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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

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
2934596003 Small Business Administration 59.012 - 7(A) LOAN GUARANTEES No data No data TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Recipient PARK SOUTH DENTAL
Recipient Name Raw PARK SOUTH DENTAL
Recipient DUNS 785521253
Recipient Address 1545 UNIONPORT ROAD, BRONX, BRONX, NEW YORK, 10462-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 1568700.00
Link View Page

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6473417105 2020-04-14 0202 PPP 1530 Unionport Road, BRONX, NY, 10462
Loan Status Date 2021-04-06
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 150300
Loan Approval Amount (current) 215200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 47331
Servicing Lender Name Tompkins Community Bank
Servicing Lender Address 118 East Seneca St, ITHACA, NY, 14850
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address BRONX, BRONX, NY, 10462-0001
Project Congressional District NY-15
Number of Employees 16
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 47411
Originating Lender Name Tompkins Mahopac Bank, A Branch of Tompkins Community Bank
Originating Lender Address BREWSTER, NY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 217033.62
Forgiveness Paid Date 2021-03-03
3484918307 2021-01-22 0202 PPS 1530 Unionport Rd, Bronx, NY, 10462-7801
Loan Status Date 2021-10-06
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 211885
Loan Approval Amount (current) 211885
Undisbursed Amount 0
Franchise Name -
Lender Location ID 47331
Servicing Lender Name Tompkins Community Bank
Servicing Lender Address 118 East Seneca St, ITHACA, NY, 14850
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Bronx, BRONX, NY, 10462-7801
Project Congressional District NY-14
Number of Employees 15
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 47411
Originating Lender Name Tompkins Mahopac Bank, A Branch of Tompkins Community Bank
Originating Lender Address BREWSTER, NY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 213208.56
Forgiveness Paid Date 2021-09-21

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Related by address

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

E. 29 HOME WORKS LTD.

Date of last update: 31 Mar 2025

Sources: New York Secretary of State

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