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ANDREW R. INSARDI, DDS, PLLC

Company Details

Name: ANDREW R. INSARDI, DDS, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 28 Jan 2002 (23 years ago)
Entity Number: 2724121
ZIP code: 11378
County: Queens
Place of Formation: New York
Address: 68-15 BORDEN AVENUE, MASPETH, NY, United States, 11378

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANDREW R INSARDI DDS PLLC 401K PLAN 2023 010587581 2024-10-07 ANDREW R INSARDI DDS PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 7184780201
Plan sponsor’s address 60-35 69TH ST, MASPETH, NY, 11378

Plan administrator’s name and address

Administrator’s EIN 010587581
Plan administrator’s name ANDREW R INSARDI DDS PLLC
Plan administrator’s address 60-35 69TH ST, MASPETH, NY, 11378
Administrator’s telephone number 7184780201
ANDREW R INSARDI DDS PLLC 401K PLAN 2022 010587581 2023-05-01 ANDREW R INSARDI DDS PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 7184780201
Plan sponsor’s address 60-35 69TH ST, MASPETH, NY, 11378

Plan administrator’s name and address

Administrator’s EIN 010587581
Plan administrator’s name ANDREW R INSARDI DDS PLLC
Plan administrator’s address 60-35 69TH ST, MASPETH, NY, 11378
Administrator’s telephone number 7184780201
ANDREW R INSARDI DDS PLLC 401K PLAN 2021 010587581 2022-06-23 ANDREW R INSARDI DDS PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 7184780201
Plan sponsor’s address 60-35 69TH ST, MASPETH, NY, 11378

Plan administrator’s name and address

Administrator’s EIN 010587581
Plan administrator’s name ANDREW R INSARDI DDS PLLC
Plan administrator’s address 60-35 69TH ST, MASPETH, NY, 11378
Administrator’s telephone number 7184780201
ANDREW R INSARDI DDS PLLC 401K PLAN 2020 010587581 2021-10-06 ANDREW R INSARDI DDS PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 7184780201
Plan sponsor’s address 60-35 69TH ST, MASPETH, NY, 11378

Plan administrator’s name and address

Administrator’s EIN 010587581
Plan administrator’s name ANDREW R INSARDI DDS PLLC
Plan administrator’s address 60-35 69TH ST, MASPETH, NY, 11378
Administrator’s telephone number 7184780201
ANDREW R INSARDI DDS PLLC 401K PLAN 2019 010587581 2020-08-27 ANDREW R INSARDI DDS PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 7184780201
Plan sponsor’s address 60-35 69TH ST, MASPETH, NY, 11378

Plan administrator’s name and address

Administrator’s EIN 010587581
Plan administrator’s name ANDREW R INSARDI DDS PLLC
Plan administrator’s address 60-35 69TH ST, MASPETH, NY, 11378
Administrator’s telephone number 7184780201
ANDREW R INSARDI DDS PLLC 401K PLAN 2018 010587581 2019-10-03 ANDREW R INSARDI DDS PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 7184780201
Plan sponsor’s address 60-35 69TH ST, MASPETH, NY, 11378

Plan administrator’s name and address

Administrator’s EIN 010587581
Plan administrator’s name ANDREW R INSARDI DDS PLLC
Plan administrator’s address 60-35 69TH ST, MASPETH, NY, 11378
Administrator’s telephone number 7184780201
ANDREW R INSARDI DDS PLLC 401K PLAN 2017 010587581 2018-04-18 ANDREW R INSARDI DDS PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 7184780201
Plan sponsor’s address 60-35 69TH ST, MASPETH, NY, 11378

Plan administrator’s name and address

Administrator’s EIN 010587581
Plan administrator’s name ANDREW R INSARDI DDS PLLC
Plan administrator’s address 60-35 69TH ST, MASPETH, NY, 11378
Administrator’s telephone number 7184780201
ANDREW R INSARDI DDS PLLC 401K PLAN 2016 010587581 2017-08-22 ANDREW R INSARDI DDS PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 7184780201
Plan sponsor’s address 60-35 69TH ST, MASPETH, NY, 11378

Plan administrator’s name and address

Administrator’s EIN 010587581
Plan administrator’s name ANDREW R INSARDI DDS PLLC
Plan administrator’s address 60-35 69TH ST, MASPETH, NY, 11378
Administrator’s telephone number 7184780201
ANDREW R INSARDI DDS PLLC 401K PLAN 2015 010587581 2016-10-06 ANDREW R INSARDI DDS PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 7184780201
Plan sponsor’s address 60-35 69TH ST, MASPETH, NY, 11378

Plan administrator’s name and address

Administrator’s EIN 010587581
Plan administrator’s name ANDREW R INSARDI DDS PLLC
Plan administrator’s address 60-35 69TH ST, MASPETH, NY, 11378
Administrator’s telephone number 7184780201
ANDREW R INSARDI DDS PLLC 401K PLAN 2014 010587581 2015-10-13 ANDREW R INSARDI DDS PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 7184780201
Plan sponsor’s address 60-35 69TH ST, MASPETH, NY, 11378

Plan administrator’s name and address

Administrator’s EIN 010587581
Plan administrator’s name ANDREW R INSARDI DDS PLLC
Plan administrator’s address 60-35 69TH ST, MASPETH, NY, 11378
Administrator’s telephone number 7184780201

Signature of

Role Plan administrator
Date 2015-10-13
Name of individual signing DR ANDERW R INSARDI

DOS Process Agent

Name Role Address
C/O EDWARD M. MCGOWAN, ESQ. DOS Process Agent 68-15 BORDEN AVENUE, MASPETH, NY, United States, 11378

Filings

Filing Number Date Filed Type Effective Date
020128000563 2002-01-28 ARTICLES OF ORGANIZATION 2002-01-28

Date of last update: 19 Jan 2025

Sources: New York Secretary of State