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MICHELLE A. GIFFORD, D.D.S., PLLC

MICHELLE A. GIFFORD, D.D.S., PLLC

Company Details

Name:	MICHELLE A. GIFFORD, D.D.S., PLLC
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status:	Active
Date of registration:	04 May 2005 (20 years ago)
Entity Number:	3200366
ZIP code:	13733
County:	Chenango
Place of Formation:	New York
Address:	10 WHITNEY WAY, PO BOX 309, BAINBRIDGE, NY, United States, 13733

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

GIFFORD FAMILY DENTISTRY RETIREMENT PLAN & TRUST

2023

202787328

2024-09-06

MICHELLE A. GIFFORD, D.D.S., PLLC

7

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	621210
Sponsor’s telephone number	6079678200
Plan sponsor’s address	10 WHITNEY WAY, BAINBRIDGE, NY, 13733

GIFFORD FAMILY DENTISTRY RETIREMENT PLAN & TRUST

2022

202787328

2023-08-25

MICHELLE A. GIFFORD, D.D.S., PLLC

7

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	621210
Sponsor’s telephone number	6079678200
Plan sponsor’s address	10 WHITNEY WAY, BAINBRIDGE, NY, 13733

GIFFORD FAMILY DENTISTRY RETIREMENT PLAN & TRUST

2021

202787328

2022-09-14

MICHELLE A. GIFFORD, D.D.S., PLLC

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	621210
Sponsor’s telephone number	6079678200
Plan sponsor’s address	10 WHITNEY WAY, BAINBRIDGE, NY, 13733

GIFFORD FAMILY DENTISTRY RETIREMENT PLAN & TRUST

2020

202787328

2021-09-04

MICHELLE A. GIFFORD, D.D.S., PLLC

8

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	621210
Sponsor’s telephone number	6079678200
Plan sponsor’s address	10 WHITNEY WAY, BAINBRIDGE, NY, 13733

GIFFORD FAMILY DENTISTRY RETIREMENT PLAN & TRUST

2019

202787328

2020-09-14

MICHELLE A. GIFFORD, D.D.S., PLLC

8

Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	621210
Sponsor’s telephone number	6079678200
Plan sponsor’s address	10 WHITNEY WAY, BAINBRIDGE, NY, 13733

GIFFORD FAMILY DENTISTRY RETIREMENT PLAN & TRUST

2019

202787328

2020-09-14

MICHELLE A. GIFFORD, D.D.S., PLLC

8

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	621210
Sponsor’s telephone number	6079678200
Plan sponsor’s address	10 WHITNEY WAY, BAINBRIDGE, NY, 13733

GIFFORD FAMILY DENTISTRY RETIREMENT PLAN & TRUST

2018

202787328

2019-10-01

MICHELLE A. GIFFORD, D.D.S., PLLC

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	621210
Sponsor’s telephone number	6079678200
Plan sponsor’s address	10 WHITNEY WAY, P.O. BOX 309, BAINBRIDGE, NY, 13733

Signature of

Role	Plan administrator
Date	2019-10-01
Name of individual signing	MICHELLE A. GIFFORD

DOS Process Agent

Name	Role	Address
MICHELLE A. GIFFORD, D.D.S., PLLC	DOS Process Agent	10 WHITNEY WAY, PO BOX 309, BAINBRIDGE, NY, United States, 13733

History

Start date	End date	Type	Value
2021-05-06	2021-05-06	Address	10 WHITNEY WAY, PO BOX 309, BAINBRIDGE, NY, 13733, USA (Type of address: Service of Process)
2009-04-20	2021-05-06	Address	10 WHITNEY WAY, BAINBRIDGE, NY, 13733, USA (Type of address: Service of Process)
2005-05-04	2009-04-20	Address	49 NORTH MAIN ST, BAINBRIDGE, NY, 13733, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
210506062511	2021-05-06	BIENNIAL STATEMENT	2021-05-01
210506061018	2021-05-06	BIENNIAL STATEMENT	2021-05-01
130507006485	2013-05-07	BIENNIAL STATEMENT	2013-05-01
110909002714	2011-09-09	BIENNIAL STATEMENT	2011-05-01
090420002650	2009-04-20	BIENNIAL STATEMENT	2009-05-01
070509002324	2007-05-09	BIENNIAL STATEMENT	2007-05-01
051003000643	2005-10-03	AFFIDAVIT OF PUBLICATION	2005-10-03
051003000642	2005-10-03	AFFIDAVIT OF PUBLICATION	2005-10-03
050504000808	2005-05-04	ARTICLES OF ORGANIZATION	2005-05-04

Date of last update: 01 Jan 2025

Sources: New York Secretary of State