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SHALOM DENTAL LLC

Company Details

Name: SHALOM DENTAL LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 07 Oct 2005 (19 years ago)
Entity Number: 3265977
ZIP code: 11229
County: Suffolk
Place of Formation: New York
Address: 1618 E 14TH ST, 2ND FLOOR, BROOKLYN, NY, United States, 11229

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHALOM DENTAL, LLC PROFIT SHARING PLAN 2023 203760751 2024-09-24 SHALOM DENTAL, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 7183768886
Plan sponsor’s address 1618 E. 14TH STREET, BROOKLYN, NY, 11229

Signature of

Role Plan administrator
Date 2024-09-24
Name of individual signing ALBERT KOHENBASH
Valid signature Filed with authorized/valid electronic signature
SHALOM DENTAL LLC PENSION PLAN 2023 203760751 2024-09-24 SHALOM DENTAL, LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 7183768886
Plan sponsor’s address 1618 E. 14TH STREET, BROOKLYN, NY, 11229

Signature of

Role Plan administrator
Date 2024-09-24
Name of individual signing ALBERT KOHNBASH
Valid signature Filed with authorized/valid electronic signature
SHALOM DENTAL, LLC PROFIT SHARING PLAN 2022 203760751 2023-10-10 SHALOM DENTAL, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 7183768886
Plan sponsor’s address 1618 E. 14TH STREET, BROOKLYN, NY, 11229

Signature of

Role Plan administrator
Date 2023-10-10
Name of individual signing ALBERT KOHENBASH
SHALOM DENTAL LLC PENSION PLAN 2022 203760751 2023-10-10 SHALOM DENTAL, LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 7183768886
Plan sponsor’s address 1618 E. 14TH STREET, BROOKLYN, NY, 11229

Signature of

Role Plan administrator
Date 2023-10-10
Name of individual signing ALBERT KOHNBASH
SHALOM DENTAL, LLC PROFIT SHARING PLAN 2021 203760751 2022-09-21 SHALOM DENTAL, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 7183768886
Plan sponsor’s address 1618 E. 14TH STREET, BROOKLYN, NY, 11229

Signature of

Role Plan administrator
Date 2022-09-21
Name of individual signing ALBERT KOHENBASH
SHALOM DENTAL LLC PENSION PLAN 2021 203760751 2022-09-21 SHALOM DENTAL, LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 7183768886
Plan sponsor’s address 1618 E. 14TH STREET, BROOKLYN, NY, 11229

Signature of

Role Plan administrator
Date 2022-09-21
Name of individual signing ALBERT KOHNBASH
SHALOM DENTAL LLC PENSION PLAN 2020 203760751 2021-10-14 SHALOM DENTAL, LLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 7183768886
Plan sponsor’s address 1618 E. 14TH STREET, BROOKLYN, NY, 11229

Signature of

Role Plan administrator
Date 2021-10-14
Name of individual signing ALBERT KOHNBASH
SHALOM DENTAL, LLC PROFIT SHARING PLAN 2020 203760751 2021-10-14 SHALOM DENTAL, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 7183768886
Plan sponsor’s address 1618 E. 14TH STREET, BROOKLYN, NY, 11229

Signature of

Role Plan administrator
Date 2021-10-14
Name of individual signing ALBERT KOHENBASH
SHALOM DENTAL, LLC PROFIT SHARING PLAN 2019 203760751 2020-10-07 SHALOM DENTAL, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 7183768886
Plan sponsor’s address 1618 E. 14TH STREET, BROOKLYN, NY, 11229

Signature of

Role Plan administrator
Date 2020-10-07
Name of individual signing ALBERT KOHENBASH
SHALOM DENTAL LLC PENSION PLAN 2019 203760751 2020-10-07 SHALOM DENTAL, LLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 7183768886
Plan sponsor’s address 1618 E. 14TH STREET, BROOKLYN, NY, 11229

Signature of

Role Plan administrator
Date 2020-10-07
Name of individual signing ALBERT KOHNBASH

DOS Process Agent

Name Role Address
SHALOM DENTAL LLC DOS Process Agent 1618 E 14TH ST, 2ND FLOOR, BROOKLYN, NY, United States, 11229

History

Start date End date Type Value
2009-10-20 2019-08-27 Address 1618 E 14TH ST, BROOKLYN, NY, 11229, USA (Type of address: Service of Process)
2005-10-07 2009-10-20 Address 1648 EAST 14TH STREET SUITE 4, BROOKLYN, NY, 11229, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
190827060149 2019-08-27 BIENNIAL STATEMENT 2017-10-01
131021006447 2013-10-21 BIENNIAL STATEMENT 2013-10-01
091020002443 2009-10-20 BIENNIAL STATEMENT 2009-10-01
051213000730 2005-12-13 AFFIDAVIT OF PUBLICATION 2005-12-13
051213000725 2005-12-13 AFFIDAVIT OF PUBLICATION 2005-12-13
051017000397 2005-10-17 CERTIFICATE OF CHANGE 2005-10-17
051007000013 2005-10-07 ARTICLES OF ORGANIZATION 2005-10-07

Date of last update: 31 Dec 2024

Sources: New York Secretary of State