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FIVE TOWNS ORTHODONTICS, PLLC

Company Details

Name: FIVE TOWNS ORTHODONTICS, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 08 Aug 2001 (24 years ago)
Entity Number: 2668705
ZIP code: 11557
County: Nassau
Place of Formation: New York
Address: 1229 BROADWAY, STE 102, HEWLETT, NY, United States, 11557

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JONATHAN PALEY, D.D.S. RETIREMENT PLAN 2023 113622633 2024-09-04 FIVE TOWNS ORTHODONTICS, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5166685638
Plan sponsor’s address 1229 BROADWAY, HEWLETT, NY, 11557

Signature of

Role Plan administrator
Date 2024-09-04
Name of individual signing JONATHAN PALEY
Valid signature Filed with authorized/valid electronic signature
JONATHAN PALEY, D.D.S. RETIREMENT PLAN 2022 113622633 2023-09-19 FIVE TOWNS ORTHODONTICS, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5166685638
Plan sponsor’s address 1229 BROADWAY, HEWLETT, NY, 11557

Signature of

Role Plan administrator
Date 2023-09-19
Name of individual signing JONATHAN PALEY
JONATHAN PALEY, D.D.S. RETIREMENT PLAN 2021 113622633 2022-09-11 FIVE TOWNS ORTHODONTICS, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5166685638
Plan sponsor’s address 1229 BROADWAY, HEWLETT, NY, 11557

Signature of

Role Plan administrator
Date 2022-09-11
Name of individual signing JONATHAN PALEY
JONATHAN PALEY, D.D.S. RETIREMENT PLAN 2020 113622633 2021-09-30 FIVE TOWNS ORTHODONTICS, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5166685638
Plan sponsor’s address 1229 BROADWAY, HEWLETT, NY, 11557

Signature of

Role Plan administrator
Date 2021-09-30
Name of individual signing JONATHAN PALEY
JONATHAN PALEY, D.D.S. RETIREMENT PLAN 2019 113622633 2020-10-01 FIVE TOWNS ORTHODONTICS, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5166685638
Plan sponsor’s address 1229 BROADWAY, HEWLETT, NY, 11557

Signature of

Role Plan administrator
Date 2020-10-01
Name of individual signing JONATHAN PALEY
JONATHAN PALEY, D.D.S. RETIREMENT PLAN 2018 113622633 2019-10-06 FIVE TOWNS ORTHODONTICS, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5166685638
Plan sponsor’s address 1229 BROADWAY, HEWLETT, NY, 11557

Signature of

Role Plan administrator
Date 2019-10-06
Name of individual signing JONATHAN PALEY
JONATHAN PALEY, D.D.S. RETIREMENT PLAN 2017 113622633 2018-10-06 FIVE TOWNS ORTHODONTICS, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5166685638
Plan sponsor’s address 1229 BROADWAY, HEWLETT, NY, 11557

Signature of

Role Plan administrator
Date 2018-10-06
Name of individual signing JONATHAN PALEY
JONATHAN PALEY, D.D.S. RETIREMENT PLAN 2016 113622633 2017-09-26 FIVE TOWNS ORTHODONTICS, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5166685638
Plan sponsor’s address 1229 BROADWAY, HEWLETT, NY, 11557

Signature of

Role Plan administrator
Date 2017-09-26
Name of individual signing JONATHAN PALEY
JONATHAN PALEY, D.D.S. RETIREMENT PLAN 2015 113622633 2016-10-09 FIVE TOWNS ORTHODONTICS, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5166685638
Plan sponsor’s address 1229 BROADWAY, HEWLETT, NY, 11557

Signature of

Role Plan administrator
Date 2016-10-09
Name of individual signing JONATHAN PALEY
JONATHAN PALEY, D.D.S. RETIREMENT PLAN 2014 113622633 2015-10-08 FIVE TOWNS ORTHODONTICS, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5166685638
Plan sponsor’s address 1229 BROADWAY, HEWLETT, NY, 11557

Signature of

Role Plan administrator
Date 2015-10-08
Name of individual signing JONATHAN PALEY

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1229 BROADWAY, STE 102, HEWLETT, NY, United States, 11557

History

Start date End date Type Value
2001-08-08 2003-08-05 Address 459 ARBUCKLE AVENUE, CEDARHURST, NY, 11516, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
211008001299 2021-10-08 BIENNIAL STATEMENT 2021-10-08
130910002095 2013-09-10 BIENNIAL STATEMENT 2013-08-01
110912002483 2011-09-12 BIENNIAL STATEMENT 2011-08-01
090805002756 2009-08-05 BIENNIAL STATEMENT 2009-08-01
070828002252 2007-08-28 BIENNIAL STATEMENT 2007-08-01
050727002304 2005-07-27 BIENNIAL STATEMENT 2005-08-01
030805002010 2003-08-05 BIENNIAL STATEMENT 2003-08-01
011114000425 2001-11-14 AFFIDAVIT OF PUBLICATION 2001-11-14
011114000423 2001-11-14 AFFIDAVIT OF PUBLICATION 2001-11-14
010808000164 2001-08-08 ARTICLES OF ORGANIZATION 2001-08-08

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7281867307 2020-04-30 0235 PPP 1229 Broadway, Suite 102, Hewlett, NY, 11557
Loan Status Date 2021-10-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 47500
Loan Approval Amount (current) 47500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 28811
Servicing Lender Name Capital One, National Association
Servicing Lender Address 1680 Capital One Dr, MCLEAN, VA, 22102-3407
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Hewlett, NASSAU, NY, 11557-0001
Project Congressional District NY-04
Number of Employees 7
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 28811
Originating Lender Name Capital One, National Association
Originating Lender Address MCLEAN, VA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 48124.1
Forgiveness Paid Date 2021-09-07
3601088601 2021-03-17 0235 PPS 1229 Broadway Ste 102, Hewlett, NY, 11557-2014
Loan Status Date 2021-10-14
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 78448
Loan Approval Amount (current) 78448
Undisbursed Amount 0
Franchise Name -
Lender Location ID 28811
Servicing Lender Name Capital One, National Association
Servicing Lender Address 1680 Capital One Dr, MCLEAN, VA, 22102-3407
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Hewlett, NASSAU, NY, 11557-2014
Project Congressional District NY-04
Number of Employees 8
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 28811
Originating Lender Name Capital One, National Association
Originating Lender Address MCLEAN, VA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 78798.84
Forgiveness Paid Date 2021-09-07

Date of last update: 30 Mar 2025

Sources: New York Secretary of State