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FARMINGDALE FAMILY DENTAL, P.C.

Company Details

Name: FARMINGDALE FAMILY DENTAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Nov 2001 (23 years ago)
Entity Number: 2695861
ZIP code: 11735
County: Nassau
Place of Formation: New York
Address: 132 MAIN ST, FARMINGDALE, NY, United States, 11735

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
FARMINGDALE FAMILY DENTAL P C 401(K) PROFIT SHARING PLAN & TRUST 2023 113633434 2024-07-15 FARMINGDALE FAMILY DENTAL P C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 5162491069
Plan sponsor’s address 132 MAIN ST, FARMINGDALE, NY, 117351938

Signature of

Role Plan administrator
Date 2024-07-15
Name of individual signing NICHOLAS NATHENAS
FARMINGDALE FAMILY DENTAL P C 401(K) PROFIT SHARING PLAN & TRUST 2022 113633434 2023-05-15 FARMINGDALE FAMILY DENTAL P C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 5162491069
Plan sponsor’s address 132 MAIN ST, FARMINGDALE, NY, 117351938

Signature of

Role Plan administrator
Date 2023-05-15
Name of individual signing NICHOLAS NATHENAS
FARMINGDALE FAMILY DENTAL P C 401(K) PROFIT SHARING PLAN & TRUST 2021 113633434 2022-07-19 FARMINGDALE FAMILY DENTAL P C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 5162491069
Plan sponsor’s address 132 MAIN ST, FARMINGDALE, NY, 117351938

Signature of

Role Plan administrator
Date 2022-07-19
Name of individual signing NICK NATHENAS
FARMINGDALE FAMILY DENTAL P C 401(K) PROFIT SHARING PLAN & TRUST 2020 113633434 2021-06-30 FARMINGDALE FAMILY DENTAL P C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 5162491069
Plan sponsor’s address 132 MAIN ST, FARMINGDALE, NY, 117351938

Signature of

Role Plan administrator
Date 2021-06-30
Name of individual signing NICHOLAS NATHENAS
FARMINGDALE FAMILY DENTAL P C 401(K) PROFIT SHARING PLAN & TRUST 2019 113633434 2020-07-27 FARMINGDALE FAMILY DENTAL P C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 5162491069
Plan sponsor’s address 132 MAIN ST, FARMINGDALE, NY, 117351938

Signature of

Role Plan administrator
Date 2020-07-27
Name of individual signing NICHOLAS NATHENAS
FARMINGDALE FAMILY DENTAL P C 401 K PROFIT SHARING PLAN TRUST 2018 113633434 2019-06-17 FARMINGDALE FAMILY DENTAL P C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 5162491069
Plan sponsor’s address 132 MAIN ST, FARMINGDALE, NY, 117351938

Signature of

Role Plan administrator
Date 2019-06-17
Name of individual signing NICHOLAS NATHENAS
FARMINGDALE FAMILY DENTAL P C 401 K PROFIT SHARING PLAN TRUST 2017 113633434 2018-05-30 FARMINGDALE FAMILY DENTAL P.C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 5162491069
Plan sponsor’s address 132 MAIN ST, FARMINGDALE, NY, 117351938

Signature of

Role Plan administrator
Date 2018-05-30
Name of individual signing NICHOLAS NATHENAS
FARMINGDALE FAMILY DENTAL P C 401 K PROFIT SHARING PLAN TRUST 2016 113633434 2017-05-22 FARMINGDALE FAMILY DENTAL P.C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 5162491069
Plan sponsor’s address 132 MAIN ST, FARMINGDALE, NY, 117351938

Signature of

Role Plan administrator
Date 2017-05-22
Name of individual signing NICHOLAS NATHENAS
FARMINGDALE FAMILY DENTAL P C 401 K PROFIT SHARING PLAN TRUST 2015 113633434 2016-05-25 FARMINGDALE FAMILY DENTAL P.C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 5162491069
Plan sponsor’s address 132 MAIN ST, FARMINGDALE, NY, 117351938

Signature of

Role Plan administrator
Date 2016-05-25
Name of individual signing NICHOLAS NATHENAS
FARMINGDALE FAMILY DENTAL P C 401 K PROFIT SHARING PLAN TRUST 2014 113633434 2015-06-02 FARMINGDALE FAMILY DENTAL P.C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 5162491069
Plan sponsor’s address 132 MAIN ST, FARMINGDALE, NY, 117351938

Signature of

Role Plan administrator
Date 2015-06-02
Name of individual signing NICHOLAS NATHENAS

DOS Process Agent

Name Role Address
NICHOLAS MATHENAS DOS Process Agent 132 MAIN ST, FARMINGDALE, NY, United States, 11735

Chief Executive Officer

Name Role Address
NICHOLAS MATHENAS Chief Executive Officer 132 MAIN ST, FARMINGDALE, NY, United States, 11735

History

Start date End date Type Value
2011-11-14 2014-12-08 Address 10 JOHNSON COURT, E NORWICH, NY, 11735, USA (Type of address: Principal Executive Office)
2011-11-14 2014-12-08 Address 32-75 STEINWAY ST, STE 206, ASTORIA, NY, 11103, USA (Type of address: Chief Executive Officer)
2011-11-14 2014-12-08 Address 32-75 STEINWAY ST, STE 206, ASTORIA, NY, 11103, USA (Type of address: Service of Process)
2005-12-09 2011-11-14 Address 10 JOHNSON COURT, E NORWICH, NY, 11735, USA (Type of address: Principal Executive Office)
2003-12-10 2011-11-14 Address 132 MAIN ST, FARMINGDALE, NY, 11735, USA (Type of address: Chief Executive Officer)
2003-12-10 2005-12-09 Address 47 25 213 ST, BAYSIDE, NY, 11361, USA (Type of address: Principal Executive Office)
2001-11-05 2011-11-14 Address 130-132 MAIN STREET, FARMINGDALE, NY, 11735, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
141208002034 2014-12-08 BIENNIAL STATEMENT 2013-11-01
111114002294 2011-11-14 BIENNIAL STATEMENT 2011-11-01
071113002796 2007-11-13 BIENNIAL STATEMENT 2007-11-01
051209002192 2005-12-09 BIENNIAL STATEMENT 2005-11-01
031210002445 2003-12-10 BIENNIAL STATEMENT 2003-11-01
011105000112 2001-11-05 CERTIFICATE OF INCORPORATION 2001-11-05

Date of last update: 19 Jan 2025

Sources: New York Secretary of State