1800 WALT WHITMAN RD STE 110, MELVILLE, NY, 11747
Administrator’s telephone number 6312490500

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 21
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 21
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2017-01-04
Name of individual signing ANTHONY WARD
Valid signature Filed with authorized/valid electronic signature
GREAT NECK DENTAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST 2015 112483361 2016-04-09 GREAT NECK/MID-ISLAND DENTAL ASSOCIATES LLP 71
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 5164875500
Plan sponsor’s mailing address 611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208
Plan sponsor’s address 611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208

Plan administrator’s name and address

Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES INC.
Plan administrator’s address 1800 WALT WHITMAN RD STE 110, MELVILLE, NY, 11747
Administrator’s telephone number 6312490500

Number of participants as of the end of the plan year

Active participants 51
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 7
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 54
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2016-04-09
Name of individual signing ANTHONY WARD
Valid signature Filed with authorized/valid electronic signature
GREAT NECK DENTAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST 2014 112483361 2015-03-17 GREAT NECK/MID-ISLAND DENTAL ASSOCIATES LLP 64
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 5164875500
Plan sponsor’s mailing address 611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208
Plan sponsor’s address 611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208

Plan administrator’s name and address

Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES INC.
Plan administrator’s address 1800 WALT WHITMAN RD STE 110, MELVILLE, NY, 11747
Administrator’s telephone number 6312490500

Number of participants as of the end of the plan year

Active participants 44
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 10
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 51
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2015-03-17
Name of individual signing ANTHONY WARD
Valid signature Filed with authorized/valid electronic signature
GREAT NECK DENTAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST 2013 112483361 2014-05-13 GREAT NECK/MID-ISLAND DENTAL ASSOCIATES LLP 62
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 5164875500
Plan sponsor’s mailing address 611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208
Plan sponsor’s address 611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208

Number of participants as of the end of the plan year

Active participants 49
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 5
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 51
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of

Role Plan administrator
Date 2014-05-13
Name of individual signing ARNOLD TYRANGEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-13
Name of individual signing ARNOLD TYRANGEL
Valid signature Filed with authorized/valid electronic signature
GREAT NECK DENTAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST 2012 112483361 2013-03-27 GREAT NECK/MID-ISLAND DENTAL ASSOCIATES LLP 63
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 5164875500
Plan sponsor’s mailing address 611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208
Plan sponsor’s address 611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208

Number of participants as of the end of the plan year

Active participants 49
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 8
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 54
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2013-03-26
Name of individual signing ARNOLD TYRANGEL
Valid signature Filed with authorized/valid electronic signature
GREAT NECK DENTAL ASSOCIATES 401(K) PROFIT SHARING PLAN AND TRUST 2011 112483361 2012-07-13 GREAT NECK/MID-ISLAND DENTAL ASSOCIATES LLP 63
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 5164875500
Plan sponsor’s mailing address 611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208
Plan sponsor’s address 611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208

Plan administrator’s name and address

Administrator’s EIN 112483361
Plan administrator’s name GREAT NECK/MID-ISLAND DENTAL ASSOCIATES LLP
Plan administrator’s address 611 NORTHERN BLVD STE 100, GREAT NECK, NY, 110215208
Administrator’s telephone number 5164875500

Number of participants as of the end of the plan year

Active participants 51
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 6
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 54
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2012-07-13
Name of individual signing ARNOLD TYRANGEL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PAUL GRUNSEICH Agent 611 NORTHERN BLVD., SUITE 100, GREAT NECK, NY, 11021

DOS Process Agent

Name Role Address
THE PARTNERSHIP DOS Process Agent 611 NORTHERN BLVD., SUITE 100, GREAT NECK, NY, United States, 11021

History

Start date End date Type Value
2001-11-19 2006-11-08 Address 23-91 BELL AVE., BAYSIDE, NY, 11360, USA (Type of address: Principal Executive Office)
1996-12-30 2010-10-25 Address 23-91 BELL BOULEVARD, BAYSIDE, NY, 11360, USA (Type of address: Registered Agent)
1996-12-30 2010-10-25 Address 23-91 BELL BOULEVARD, BAYSIDE, NY, 11360, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
170217002029 2017-02-17 FIVE YEAR STATEMENT 2016-12-01
111205002330 2011-12-05 FIVE YEAR STATEMENT 2011-12-01
101025000669 2010-10-25 CERTIFICATE OF AMENDMENT 2010-10-25
061108002188 2006-11-08 FIVE YEAR STATEMENT 2006-12-01
011119002237 2001-11-19 FIVE YEAR STATEMENT 2001-12-01
970415000055 1997-04-15 AFFIDAVIT OF PUBLICATION 1997-04-15
970415000053 1997-04-15 AFFIDAVIT OF PUBLICATION 1997-04-15
961230000468 1996-12-30 NOTICE OF REGISTRATION 1996-12-30

Date of last update: 21 Jan 2025

Sources: New York Secretary of State