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  5. HERKIMER DENTAL, LLC

HERKIMER DENTAL, LLC

Company Details

Name: HERKIMER DENTAL, LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Inactive
Date of registration: 07 Oct 2002 (22 years ago)
Date of dissolution: 09 Jun 2021
Entity Number: 2820090
ZIP code: 13350
County: Herkimer
Place of Formation: New York
Address: 404 W ALBANY ST, HERKIMER, NY, United States, 13350

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HERKIMER DENTAL, LLC PROFIT SHARING PLAN 2020 223867839 2021-05-18 HERKIMER DENTAL, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3158662202
Plan sponsor’s address 404 WEST ALBANY STREET, HERKIMER, NY, 13350

Signature of
Role Plan administrator
Date 2021-05-18
Name of individual signing FRANCIS X MCHUGH
HERKIMER DENTAL, LLC PROFIT SHARING PLAN 2019 223867839 2020-06-03 HERKIMER DENTAL, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3158662202
Plan sponsor’s address 404 WEST ALBANY STREET, HERKIMER, NY, 13350

Signature of
Role Plan administrator
Date 2020-06-03
Name of individual signing FRANCIS X MCHUGH
HERKIMER DENTAL, LLC PROFIT SHARING PLAN 2018 223867839 2019-05-07 HERKIMER DENTAL, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3158662202
Plan sponsor’s address 404 WEST ALBANY STREET, HERKIMER, NY, 13350

Signature of
Role Plan administrator
Date 2019-05-07
Name of individual signing FRANCIS X MCHUGH
HERKIMER DENTAL, LLC PROFIT SHARING PLAN 2017 223867839 2018-06-21 HERKIMER DENTAL, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3158662202
Plan sponsor’s address 404 WEST ALBANY STREET, HERKIMER, NY, 13350

Signature of
Role Plan administrator
Date 2018-06-21
Name of individual signing FRANCIS X MCHUGH
HERKIMER DENTAL, LLC PROFIT SHARING PLAN 2016 223867839 2017-06-08 HERKIMER DENTAL, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3158662202
Plan sponsor’s address 404 WEST ALBANY STREET, HERKIMER, NY, 13350

Signature of
Role Plan administrator
Date 2017-06-08
Name of individual signing FRANCIS X MCHUGH
HERKIMER DENTAL, LLC PROFIT SHARING PLAN 2015 223867839 2016-06-28 HERKIMER DENTAL, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3158662202
Plan sponsor’s address 404 WEST ALBANY STREET, HERKIMER, NY, 13350

Signature of
Role Plan administrator
Date 2016-06-28
Name of individual signing FRANCIS X MCHUGH
HERKIMER DENTAL, LLC PROFIT SHARING PLAN 2014 223867839 2015-06-18 HERKIMER DENTAL, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3158662202
Plan sponsor’s address 404 WEST ALBANY STREET, HERKIMER, NY, 13350

Signature of
Role Plan administrator
Date 2015-06-18
Name of individual signing FRANCIS MCHUGH
Role Employer/plan sponsor
Date 2015-06-18
Name of individual signing FRANCIS MCHUGH
HERKIMER DENTAL, LLC PROFIT SHARING PLAN 2013 223867839 2014-02-13 HERKIMER DENTAL, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3158662202
Plan sponsor’s address 404 WEST ALBANY STREET, HERKIMER, NY, 13350

Signature of
Role Plan administrator
Date 2014-02-13
Name of individual signing FRANCIS MCHUGH
Role Employer/plan sponsor
Date 2014-02-13
Name of individual signing FRANCIS MCHUGH
HERKIMER DENTAL, LLC PROFIT SHARING PLAN 2012 223867839 2013-04-08 HERKIMER DENTAL, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3158662202
Plan sponsor’s address 404 WEST ALBANY STREET, HERKIMER, NY, 13350

Signature of
Role Plan administrator
Date 2013-04-08
Name of individual signing FRANCIS X. MCHUGH
Role Employer/plan sponsor
Date 2013-04-08
Name of individual signing FRANCIS X. MCHUGH
HERKIMER DENTAL, LLC PROFIT SHARING PLAN 2011 223867839 2012-07-19 HERKIMER DENTAL, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3158662202
Plan sponsor’s address 404 WEST ALBANY STREET, HERKIMER, NY, 13350

Plan administrator’s name and address
Administrator’s EIN 223867839
Plan administrator’s name SAME
Plan administrator’s address 404 WEST ALBANY STREET, HERKIMER, NY, 13350
Administrator’s telephone number 3158662202

Signature of
Role Plan administrator
Date 2012-07-19
Name of individual signing FRANCIS X. MCHUGH
Role Employer/plan sponsor
Date 2012-07-19
Name of individual signing FRANCIS X. MCHUGH

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 404 W ALBANY ST, HERKIMER, NY, United States, 13350

History

Start date End date Type Value
2002-10-07 2004-09-20 Address 3501 SNOWDEN HILL ROAD, CLINTON, NY, 13323, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210609000906 2021-06-09 CERTIFICATE OF DISSOLUTION 2021-06-09
201005062681 2020-10-05 BIENNIAL STATEMENT 2020-10-01
141009006827 2014-10-09 BIENNIAL STATEMENT 2014-10-01
121015002057 2012-10-15 BIENNIAL STATEMENT 2012-10-01
101005003024 2010-10-05 BIENNIAL STATEMENT 2010-10-01
080918002170 2008-09-18 BIENNIAL STATEMENT 2008-10-01
061006002078 2006-10-06 BIENNIAL STATEMENT 2006-10-01
040920002810 2004-09-20 BIENNIAL STATEMENT 2004-10-01
030307001104 2003-03-07 AFFIDAVIT OF PUBLICATION 2003-03-07
030307001101 2003-03-07 AFFIDAVIT OF PUBLICATION 2003-03-07

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Date of last update: 02 Jan 2025

Sources: New York Secretary of State

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