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  5. CICERO DENTAL ASSOCIATES, PLLC

CICERO DENTAL ASSOCIATES, PLLC

Company Details

Name: CICERO DENTAL ASSOCIATES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 03 Oct 2003 (22 years ago)
Entity Number: 2961394
ZIP code: 13039
County: Onondaga
Place of Formation: New York
Address: 7770 Frontage Rd, Cicero, NY, United States, 13039

Contact Details

Phone +1 315-458-3088

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CICERO DENTAL ASSOCIATES, PLLC EMPLOYEES' 401(K) PROFIT SHARING PLAN AND TRUST 2023 200313944 2024-06-20 CICERO DENTAL ASSOCIATES, PLLC 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3152974208
Plan sponsor’s address 7770 FRONTAGE RD # 7341, CICERO, NY, 13039

Signature of
Role Plan administrator
Date 2024-06-19
Name of individual signing DAVID R. DEVITO, DDS
Role Employer/plan sponsor
Date 2024-06-19
Name of individual signing DAVID R. DEVITO, DDS
CICERO DENTAL ASSOCIATES, PLLC EMPLOYEES' 401(K) PROFIT SHARING PLAN AND TRUST 2022 200313944 2023-09-13 CICERO DENTAL ASSOCIATES, PLLC 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3152974208
Plan sponsor’s address C/O NORTHEAST DENTAL GROUP, PO BOX 488, FULTON, NY, 13069

Signature of
Role Plan administrator
Date 2023-09-13
Name of individual signing DAVID DEVITO
Role Employer/plan sponsor
Date 2023-09-13
Name of individual signing DAVID DEVITO
CICERO DENTAL ASSOCIATES, PLLC EMPLOYEES' 401(K) PROFIT SHARING PLAN AND TRUST 2021 200313944 2022-10-14 CICERO DENTAL ASSOCIATES, PLLC 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3152974208
Plan sponsor’s address C/O NORTHEAST DENTAL GROUP, PO BOX 488, FULTON, NY, 13069

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing DAVID DEVITO
Role Employer/plan sponsor
Date 2022-10-14
Name of individual signing DAVID DEVITO
CICERO DENTAL ASSOCIATES, PLLC EMPLOYEES' 401(K) PROFIT SHARING PLAN AND TRUST 2020 200313944 2021-10-08 CICERO DENTAL ASSOCIATES, PLLC 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3152974208
Plan sponsor’s address C/O NORTHEAST DENTAL GROUP, 184 SOUTH FIRST STREET, FULTON, NY, 13069

Signature of
Role Plan administrator
Date 2021-10-07
Name of individual signing DAVID R. DEVITO, DDS
Role Employer/plan sponsor
Date 2021-10-07
Name of individual signing DAVID R. DEVITO, DDS
CICERO DENTAL ASSOCIATES, PLLC EMPLOYEES' 401(K) PROFIT SHARING PLAN AND TRUST 2019 200313944 2020-10-14 CICERO DENTAL ASSOCIATES, PLLC 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3152974208
Plan sponsor’s address C/O NORTHEAST DENTAL GROUP, 184 SOUTH FIRST STREET, FULTON, NY, 13069

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing DAVID DEVITO
Role Employer/plan sponsor
Date 2020-10-14
Name of individual signing DAVID DEVITO
CICERO DENTAL ASSOCIATES, PLLC EMPLOYEES' 401(K) PROFIT SHARING PLAN AND TRUST 2018 200313944 2019-07-22 CICERO DENTAL ASSOCIATES, PLLC 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3152974208
Plan sponsor’s address C/O NORTHEAST DENTAL GROUP, 184 SOUTH FIRST STREET, FULTON, NY, 13069

Signature of
Role Plan administrator
Date 2019-07-19
Name of individual signing DAVID R DEVITO
Role Employer/plan sponsor
Date 2019-07-19
Name of individual signing DAVID R DEVITO
CICERO DENTAL ASSOCIATES, PLLC EMPLOYEES' 401(K) PROFIT SHARING PLAN AND TRUST 2017 200313944 2018-07-19 CICERO DENTAL ASSOCIATES, PLLC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3152974208
Plan sponsor’s address C/O NORTHEAST DENTAL GROUP, 184 SOUTH FIRST STREET, FULTON, NY, 13069

Signature of
Role Plan administrator
Date 2018-07-19
Name of individual signing DAVID DEVITO
Role Employer/plan sponsor
Date 2018-07-19
Name of individual signing DAVID DEVITO
CICERO DENTAL ASSOCIATES, PLLC EMPLOYEES' 401(K) PROFIT SHARING PLAN AND TRUST 2016 200313944 2017-09-12 CICERO DENTAL ASSOCIATES, PLLC 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3155922400
Plan sponsor’s address C/O DENTAL HEALTH SOLUTIONS, PLLC, 633 WEST 3RD STREET, FULTON, NY, 13069

Signature of
Role Plan administrator
Date 2017-09-12
Name of individual signing DAVID DEVITO
Role Employer/plan sponsor
Date 2017-09-12
Name of individual signing DAVID DEVITO
CICERO DENTAL ASSOCIATES, PLLC EMPLOYEES' 401(K) PROFIT SHARING PLAN AND TRUST 2015 200313944 2016-07-11 CICERO DENTAL ASSOCIATES, PLLC 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3155922400
Plan sponsor’s address C/O DENTAL HEALTH SOLUTIONS, PLLC, 633 WEST 3RD STREET, FULTON, NY, 13069

Signature of
Role Plan administrator
Date 2016-07-11
Name of individual signing DAVID DEVITO
Role Employer/plan sponsor
Date 2016-07-11
Name of individual signing DAVID DEVITO
CICERO DENTAL ASSOCIATES, PLLC EMPLOYEES' 401(K) PROFIT SHARING PLAN AND TRUST 2014 200313944 2015-09-11 CICERO DENTAL ASSOCIATES, PLLC 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 3155922400
Plan sponsor’s address C/O DENTAL HEALTH SOLUTIONS, PLLC, 633 WEST 3RD STREET, FULTON, NY, 13069

Signature of
Role Plan administrator
Date 2015-09-11
Name of individual signing DAVID DEVITO
Role Employer/plan sponsor
Date 2015-09-11
Name of individual signing DAVID DEVITO

DOS Process Agent

Name Role Address
CICERO DENTAL ASSOCIATES, PLLC DOS Process Agent 7770 Frontage Rd, Cicero, NY, United States, 13039

History

Start date End date Type Value
2011-11-09 2023-06-29 Address CICERO BILLING OFF ATT D BOTTY, 184 S FIRST ST, FULTON, NY, 13069, USA (Type of address: Service of Process)
2009-10-05 2011-11-09 Address 633 W. THIRD STREET, FULTON, NY, 13069, USA (Type of address: Service of Process)
2003-10-03 2009-10-05 Address 633 W. THIRD STREET, FULTON, NY, 13069, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230629002775 2023-06-29 BIENNIAL STATEMENT 2021-10-01
131105002317 2013-11-05 BIENNIAL STATEMENT 2013-10-01
111109002176 2011-11-09 BIENNIAL STATEMENT 2011-10-01
091005002185 2009-10-05 BIENNIAL STATEMENT 2009-10-01
071023002153 2007-10-23 BIENNIAL STATEMENT 2007-10-01
040123000957 2004-01-23 AFFIDAVIT OF PUBLICATION 2004-01-23
040123000955 2004-01-23 AFFIDAVIT OF PUBLICATION 2004-01-23
031003000194 2003-10-03 ARTICLES OF ORGANIZATION 2003-10-03

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4846267102 2020-04-13 0248 PPP 7000 Frontage Rd., CICERO, NY, 13039
Loan Status Date 2021-08-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 296748
Loan Approval Amount (current) 296748
Undisbursed Amount 0
Franchise Name -
Lender Location ID 56102
Servicing Lender Name KeyBank National Association
Servicing Lender Address 127 Public Sq, CLEVELAND, OH, 44114-1217
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address CICERO, ONONDAGA, NY, 13039-1001
Project Congressional District NY-22
Number of Employees 22
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Partnership
Originating Lender ID 56102
Originating Lender Name KeyBank National Association
Originating Lender Address CLEVELAND, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 300382.15
Forgiveness Paid Date 2021-07-15
5730958608 2021-03-20 0248 PPS 7770 Frontage Rd, Cicero, NY, 13039-8600
Loan Status Date 2022-08-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 277059
Loan Approval Amount (current) 277059
Undisbursed Amount 0
Franchise Name -
Lender Location ID 56102
Servicing Lender Name KeyBank National Association
Servicing Lender Address 127 Public Sq, CLEVELAND, OH, 44114-1217
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Cicero, ONONDAGA, NY, 13039-8600
Project Congressional District NY-22
Number of Employees 23
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Partnership
Originating Lender ID 56102
Originating Lender Name KeyBank National Association
Originating Lender Address CLEVELAND, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 280368.53
Forgiveness Paid Date 2022-07-05

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State

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