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  5. FORTH-TROMBLEE, DENTAL ASSOCIATES, PLLC

FORTH-TROMBLEE, DENTAL ASSOCIATES, PLLC

Company Details

Name: FORTH-TROMBLEE, DENTAL ASSOCIATES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 06 Dec 2000 (24 years ago)
Entity Number: 2580845
ZIP code: 13212
County: Onondaga
Place of Formation: New York
Address: 5241 WITZ DRIVE, N SYRACUSE, NY, United States, 13212

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC SAFE HARBOR 401(K) PLAN 2023 161597692 2024-06-06 FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621210
Sponsor’s telephone number 3154584794
Plan sponsor’s address 5241 WITZ DR., NORTH SYRACUSE, NY, 13212

Signature of
Role Plan administrator
Date 2024-06-06
Name of individual signing BRIAN TROMBLEE
FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC CASH BALANCE PLAN 2023 161597692 2024-08-22 FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 3154584794
Plan sponsor’s address 5241 WITZ DR., NORTH SYRACUSE, NY, 13212

Signature of
Role Plan administrator
Date 2024-08-22
Name of individual signing BRIAN TROMBLEE
FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC CASH BALANCE PLAN 2022 161597692 2023-06-29 FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 3154584794
Plan sponsor’s address 5241 WITZ DR., NORTH SYRACUSE, NY, 13212

Signature of
Role Plan administrator
Date 2023-06-29
Name of individual signing BRIAN TROMBLEE
FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC SAFE HARBOR 401(K) PLAN 2022 161597692 2023-04-03 FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621210
Sponsor’s telephone number 3154584794
Plan sponsor’s address 5241 WITZ DR., NORTH SYRACUSE, NY, 13212

Signature of
Role Plan administrator
Date 2023-04-03
Name of individual signing BRIAN TROMBLEE
FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC CASH BALANCE PLAN 2021 161597692 2022-07-19 FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 3154584794
Plan sponsor’s address 5241 WITZ DR., NORTH SYRACUSE, NY, 13212

Signature of
Role Plan administrator
Date 2022-07-19
Name of individual signing BRIAN TROMBLEE
FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC SAFE HARBOR 401(K) PLAN 2021 161597692 2022-07-15 FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621210
Sponsor’s telephone number 3154584794
Plan sponsor’s address 5241 WITZ DR., NORTH SYRACUSE, NY, 13212

Signature of
Role Plan administrator
Date 2022-07-14
Name of individual signing BRIAN TROMBLEE
Role Employer/plan sponsor
Date 2022-07-14
Name of individual signing BRIAN TROMBLEE
FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC SAFE HARBOR 401(K) PLAN 2020 161597692 2021-08-29 FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621210
Sponsor’s telephone number 3154584794
Plan sponsor’s address 5241 WITZ DR., NORTH SYRACUSE, NY, 13212

Signature of
Role Plan administrator
Date 2021-08-29
Name of individual signing BRIAN TROMBLEE
Role Employer/plan sponsor
Date 2021-08-29
Name of individual signing BRIAN TROMBLEE
FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC SAFE HARBOR 401(K) PLAN 2019 161597692 2020-06-23 FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621210
Sponsor’s telephone number 3154584794
Plan sponsor’s address 5241 WITZ DR., NORTH SYRACUSE, NY, 13212

Signature of
Role Plan administrator
Date 2020-06-22
Name of individual signing BRIAN TROMBLEE
Role Employer/plan sponsor
Date 2020-06-22
Name of individual signing BRIAN TROMBLEE
FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC SAFE HARBOR 401(K) PLAN 2018 161597692 2019-08-12 FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621210
Sponsor’s telephone number 3154584794
Plan sponsor’s address 5241 WITZ DR., NORTH SYRACUSE, NY, 13212

Signature of
Role Plan administrator
Date 2019-08-12
Name of individual signing BRIAN TROMBLEE
Role Employer/plan sponsor
Date 2019-08-12
Name of individual signing BRIAN TROMBLEE
FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC SAFE HARBOR 401(K) PLAN 2017 161597692 2018-06-28 FORTH-TROMBLEE DENTAL ASSOCIATES, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621210
Sponsor’s telephone number 3154584794
Plan sponsor’s address 5241 WITZ DR., NORTH SYRACUSE, NY, 13212

Signature of
Role Plan administrator
Date 2018-06-28
Name of individual signing BRIAN TROMBLEE
Role Employer/plan sponsor
Date 2018-06-28
Name of individual signing BRIAN TROMBLEE

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 5241 WITZ DRIVE, N SYRACUSE, NY, United States, 13212

History

Start date End date Type Value
2006-12-01 2010-12-08 Address ATTN: MEMBER, 3903 BREWERTON ROAD, N SYRACUSE, NY, 13212, USA (Type of address: Service of Process)
2000-12-06 2006-12-01 Address ATTN MEMBER, 3903 BREWERTON ROAD, NORTH SYRACUSE, NY, 13212, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
201209060023 2020-12-09 BIENNIAL STATEMENT 2020-12-01
181212006307 2018-12-12 BIENNIAL STATEMENT 2018-12-01
161205006472 2016-12-05 BIENNIAL STATEMENT 2016-12-01
141222006417 2014-12-22 BIENNIAL STATEMENT 2014-12-01
121212006259 2012-12-12 BIENNIAL STATEMENT 2012-12-01
101208002530 2010-12-08 BIENNIAL STATEMENT 2010-12-01
081118002460 2008-11-18 BIENNIAL STATEMENT 2008-12-01
061201002266 2006-12-01 BIENNIAL STATEMENT 2006-12-01
041202002528 2004-12-02 BIENNIAL STATEMENT 2004-12-01
021119002157 2002-11-19 BIENNIAL STATEMENT 2002-12-01

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
4273915008 Small Business Administration 59.041 - 504 CERTIFIED DEVELOPMENT LOANS No data No data TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Recipient FORTH-TROMBLEE DENTAL ASSOCIATES PLLC
Recipient Name Raw FORTH-TROMBLEE DENTAL ASSOCIATES PLLC
Recipient Address 5241 WITZ DRIVE., SYRACUSE, ONONDAGA, NEW YORK, 13212-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 7687.00
Face Value of Direct Loan 375000.00
Link View Page

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9443968410 2021-02-17 0248 PPS 5241 Witz Dr, North Syracuse, NY, 13212-6500
Loan Status Date 2021-10-09
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 125300
Loan Approval Amount (current) 125300
Undisbursed Amount 0
Franchise Name -
Lender Location ID 46391
Servicing Lender Name Manufacturers and Traders Trust Company
Servicing Lender Address One M & T Plaza, 15th Fl, BUFFALO, NY, 14203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address North Syracuse, ONONDAGA, NY, 13212-6500
Project Congressional District NY-22
Number of Employees 7
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 46391
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address BUFFALO, NY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 125924.78
Forgiveness Paid Date 2021-08-23
1521427209 2020-04-15 0248 PPP 5241 Witz Drive, North Syracuse, NY, 13212
Loan Status Date 2021-01-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 68931
Loan Approval Amount (current) 125200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 46391
Servicing Lender Name Manufacturers and Traders Trust Company
Servicing Lender Address One M & T Plaza, 15th Fl, BUFFALO, NY, 14203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address North Syracuse, ONONDAGA, NY, 13212-0001
Project Congressional District NY-22
Number of Employees 8
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 46391
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address BUFFALO, NY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 125971.78
Forgiveness Paid Date 2020-12-10

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State

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