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  5. NEW YORK STATE DENTAL ASSOCIATION, INC.

NEW YORK STATE DENTAL ASSOCIATION, INC.

Company Details

Name: NEW YORK STATE DENTAL ASSOCIATION, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 26 Mar 1997 (28 years ago)
Entity Number: 2127133
ZIP code: 11756
County: Nassau
Place of Formation: New York
Address: 93 DIVISION AVENUE, LEVITTOWN, NY, United States, 11756

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NEW YORK STATE DENTAL ASSOCIATION RETIREMENT PLAN 2023 141434154 2024-07-29 NEW YORK STATE DENTAL ASSOCIATION 32
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 813000
Sponsor’s telephone number 5184650044
Plan sponsor’s address 20 CORPORATE WOODS BLVD., SUITE 602, ALBANY, NY, 12211

Signature of
Role Plan administrator
Date 2024-07-29
Name of individual signing MICHAEL HERRMANN
Role Employer/plan sponsor
Date 2024-07-29
Name of individual signing MICHAEL HERRMANN
NEW YORK STATE DENTAL ASSOCIATION RETIREMENT PLAN 2022 141434154 2023-07-18 NEW YORK STATE DENTAL ASSOCIATION 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 813000
Sponsor’s telephone number 5184650044
Plan sponsor’s address 20 CORPORATE WOODS BLVD., SUITE 602, ALBANY, NY, 12211

Signature of
Role Plan administrator
Date 2023-07-18
Name of individual signing MICHAEL HERRMANN
Role Employer/plan sponsor
Date 2023-07-18
Name of individual signing MICHAEL HERRMANN
NEW YORK STATE DENTAL ASSOCIATION RETIREMENT PLAN 2021 141434154 2022-07-20 NEW YORK STATE DENTAL ASSOCIATION 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 813000
Sponsor’s telephone number 5184650044
Plan sponsor’s address 20 CORPORATE WOODS BLVD., SUITE 602, ALBANY, NY, 12211

Signature of
Role Plan administrator
Date 2022-07-20
Name of individual signing MICHAEL HERRMANN
Role Employer/plan sponsor
Date 2022-07-20
Name of individual signing MICHAEL HERRMANN
NEW YORK STATE DENTAL ASSOCIATION RETIREMENT PLAN 2020 141434154 2021-07-27 NEW YORK STATE DENTAL ASSOCIATION 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 813000
Sponsor’s telephone number 5184650044
Plan sponsor’s address 20 CORPORATE WOODS BLVD., SUITE 602, ALBANY, NY, 12211

Signature of
Role Plan administrator
Date 2021-07-27
Name of individual signing MICHAEL HERRMANN
Role Employer/plan sponsor
Date 2021-07-27
Name of individual signing MICHAEL HERRMANN
NEW YORK STATE DENTAL ASSOCIATION RETIREMENT PLAN 2019 141434154 2020-07-09 NEW YORK STATE DENTAL ASSOCIATION 34
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 813000
Sponsor’s telephone number 5184650044
Plan sponsor’s address 20 CORPORATE WOODS BLVD., SUITE 602, ALBANY, NY, 12211

Signature of
Role Plan administrator
Date 2020-07-09
Name of individual signing MICHAEL HERRMANN
Role Employer/plan sponsor
Date 2020-07-09
Name of individual signing MICHAEL HERRMANN
NEW YORK STATE DENTAL ASSOCIATION RETIREMENT PLAN 2018 141434154 2019-08-15 NEW YORK STATE DENTAL ASSOCIATION 35
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 813000
Sponsor’s telephone number 5184650044
Plan sponsor’s address 20 CORPORATE WOODS BLVD., SUITE 602, ALBANY, NY, 12211

Signature of
Role Plan administrator
Date 2019-08-15
Name of individual signing MICHAEL HERRMANN
Role Employer/plan sponsor
Date 2019-08-15
Name of individual signing MICHAEL HERRMANN
NEW YORK STATE DENTAL ASSOCIATION RETIREMENT PLAN 2017 141434154 2018-07-23 NEW YORK STATE DENTAL ASSOCIATION 36
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 813000
Sponsor’s telephone number 5184650044
Plan sponsor’s address 20 CORPORATE WOODS BLVD., SUITE 602, ALBANY, NY, 12211

Signature of
Role Plan administrator
Date 2018-07-23
Name of individual signing MICHAEL HERRMANN
Role Employer/plan sponsor
Date 2018-07-23
Name of individual signing MICHAEL HERRMANN
NEW YORK STATE DENTAL ASSOCIATION RETIREMENT PLAN 2016 141434154 2017-09-12 NEW YORK STATE DENTAL ASSOCIATION 33
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 813000
Sponsor’s telephone number 5184650044
Plan sponsor’s address 20 CORPORATE WOODS BLVD., SUITE 602, ALBANY, NY, 12211

Signature of
Role Plan administrator
Date 2017-09-12
Name of individual signing MICHAEL HERRMANN
Role Employer/plan sponsor
Date 2017-09-12
Name of individual signing NEW YORK STATE DENTAL ASSOCIATION
NEW YORK STATE DENTAL ASSOCIATION RETIREMENT PLAN 2015 141434154 2016-10-03 NEW YORK STATE DENTAL ASSOCIATION 35
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 813000
Sponsor’s telephone number 5184650044
Plan sponsor’s address 20 CORPORATE WOODS BLVD., SUITE 602, ALBANY, NY, 12211

Signature of
Role Plan administrator
Date 2016-10-03
Name of individual signing MICHAEL HERRMANN
NEW YORK STATE DENTAL ASSOCIATION RETIREMENT PLAN 2014 141434154 2015-06-08 NEW YORK STATE DENTAL ASSOCIATION 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 813000
Sponsor’s telephone number 5184650044
Plan sponsor’s address 20 CORPORATE WOODS BLVD., SUITE 602, ALBANY, NY, 12211

Signature of
Role Plan administrator
Date 2015-06-08
Name of individual signing MICHAEL HERRMANN
Role Employer/plan sponsor
Date 2015-06-08
Name of individual signing MICHAEL HERRMANN

DOS Process Agent

Name Role Address
C/O DAVID OSTREICHER, D.D.S. DOS Process Agent 93 DIVISION AVENUE, LEVITTOWN, NY, United States, 11756

Filings

Filing Number Date Filed Type Effective Date
970326000750 1997-03-26 CERTIFICATE OF INCORPORATION 1997-03-26

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
14-1434154 Corporation Unconditional Exemption 20 CORPORATE WOODS BLVD STE 602, ALBANY, NY, 12211-2396 1942-11
In Care of Name -
Group Exemption Number 0000
Subsection Board of Trade, Business League, Chamber of Commerce, Real Estate Board
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Educational Organization, Local Association of Employees, Horticultural Organization, Business League, Voluntary Employees' Beneficiary Association (Govt. Emps.), Mutual Ditch or Irrigation Co., Cemetery Company, Other Mutual Corp. or Assoc.
Deductibility Contributions are not deductible.
Foundation All organizations except 501(c)(3)
Tax Period 2023-12
Asset 10,000,000 to 49,999,999
Income 5,000,000 to 9,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 14661410
Income Amount 6012417
Form 990 Revenue Amount 4798517
National Taxonomy of Exempt Entities -
Sort Name -

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name NEW YORK STATE DENTAL ASSOCIATION
EIN 14-1434154
Tax Period 202212
Filing Type E
Return Type 990O
File View File
Organization Name NEW YORK STATE DENTAL ASSOCIATION
EIN 14-1434154
Tax Period 202112
Filing Type E
Return Type 990O
File View File
Organization Name NEW YORK STATE DENTAL ASSOCIATION
EIN 14-1434154
Tax Period 201912
Filing Type E
Return Type 990O
File View File
Organization Name NEW YORK STATE DENTAL ASSOCIATION
EIN 14-1434154
Tax Period 201812
Filing Type E
Return Type 990O
File View File
Organization Name NEW YORK STATE DENTAL ASSOCIATION
EIN 14-1434154
Tax Period 201712
Filing Type E
Return Type 990O
File View File
Organization Name NEW YORK STATE DENTAL ASSOCIATION
EIN 14-1434154
Tax Period 201612
Filing Type E
Return Type 990O
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8959188506 2021-03-10 0248 PPP 20 Corporate Woods Blvd Ste 602, Albany, NY, 12211-2396
Loan Status Date 2021-09-25
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 394968
Loan Approval Amount (current) 394968
Undisbursed Amount 0
Franchise Name -
Lender Location ID 56102
Servicing Lender Name KeyBank National Association
Servicing Lender Address 127 Public Sq, CLEVELAND, OH, 44114-1217
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Albany, ALBANY, NY, 12211-2396
Project Congressional District NY-20
Number of Employees 18
NAICS code 813910
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type 501(c)6 � Non Profit Membership
Originating Lender ID 56102
Originating Lender Name KeyBank National Association
Originating Lender Address CLEVELAND, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 396580.34
Forgiveness Paid Date 2021-08-19

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State

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