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SHEEPSHEAD BAY ORAL SURGERY PLLC

Company Details

Name: SHEEPSHEAD BAY ORAL SURGERY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 Feb 2004 (21 years ago)
Entity Number: 3016299
ZIP code: 11229
County: Kings
Place of Formation: New York
Address: 1918 AVENUE U, BROOKLYN, NY, United States, 11229

Contact Details

Phone +1 718-743-5400

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHEEPSHEAD BAY ORAL SURGERY RETIREMENT PLAN 2023 061724941 2024-09-26 SHEEPSHEAD BAY ORAL SURGERY PLLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7187435400
Plan sponsor’s address 2347 CONEY ISLAND AVENUE, BROOKLYN, NY, 11223

Signature of

Role Plan administrator
Date 2024-09-26
Name of individual signing DMITRIY TOKAR
Valid signature Filed with authorized/valid electronic signature
SHEEPSHEAD BAY ORAL SURGERY RETIREMENT PLAN 2022 061724941 2023-10-02 SHEEPSHEAD BAY ORAL SURGERY PLLC 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7187435400
Plan sponsor’s address 2347 CONEY ISLAND AVENUE, BROOKLYN, NY, 11223

Signature of

Role Plan administrator
Date 2023-10-02
Name of individual signing DMITRIY TOKAR
SHEEPSHEAD BAY ORAL SURGERY RETIREMENT PLAN 2021 061724941 2022-10-10 SHEEPSHEAD BAY ORAL SURGERY PLLC 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7187435400
Plan sponsor’s address 2347 CONEY ISLAND AVENUE, BROOKLYN, NY, 11223

Signature of

Role Plan administrator
Date 2022-10-10
Name of individual signing DMITRIY TOKAR
SHEEPSHEAD BAY ORAL SURGERY RETIREMENT PLAN 2020 061724941 2021-10-15 SHEEPSHEAD BAY ORAL SURGERY PLLC 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7187435400
Plan sponsor’s address 2347 CONEY ISLAND AVENUE, BROOKLYN, NY, 11223

Signature of

Role Plan administrator
Date 2021-10-15
Name of individual signing DMITRIY TOKAR
SHEEPSHEAD BAY ORAL SURGERY RETIREMENT PLAN 2019 061724941 2020-10-15 SHEEPSHEAD BAY ORAL SURGERY PLLC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7187435400
Plan sponsor’s address 1918 AVENUE U, BROOKLYN, NY, 11229

Signature of

Role Plan administrator
Date 2020-10-15
Name of individual signing DMITRIY TOKAR
SHEEPSHEAD BAY ORAL SURGERY RETIREMENT PLAN 2018 061724941 2019-10-11 SHEEPSHEAD BAY ORAL SURGERY PLLC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7187435400
Plan sponsor’s address 1918 AVENUE U, BROOKLYN, NY, 11229

Signature of

Role Plan administrator
Date 2019-10-11
Name of individual signing DMITRIY TOKAR
SHEEPSHEAD BAY ORAL SURGERY RETIREMENT PLAN 2017 061724941 2018-10-12 SHEEPSHEAD BAY ORAL SURGERY PLLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7187435400
Plan sponsor’s address 1918 AVENUE U, BROOKLYN, NY, 11229

Signature of

Role Plan administrator
Date 2018-10-12
Name of individual signing DMITRIY TOKAR
SHEEPSHEAD BAY ORAL SURGERY RETIREMENT PLAN 2016 061724941 2017-09-19 SHEEPSHEAD BAY ORAL SURGERY PLLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7187435400
Plan sponsor’s address 1918 AVENUE U, BROOKLYN, NY, 11229

Signature of

Role Plan administrator
Date 2017-09-19
Name of individual signing DMITRIY TOKAR
SHEEPSHEAD BAY ORAL SURGERY RETIREMENT PLAN 2015 061724941 2016-10-14 SHEEPSHEAD BAY ORAL SURGERY PLLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7187435400
Plan sponsor’s address 1918 AVENUE U, BROOKLYN, NY, 11229

Signature of

Role Plan administrator
Date 2016-10-14
Name of individual signing DMITRIY TOKAR
SHEEPSHEAD BAY ORAL SURGERY RETIREMENT PLAN 2014 061724941 2015-10-09 SHEEPSHEAD BAY ORAL SURGERY PLLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7187435400
Plan sponsor’s address 1918 AVENUE U, BROOKLYN, NY, 11229

Signature of

Role Plan administrator
Date 2015-10-09
Name of individual signing DMITRIY TOKAR

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1918 AVENUE U, BROOKLYN, NY, United States, 11229

History

Start date End date Type Value
2004-02-23 2006-02-02 Address 1977 EAST 27TH STREET, BROOKLYN, NY, 11229, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
160201006679 2016-02-01 BIENNIAL STATEMENT 2016-02-01
120314002671 2012-03-14 BIENNIAL STATEMENT 2012-02-01
080131002229 2008-01-31 BIENNIAL STATEMENT 2008-02-01
060202002087 2006-02-02 BIENNIAL STATEMENT 2006-02-01
040624000549 2004-06-24 AFFIDAVIT OF PUBLICATION 2004-06-24
040624000546 2004-06-24 AFFIDAVIT OF PUBLICATION 2004-06-24
040223000446 2004-02-23 ARTICLES OF ORGANIZATION 2004-02-23

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6782718504 2021-03-04 0202 PPS 2347 Coney Island Ave Apt 1, Brooklyn, NY, 11223-4173
Loan Status Date 2022-01-21
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 135925
Loan Approval Amount (current) 135925
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Brooklyn, KINGS, NY, 11223-4173
Project Congressional District NY-08
Number of Employees 18
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 48270
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address COLUMBUS, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 137001.75
Forgiveness Paid Date 2021-12-22
2199217701 2020-05-01 0202 PPP 1918 Avenue U, Brooklyn, NY, 11229
Loan Status Date 2021-08-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 179768
Loan Approval Amount (current) 179768
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Brooklyn, KINGS, NY, 11229-0001
Project Congressional District NY-09
Number of Employees 18
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 181877.18
Forgiveness Paid Date 2021-07-12

Date of last update: 29 Mar 2025

Sources: New York Secretary of State