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  5. PARK SOUTH DENTAL, PLLC

PARK SOUTH DENTAL, PLLC

Company Details

Name: PARK SOUTH DENTAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 31 Dec 1997 (27 years ago)
Entity Number: 2213092
ZIP code: 10462
County: Bronx
Place of Formation: New York
Address: 1530 UNIONPORT ROAD, BRONX, NY, United States, 10462

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PARK SOUTH DENTAL PLLC 401(K) PROFIT SHARING PLAN & TRUST 2023 262474804 2024-04-03 PARK SOUTH DENTAL PLLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7188922200
Plan sponsor’s address 1530 UNIONPORT RD, BRONX, NY, 10462

Signature of
Role Plan administrator
Date 2024-04-03
Name of individual signing PHILLIP LAM
PARK SOUTH DENTAL PLLC 401(K) PROFIT SHARING PLAN & TRUST 2022 262474804 2023-05-18 PARK SOUTH DENTAL PLLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7188922200
Plan sponsor’s address 1530 UNIONPORT RD, BRONX, NY, 10462

Signature of
Role Plan administrator
Date 2023-05-18
Name of individual signing PHILLIP LAM
PARK SOUTH DENTAL PLLC 401(K) PROFIT SHARING PLAN & TRUST 2021 262474804 2022-04-01 PARK SOUTH DENTAL PLLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7188922200
Plan sponsor’s address 1530 UNIONPORT RD, BRONX, NY, 10462

Signature of
Role Plan administrator
Date 2022-04-01
Name of individual signing PHILLIP LAM
PARK SOUTH DENTAL PLLC 401(K) PROFIT SHARING PLAN & TRUST 2020 262474804 2021-05-19 PARK SOUTH DENTAL PLLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7188922200
Plan sponsor’s address 1530 UNIONPORT RD, BRONX, NY, 10462

Signature of
Role Plan administrator
Date 2021-05-19
Name of individual signing PHILLIP LAM
PARK SOUTH DENTAL PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 262474804 2020-05-01 PARK SOUTH DENTAL PLLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7188922200
Plan sponsor’s address 1530 UNIONPORT RD, BRONX, NY, 10462

Signature of
Role Plan administrator
Date 2020-05-01
Name of individual signing PHILLIP LAM
PARK SOUTH DENTAL PLLC 401 K PROFIT SHARING PLAN TRUST 2018 262474804 2019-04-29 PARK SOUTH DENTAL PLLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7188922200
Plan sponsor’s address 1530 UNIONPORT RD, BRONX, NY, 10462

Signature of
Role Plan administrator
Date 2019-04-29
Name of individual signing PHILLIP LAM
PARK SOUTH DENTAL PLLC 401 K PROFIT SHARING PLAN TRUST 2017 262474804 2018-05-24 PARK SOUTH DENTAL PLLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7188922200
Plan sponsor’s address 1530 UNIONPORT RD, BRONX, NY, 10462

Signature of
Role Plan administrator
Date 2018-05-24
Name of individual signing PHILLIP LAM
PARK SOUTH DENTAL, PLLC 401(K) PLAN 2015 262474804 2017-11-02 PARK SOUTH DENTAL, PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 7188922200
Plan sponsor’s DBA name PARK SOUTH DENTAL, PLLC
Plan sponsor’s address 1530 UNIONPORT RD, BRONX, NY, 104627801

Signature of
Role Plan administrator
Date 2017-11-02
Name of individual signing PHILLIP LAM
Role Employer/plan sponsor
Date 2017-11-02
Name of individual signing PHILLIP LAM
PARK SOUTH DENTAL, PLLC 401(K) PLAN 2014 262474804 2015-07-29 PARK SOUTH DENTAL, PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 7188922200
Plan sponsor’s address 1530 UNIONPORT ROAD, BRONX, NY, 10462
PARK SOUTH DENTAL, PLLC 401(K) PLAN 2013 262474804 2014-07-10 PARK SOUTH DENTAL, PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 7188922200
Plan sponsor’s address 1530 UNIONPORT ROAD, BRONX, NY, 10462

Signature of
Role Plan administrator
Date 2014-07-10
Name of individual signing DIANE HEBERT

Agent

Name Role Address
JASMIN STERLING-GOULBOURNE Agent 1530 UNIONPORT ROAD, BRONX, NY, 10462

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1530 UNIONPORT ROAD, BRONX, NY, United States, 10462

History

Start date End date Type Value
2007-05-14 2007-12-19 Address 1530 UNIONPORT ROAD, BRONX, NY, 10462, USA (Type of address: Service of Process)
1997-12-31 2007-05-14 Address 1545 UNIONPORT ROAD, BRONX, NY, 10462, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
131212006553 2013-12-12 BIENNIAL STATEMENT 2013-12-01
120117002069 2012-01-17 BIENNIAL STATEMENT 2011-12-01
091208002783 2009-12-08 BIENNIAL STATEMENT 2009-12-01
071219000344 2007-12-19 CERTIFICATE OF CHANGE 2007-12-19
071210002058 2007-12-10 BIENNIAL STATEMENT 2007-12-01
070514002362 2007-05-14 BIENNIAL STATEMENT 2005-12-01
980302000101 1998-03-02 AFFIDAVIT OF PUBLICATION 1998-03-02
980302000100 1998-03-02 AFFIDAVIT OF PUBLICATION 1998-03-02
971231000431 1997-12-31 ARTICLES OF ORGANIZATION 1997-12-31

Related by officers

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Related by address

1530 UNIONPORT ROAD, BRONX, NY, United States, 10462

E. 29 HOME WORKS LTD.

Date of last update: 21 Jan 2025

Sources: New York Secretary of State

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