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AVON DENTAL, PLLC

Company Details

Name: AVON DENTAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 31 Dec 2002 (22 years ago)
Entity Number: 2850746
ZIP code: 14414
County: Livingston
Place of Formation: New York
Address: 74 WEST MAIN STREET, AVON, NY, United States, 14414

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AVON DENTAL, PLLC 401(K) PROFIT SHARING PLAN 2023 300190131 2024-07-10 AVON DENTAL, PLLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-01-01
Business code 621210
Sponsor’s telephone number 5852263113
Plan sponsor’s address 520 DREAM VALLEY BOULEVARD, ATTN STEPHANIE BURROUGHS, AVON, NY, 14414

Signature of

Role Plan administrator
Date 2024-07-10
Name of individual signing STEPHANIE BURROUGHS
AVON DENTAL PLLC 401(K) PROFIT SHARING PLAN 2022 300190131 2023-04-25 AVON DENTAL PLLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-01-01
Business code 621210
Sponsor’s telephone number 5852263113
Plan sponsor’s address 520 DREAM VALLEY BLVD, AVON, NY, 14414
AVON DENTAL PLLC 401(K) PROFIT SHARING PLAN 2021 300190131 2022-06-30 AVON DENTAL PLLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-01-01
Business code 621210
Sponsor’s telephone number 5852263113
Plan sponsor’s address 520 DREAM VALLEY BLVD, AVON, NY, 14414
AVON DENTAL PLLC 401(K) PROFIT SHARING PLAN 2020 300190131 2021-06-25 AVON DENTAL PLLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-01-01
Business code 621210
Sponsor’s telephone number 5852263113
Plan sponsor’s address 520 DREAM VALLEY BLVD, AVON, NY, 14414
AVON DENTAL PLLC 401(K) PROFIT SHARING PLAN 2019 300190131 2020-09-08 AVON DENTAL PLLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-01-01
Business code 621210
Sponsor’s telephone number 5852263113
Plan sponsor’s address 520 DREAM VALLEY BLVD, AVON, NY, 14414
AVON DENTAL PLLC 401(K) PROFIT SHARING PLAN 2018 300190131 2019-05-08 AVON DENTAL PLLC 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-01-01
Business code 621210
Sponsor’s telephone number 5852263113
Plan sponsor’s address 520 DREAM VALLEY BLVD, AVON, NY, 14414
AVON DENTAL PLLC 401(K) PROFIT SHARING PLAN 2017 300190131 2018-05-17 AVON DENTAL PLLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-01-01
Business code 621210
Sponsor’s telephone number 5852263113
Plan sponsor’s address 520 DREAM VALLEY BLVD, AVON, NY, 14414
AVON DENTAL PLLC 401(K) PROFIT SHARING PLAN 2016 300190131 2017-05-24 AVON DENTAL PLLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-01-01
Business code 621210
Sponsor’s telephone number 5852263113
Plan sponsor’s address 520 DREAM VALLEY BLVD, AVON, NY, 14414
AVON DENTAL PLLC 401(K) PROFIT SHARING PLAN 2015 300190131 2016-05-09 AVON DENTAL PLLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-01-01
Business code 621210
Sponsor’s telephone number 5852263113
Plan sponsor’s address 270 EAST MAIN ST, SUITE 2A, AVON, NY, 14414
AVON DENTAL PLLC 401(K) PROFIT SHARING PLAN 2014 300190131 2015-04-23 AVON DENTAL PLLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-01-01
Business code 621210
Sponsor’s telephone number 5852263113
Plan sponsor’s address 74 WEST MAIN STREET, AVON, NY, 14414

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 74 WEST MAIN STREET, AVON, NY, United States, 14414

History

Start date End date Type Value
2003-05-22 2014-09-18 Name BURROUGHS & SCHILLINGER DENTAL ASSOCIATES, PLLC
2002-12-31 2003-05-22 Name BURROUGHS & SCHILLINGER DENTAL, PLLC

Filings

Filing Number Date Filed Type Effective Date
141208006010 2014-12-08 BIENNIAL STATEMENT 2014-12-01
140918000233 2014-09-18 CERTIFICATE OF AMENDMENT 2014-09-18
121217002408 2012-12-17 BIENNIAL STATEMENT 2012-12-01
101215002374 2010-12-15 BIENNIAL STATEMENT 2010-12-01
081119002263 2008-11-19 BIENNIAL STATEMENT 2008-12-01
061122002025 2006-11-22 BIENNIAL STATEMENT 2006-12-01
050124002439 2005-01-24 BIENNIAL STATEMENT 2004-12-01
040123000739 2004-01-23 AFFIDAVIT OF PUBLICATION 2004-01-23
040123000732 2004-01-23 AFFIDAVIT OF PUBLICATION 2004-01-23
030522000393 2003-05-22 CERTIFICATE OF AMENDMENT 2003-05-22

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4443788303 2021-01-23 0219 PPS 520 Dream Valley Blvd, Avon, NY, 14414-1472
Loan Status Date 2021-12-09
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 114572
Loan Approval Amount (current) 114572
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 R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Avon, LIVINGSTON, NY, 14414-1472
Project Congressional District NY-24
Number of Employees 12
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 Female Owned
Veteran Non-Veteran
Forgiveness Amount 115519.97
Forgiveness Paid Date 2021-11-24
9211057108 2020-04-15 0219 PPP 520 Dream Valley Boulevard, Avon, NY, 14414
Loan Status Date 2021-03-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 110000
Loan Approval Amount (current) 110000
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 R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Avon, LIVINGSTON, NY, 14414-0001
Project Congressional District NY-24
Number of Employees 12
NAICS code 621399
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 Female Owned
Veteran Non-Veteran
Forgiveness Amount 110846.85
Forgiveness Paid Date 2021-02-01

Date of last update: 30 Mar 2025

Sources: New York Secretary of State