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  5. JOSEPH T. NISTA, D.D.S., PLLC

JOSEPH T. NISTA, D.D.S., PLLC

Company Details

Name: JOSEPH T. NISTA, D.D.S., PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 11 Feb 2004 (21 years ago)
Entity Number: 3011933
ZIP code: 12206
County: Albany
Place of Formation: New York
Address: 1035 WASHINGTON AVENUE, ALBANY, NY, United States, 12206

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JOSEPH T. NISTA DDS PLLC 401K PLAN 2012 200624573 2013-07-26 JOSEPH T. NISTA, D.D.S. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 5184350462
Plan sponsor’s address 1035 WASHINGTON AVENUE, ALBANY, NY, 12206

Signature of
Role Plan administrator
Date 2013-07-26
Name of individual signing JOSEPH T. NISTA
Role Employer/plan sponsor
Date 2013-07-26
Name of individual signing JOSEPH T. NISTA
JOSEPH T. NISTA DDS PLLC 401K PLAN 2011 200624573 2012-06-29 JOSEPH T. NISTA, D.D.S. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 5184350462
Plan sponsor’s address 1035 WASHINGTON AVENUE, ALBANY, NY, 12206

Plan administrator’s name and address
Administrator’s EIN 200624573
Plan administrator’s name JOSEPH T. NISTA, D.D.S.
Plan administrator’s address 1035 WASHINGTON AVENUE, ALBANY, NY, 12206
Administrator’s telephone number 5184350462

Signature of
Role Plan administrator
Date 2012-06-29
Name of individual signing JOSEPH T NISTA
JOSEPH T. NISTA DDS PLLC 401K PLAN 2010 200624573 2011-06-25 JOSEPH T. NISTA, D.D.S. 6
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 5184350462
Plan sponsor’s address 1035 WASHINGTON AVENUE, ALBANY, NY, 12206

Plan administrator’s name and address
Administrator’s EIN 200624573
Plan administrator’s name JOSEPH T. NISTA, D.D.S.
Plan administrator’s address 1035 WASHINGTON AVENUE, ALBANY, NY, 12206
Administrator’s telephone number 5184350462

Signature of
Role Plan administrator
Date 2011-06-25
Name of individual signing JOSEPH T. NISTA
JOSEPH T. NISTA DDS PLLC 401K PLAN 2010 200624573 2011-07-08 JOSEPH T. NISTA, D.D.S. 6
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 5184350462
Plan sponsor’s address 1035 WASHINGTON AVENUE, ALBANY, NY, 12206

Plan administrator’s name and address
Administrator’s EIN 200624573
Plan administrator’s name JOSEPH T. NISTA, D.D.S.
Plan administrator’s address 1035 WASHINGTON AVENUE, ALBANY, NY, 12206
Administrator’s telephone number 5184350462

Signature of
Role Plan administrator
Date 2011-06-25
Name of individual signing JOSEPH T. NISTA
JOSEPH T. NISTA DDS PLLC 401K PLAN 2010 200624573 2011-07-08 JOSEPH T. NISTA, D.D.S. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 5184350462
Plan sponsor’s address 1035 WASHINGTON AVENUE, ALBANY, NY, 12206

Plan administrator’s name and address
Administrator’s EIN 200624573
Plan administrator’s name JOSEPH T. NISTA, D.D.S.
Plan administrator’s address 1035 WASHINGTON AVENUE, ALBANY, NY, 12206
Administrator’s telephone number 5184350462

Signature of
Role Plan administrator
Date 2011-07-08
Name of individual signing JOSEPH T. NISTA
JOSEPH T. NISTA DDS PLLC 401K PLAN 2009 200624573 2010-06-18 JOSEPH T. NISTA, D.D.S. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 5184350462
Plan sponsor’s address 1035 WASHINGTON AVENUE, ALBANY, NY, 12206

Plan administrator’s name and address
Administrator’s EIN 200624573
Plan administrator’s name JOSEPH T. NISTA, D.D.S.
Plan administrator’s address 1035 WASHINGTON AVENUE, ALBANY, NY, 12206
Administrator’s telephone number 5184350462

Signature of
Role Plan administrator
Date 2010-06-18
Name of individual signing JOSEPH T. NISTA

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1035 WASHINGTON AVENUE, ALBANY, NY, United States, 12206

History

Start date End date Type Value
2008-01-24 2010-02-22 Address 1035 WASHINGTON AVENUE, ALBANY, NY, 12206, USA (Type of address: Service of Process)
2004-02-11 2008-01-24 Address C/O WALTER T. BURKE, ESQ., 255 WASHINGTON AVENUE EXT., ALBANY, NY, 12205, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140404002572 2014-04-04 BIENNIAL STATEMENT 2014-02-01
120308002796 2012-03-08 BIENNIAL STATEMENT 2012-02-01
100222002124 2010-02-22 BIENNIAL STATEMENT 2010-02-01
080124002427 2008-01-24 BIENNIAL STATEMENT 2008-02-01
040510000120 2004-05-10 AFFIDAVIT OF PUBLICATION 2004-05-10
040510000118 2004-05-10 AFFIDAVIT OF PUBLICATION 2004-05-10
040211000645 2004-02-11 ARTICLES OF ORGANIZATION 2004-02-11

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6177987303 2020-04-30 0248 PPP 1035 WASHINGTON AVE, ALBANY, NY, 12206-1225
Loan Status Date 2021-05-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 53474
Loan Approval Amount (current) 53474
Undisbursed Amount 0
Franchise Name -
Lender Location ID 47180
Servicing Lender Name Chemung Canal Trust Company
Servicing Lender Address One Chemung Canal Plz, ELMIRA, NY, 14901-3408
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address ALBANY, ALBANY, NY, 12206-1225
Project Congressional District NY-20
Number of Employees 5
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 47180
Originating Lender Name Chemung Canal Trust Company
Originating Lender Address ELMIRA, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 53977.55
Forgiveness Paid Date 2021-04-13

Related by officers

THE LLC

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Related by address

1035 WASHINGTON AVENUE, ALBANY, NY, United States, 12206

1035 WASHINGTON AVENUE, ALBANY, NY, LLC

Date of last update: 29 Mar 2025

Sources: New York Secretary of State

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