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L.I. PERIODONTICS & DENTAL IMPLANTS, PLLC

Company Details

Name: L.I. PERIODONTICS & DENTAL IMPLANTS, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 10 May 2004 (21 years ago)
Entity Number: 3051152
ZIP code: 11725
County: Suffolk
Place of Formation: New York
Address: 66 Commack rd, suite 208, Commack, NY, United States, 11725

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC PROFIT SHARING PLAN 2020 270089938 2021-04-28 L.I. PERIODONTICS & DENTAL IMPLANTS PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6314627646
Plan sponsor’s address 66 COMMACK ROAD, COMMACK, NY, 11728

Signature of

Role Plan administrator
Date 2021-04-28
Name of individual signing JEFFREY C. ROSARIO
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC PROFIT SHARING PLAN 2019 270089938 2020-04-20 L.I. PERIODONTICS & DENTAL IMPLANTS PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6314627646
Plan sponsor’s address 66 COMMACK ROAD, COMMACK, NY, 11728

Signature of

Role Plan administrator
Date 2020-04-20
Name of individual signing JEFFREY C. ROSARIO
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC PROFIT SHARING PLAN 2018 270089938 2019-06-19 L.I. PERIODONTICS & DENTAL IMPLANTS PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6314627646
Plan sponsor’s address 66 COMMACK ROAD, COMMACK, NY, 11728

Signature of

Role Plan administrator
Date 2019-06-19
Name of individual signing JEFFREY C. ROSARIO
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC PROFIT SHARING PLAN 2017 270089938 2018-08-23 L.I. PERIODONTICS & DENTAL IMPLANTS PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6314627646
Plan sponsor’s address 66 COMMACK ROAD, COMMACK, NY, 11728

Signature of

Role Plan administrator
Date 2018-08-23
Name of individual signing JEFFREY C. ROSARIO
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC PROFIT SHARING PLAN 2016 270089938 2017-07-31 L.I. PERIODONTICS & DENTAL IMPLANTS PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6314627646
Plan sponsor’s address 66 COMMACK ROAD, COMMACK, NY, 11728

Signature of

Role Plan administrator
Date 2017-07-31
Name of individual signing JEFFREY C. ROSARIO
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC PROFIT SHARING PLAN 2015 270089938 2016-04-27 L.I. PERIODONTICS & DENTAL IMPLANTS PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6314627646
Plan sponsor’s address 66 COMMACK ROAD, COMMACK, NY, 11728

Signature of

Role Plan administrator
Date 2016-04-27
Name of individual signing JEFFREY C. ROSARIO
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC PROFIT SHARING PLAN 2014 270089938 2015-02-25 L.I. PERIODONTICS & DENTAL IMPLANTS PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6314627646
Plan sponsor’s address 66 COMMACK ROAD, COMMACK, NY, 11728

Signature of

Role Plan administrator
Date 2015-02-25
Name of individual signing JEFFREY C. ROSARIO
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC PROFIT SHARING PLAN 2013 270089938 2014-09-22 L.I. PERIODONTICS & DENTAL IMPLANTS PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6314627646
Plan sponsor’s address 66 COMMACK ROAD, COMMACK, NY, 11728

Signature of

Role Plan administrator
Date 2014-09-22
Name of individual signing JEFFREY C. ROSARIO
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC PROFIT SHARING PLAN 2012 270089938 2013-02-22 L.I. PERIODONTICS & DENTAL IMPLANTS PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6314627646
Plan sponsor’s address 66 COMMACK ROAD, COMMACK, NY, 11728

Signature of

Role Plan administrator
Date 2013-02-22
Name of individual signing JEFFREY C. ROSARIO
L.I. PERIODONTICS & DENTAL IMPLANTS PLLC PROFIT SHARING PLAN 2011 270089938 2012-02-21 L.I. PERIODONTICS & DENTAL IMPLANTS PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6314627646
Plan sponsor’s address 66 COMMACK ROAD, COMMACK, NY, 11728

Plan administrator’s name and address

Administrator’s EIN 270089938
Plan administrator’s name L.I. PERIODONTICS & DENTAL IMPLANTS PLLC
Plan administrator’s address 66 COMMACK ROAD, COMMACK, NY, 11728
Administrator’s telephone number 6314627646

Signature of

Role Plan administrator
Date 2012-02-21
Name of individual signing JEFFREY C. ROSARIO

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 66 Commack rd, suite 208, Commack, NY, United States, 11725

History

Start date End date Type Value
2024-08-09 2025-01-24 Address 66 Commack rd, suite 208, Commack, NY, 11725, USA (Type of address: Service of Process)
2004-05-10 2024-08-09 Address 1 HOLLY COURT, NORTH BABYLON, NY, 11703, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250124001234 2025-01-23 CERTIFICATE OF PUBLICATION 2025-01-23
240809001001 2024-08-09 BIENNIAL STATEMENT 2024-08-09
040510000492 2004-05-10 ARTICLES OF ORGANIZATION 2004-05-10

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6914997307 2020-04-30 0235 PPP 66 commack rd., Commack, NY, 11725
Loan Status Date 2021-08-10
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 183332
Loan Approval Amount (current) 183332
Undisbursed Amount 0
Franchise Name -
Lender Location ID 223542
Servicing Lender Name Celtic Bank Corporation
Servicing Lender Address 268 S State St, Ste 300, SALT LAKE CITY, UT, 84111-5314
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Commack, SUFFOLK, NY, 11725-0001
Project Congressional District NY-01
Number of Employees 11
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 223542
Originating Lender Name Celtic Bank Corporation
Originating Lender Address SALT LAKE CITY, UT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 185516.92
Forgiveness Paid Date 2021-07-14
5037588301 2021-01-23 0235 PPS 66 Commack Rd, Commack, NY, 11725-3405
Loan Status Date 2021-10-21
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 120207
Loan Approval Amount (current) 120207
Undisbursed Amount 0
Franchise Name -
Lender Location ID 223542
Servicing Lender Name Celtic Bank Corporation
Servicing Lender Address 268 S State St, Ste 300, SALT LAKE CITY, UT, 84111-5314
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Commack, SUFFOLK, NY, 11725-3405
Project Congressional District NY-01
Number of Employees 11
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 223542
Originating Lender Name Celtic Bank Corporation
Originating Lender Address SALT LAKE CITY, UT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 120977.64
Forgiveness Paid Date 2021-09-20

Date of last update: 29 Mar 2025

Sources: New York Secretary of State