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GREENBUSH FAMILY DENTAL, PLLC

Company Details

Name: GREENBUSH FAMILY DENTAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 28 Jan 2003 (22 years ago)
Entity Number: 2862106
ZIP code: 12144
County: Rensselaer
Place of Formation: New York
Address: C/O ANGELA DONG, DDS, MANAGER, 2 EMPIRE DRIVE, RENSSELAER, NY, United States, 12144

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GREENBUSH FAMILY DENTAL 401(K) PROFIT SHARING 2023 510448310 2024-07-09 GREENBUSH FAMILY DENTAL PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-09-10
Business code 621210
Sponsor’s telephone number 5186691545
Plan sponsor’s address 18 CRIMSON CT., CASTLETON, NY, 12033

Signature of

Role Plan administrator
Date 2024-07-09
Name of individual signing ANGELA DONG
Role Employer/plan sponsor
Date 2024-07-09
Name of individual signing ANGELA DONG
GREENBUSH FAMILY DENTAL 401(K) PROFIT SHARING 2022 510448310 2023-05-11 GREENBUSH FAMILY DENTAL PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-09-10
Business code 621210
Sponsor’s telephone number 5186691545
Plan sponsor’s address 18 CRIMSON CT., CASTLETON, NY, 12033

Signature of

Role Plan administrator
Date 2023-05-11
Name of individual signing ANGELA Q DONG
GREENBUSH FAMILY DENTAL 401(K) PROFIT SHARING 2021 510448310 2022-06-22 GREENBUSH FAMILY DENTAL PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-09-10
Business code 621210
Sponsor’s telephone number 5186691545
Plan sponsor’s address 18 CRIMSON CT., CASTLETON, NY, 12033

Signature of

Role Plan administrator
Date 2022-06-22
Name of individual signing ANGELA Q DONG
Role Employer/plan sponsor
Date 2022-06-22
Name of individual signing ANGELA Q DONG
GREENBUSH FAMILY DENTAL 401(K) PROFIT SHARING 2020 510448310 2021-06-23 GREENBUSH FAMILY DENTAL PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-09-10
Business code 621210
Sponsor’s telephone number 5186691545
Plan sponsor’s address 18 CRIMSON CT., CASTLETON, NY, 12033

Signature of

Role Plan administrator
Date 2021-06-23
Name of individual signing ANGELA DONG
Role Employer/plan sponsor
Date 2021-06-23
Name of individual signing ANGELA DONG
GREENBUSH FAMILY DENTAL 401(K) PROFIT SHARING 2019 510448310 2020-04-28 GREENBUSH FAMILY DENTAL PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-09-10
Business code 621210
Sponsor’s telephone number 5186691545
Plan sponsor’s address 18 CRIMSON CT., CASTLETON, NY, 12033

Signature of

Role Plan administrator
Date 2020-04-28
Name of individual signing ANGELA DONG
Role Employer/plan sponsor
Date 2020-04-28
Name of individual signing ANGELA DONG
GREENBUSH FAMILY DENTAL 401(K) PROFIT SHARING 2018 510448310 2019-06-06 GREENBUSH FAMILY DENTAL PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-09-10
Business code 621210
Sponsor’s telephone number 5186691545
Plan sponsor’s address 18 CRIMSON CT., CASTLETON, NY, 12033

Signature of

Role Plan administrator
Date 2019-06-06
Name of individual signing ANGELA DONG
Role Employer/plan sponsor
Date 2019-06-06
Name of individual signing ANGELA DONG
GREENBUSH FAMILY DENTAL 401(K) PROFIT SHARING 2017 510448310 2018-05-21 GREENBUSH FAMILY DENTAL PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-09-10
Business code 621210
Sponsor’s telephone number 5186691545
Plan sponsor’s address 18 CRIMSON CT., CASTLETON, NY, 12033

Signature of

Role Plan administrator
Date 2018-05-14
Name of individual signing ANGELA DONG
GREENBUSH FAMILY DENTAL 401(K) PROFIT SHARING 2016 510448310 2017-08-07 GREENBUSH FAMILY DENTAL PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-09-10
Business code 621210
Sponsor’s telephone number 5186691545
Plan sponsor’s address 18 CRIMSON CT., CASTLETON, NY, 12033

Signature of

Role Plan administrator
Date 2017-06-29
Name of individual signing ANGELA DONG
GREENBUSH FAMILY DENTAL 401(K) PROFIT SHARING 2015 510448310 2016-07-21 GREENBUSH FAMILY DENTAL PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-09-10
Business code 621210
Sponsor’s telephone number 5186691545
Plan sponsor’s address 18 CRIMSON CT., CASTLETON, NY, 12033

Signature of

Role Plan administrator
Date 2016-07-21
Name of individual signing ANGELA DONG
Role Employer/plan sponsor
Date 2016-07-21
Name of individual signing ANGELA DONG
GREENBUSH FAMILY DENTAL 401(K) PROFIT SHARING 2014 510448310 2015-06-28 GREENBUSH FAMILY DENTAL PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-09-10
Business code 621210
Sponsor’s telephone number 5186691545
Plan sponsor’s address 18 CRIMSON CT., CASTLETON, NY, 12033

Signature of

Role Plan administrator
Date 2015-06-28
Name of individual signing ANGELA DONG
Role Employer/plan sponsor
Date 2015-06-28
Name of individual signing ANGELA DONG

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent C/O ANGELA DONG, DDS, MANAGER, 2 EMPIRE DRIVE, RENSSELAER, NY, United States, 12144

Filings

Filing Number Date Filed Type Effective Date
030128000008 2003-01-28 ARTICLES OF ORGANIZATION 2003-01-28

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8397347104 2020-04-15 0248 PPP 18 crimson ct, castleton, NY, 12033
Loan Status Date 2020-12-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 50800
Loan Approval Amount (current) 50800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 434162
Servicing Lender Name Citizens Bank, National Association
Servicing Lender Address 1 Citizens Plaza, PROVIDENCE, RI, 02903-1344
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address castleton, RENSSELAER, NY, 12033-0001
Project Congressional District NY-21
Number of Employees 7
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 434162
Originating Lender Name Citizens Bank, National Association
Originating Lender Address PROVIDENCE, RI
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 51072.79
Forgiveness Paid Date 2020-11-05
5268358408 2021-02-08 0248 PPS 18 Crimson Ct, Castleton, NY, 12033-3721
Loan Status Date 2021-11-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 50800
Loan Approval Amount (current) 50800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 434162
Servicing Lender Name Citizens Bank, National Association
Servicing Lender Address 1 Citizens Plaza, PROVIDENCE, RI, 02903-1344
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Castleton, RENSSELAER, NY, 12033-3721
Project Congressional District NY-21
Number of Employees 5
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 434162
Originating Lender Name Citizens Bank, National Association
Originating Lender Address PROVIDENCE, RI
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 51161.86
Forgiveness Paid Date 2021-11-01

Date of last update: 30 Mar 2025

Sources: New York Secretary of State