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PETER H. COLLINS, D.D.S., P.C.

Company Details

Name: PETER H. COLLINS, D.D.S., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 Nov 1972 (52 years ago)
Entity Number: 245697
ZIP code: 12180
County: Rensselaer
Place of Formation: New York
Address: 2119 BURDETT AVE, TROY, NY, United States, 12180

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PETER H. COLLINS, D.D.S., P.C. PROFIT SHARING PLAN 2016 141546983 2018-04-29 PETER H. COLLINS, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-10-01
Business code 621210
Sponsor’s telephone number 5182745015
Plan sponsor’s address 2119 BURDETT AVENUE, TROY, NY, 12180

Signature of

Role Plan administrator
Date 2018-04-29
Name of individual signing S SCOTT LUSHER
PETER H. COLLINS, D.D.S., P.C. PROFIT SHARING PLAN 2015 141546983 2016-12-14 PETER H. COLLINS, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-10-01
Business code 621210
Sponsor’s telephone number 5182745015
Plan sponsor’s address 2119 BURDETT AVENUE, TROY, NY, 12180

Signature of

Role Plan administrator
Date 2016-12-13
Name of individual signing PETER COLLINS
PETER H. COLLINS, D.D.S., P.C. PROFIT SHARING PLAN 2014 141546983 2016-04-14 PETER H. COLLINS, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-10-01
Business code 621210
Sponsor’s telephone number 5182745015
Plan sponsor’s address 2119 BURDETT AVENUE, TROY, NY, 12180

Signature of

Role Plan administrator
Date 2016-03-10
Name of individual signing PETER COLLINS
PETER H. COLLINS, D.D.S., P.C. PROFIT SHARING PLAN 2013 141546983 2015-04-16 PETER H. COLLINS, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-10-01
Business code 621210
Sponsor’s telephone number 5182745015
Plan sponsor’s address 2119 BURDETT AVENUE, TROY, NY, 12180

Signature of

Role Plan administrator
Date 2015-03-03
Name of individual signing PETER COLLINS
PETER H. COLLINS, D.D.S., P.C. PROFIT SHARING PLAN 2012 141546983 2014-01-30 PETER H. COLLINS, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-10-01
Business code 621210
Sponsor’s telephone number 5182745015
Plan sponsor’s address 2119 BURDETT AVENUE, TROY, NY, 12180

Signature of

Role Plan administrator
Date 2014-01-15
Name of individual signing PETER COLLINS
PETER H. COLLINS, D.D.S., P.C. PROFIT SHARING PLAN 2011 141546983 2013-01-16 PETER H. COLLINS, D.D.S., P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-10-01
Business code 621210
Sponsor’s telephone number 5182745015
Plan sponsor’s address 2119 BURDETT AVENUE, TROY, NY, 12180

Plan administrator’s name and address

Administrator’s EIN 141546983
Plan administrator’s name PETER H. COLLINS, D.D.S., P.C.
Plan administrator’s address 2119 BURDETT AVENUE, TROY, NY, 12180
Administrator’s telephone number 5182745015

Signature of

Role Plan administrator
Date 2013-01-09
Name of individual signing PETER COLLINS
PETER H. COLLINS, D.D.S., P.C. PROFIT SHARING PLAN 2010 141546983 2011-12-28 PETER H. COLLINS, D.D.S., P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-10-01
Business code 621210
Sponsor’s telephone number 5182745015
Plan sponsor’s address 2119 BURDETT AVENUE, TROY, NY, 12180

Plan administrator’s name and address

Administrator’s EIN 141546983
Plan administrator’s name PETER H. COLLINS, D.D.S., P.C.
Plan administrator’s address 2119 BURDETT AVENUE, TROY, NY, 12180
Administrator’s telephone number 5182745015

Signature of

Role Plan administrator
Date 2011-12-21
Name of individual signing PETER COLLINS
PETER H. COLLINS, D.D.S., P.C. PROFIT SHARING PLAN 2009 141546983 2011-01-05 PETER H. COLLINS, D.D.S., P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-10-01
Business code 621210
Sponsor’s telephone number 5182745015
Plan sponsor’s address 2119 BURDETT AVENUE, TROY, NY, 12180

Plan administrator’s name and address

Administrator’s EIN 141546983
Plan administrator’s name PETER H. COLLINS, D.D.S., P.C.
Plan administrator’s address 2119 BURDETT AVENUE, TROY, NY, 12180
Administrator’s telephone number 5182745015

Signature of

Role Plan administrator
Date 2011-01-03
Name of individual signing PETER COLLINS

Chief Executive Officer

Name Role Address
PETER H. COLLINS, DDS Chief Executive Officer 2119 BURDETT AVE, TROY, NY, United States, 12180

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2119 BURDETT AVE, TROY, NY, United States, 12180

History

Start date End date Type Value
1992-12-09 2002-10-30 Address 2119 BURDETT AVE, TROY, NY, 12180, USA (Type of address: Chief Executive Officer)
1980-10-02 2002-04-08 Name KEEGAN AND COLLINS, D.D.S., P.C.
1972-11-01 1980-10-02 Name JOHN A. KEEGAN, D.D.S., P.C.
1972-11-01 1992-12-09 Address 2119 BURDETT AVE., TROY, NY, 12180, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
121113006294 2012-11-13 BIENNIAL STATEMENT 2012-11-01
101123003108 2010-11-23 BIENNIAL STATEMENT 2010-11-01
081023002647 2008-10-23 BIENNIAL STATEMENT 2008-11-01
20070417034 2007-04-17 ASSUMED NAME CORP INITIAL FILING 2007-04-17
061025002272 2006-10-25 BIENNIAL STATEMENT 2006-11-01
041209002393 2004-12-09 BIENNIAL STATEMENT 2004-11-01
021030002455 2002-10-30 BIENNIAL STATEMENT 2002-11-01
020408000530 2002-04-08 CERTIFICATE OF AMENDMENT 2002-04-08
001108002451 2000-11-08 BIENNIAL STATEMENT 2000-11-01
981117002547 1998-11-17 BIENNIAL STATEMENT 1998-11-01

Date of last update: 08 Jan 2025

Sources: New York Secretary of State