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  5. ROSLYN DENTAL, LLC

ROSLYN DENTAL, LLC

Company Details

Name: ROSLYN DENTAL, LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 02 Dec 2005 (19 years ago)
Entity Number: 3288178
ZIP code: 11577
County: Nassau
Place of Formation: New York
Address: 70 GLEN COVE ROAD, SUITE 103, ROSLYN HEIGHTS, NY, United States, 11577

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROSLYN DENTAL LLC 401(K) PLAN 2021 203895782 2022-04-12 ROSLYN DENTAL, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 5162252285
Plan sponsor’s address 588 PACING WAY, WESTBURY, NY, 11590
ROSLYN DENTAL LLC 401(K) PLAN 2021 203895782 2022-04-12 ROSLYN DENTAL, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 5162252285
Plan sponsor’s address 588 PACING WAY, WESTBURY, NY, 11590
ROSLYN DENTAL LLC 401(K) PLAN 2020 203895782 2021-07-17 ROSLYN DENTAL, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 5162252285
Plan sponsor’s address 588 PACING WAY, WESTBURY, NY, 11590

Signature of
Role Plan administrator
Date 2021-07-17
Name of individual signing RANDI GERSTENBLATT
ROSLYN DENTAL LLC 401(K) PLAN 2019 203895782 2020-07-16 ROSLYN DENTAL, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 5162252285
Plan sponsor’s address 588 PACING WAY, WESTBURY, NY, 11590

Signature of
Role Plan administrator
Date 2020-07-16
Name of individual signing RANDI GERSTENBLATT
ROSLYN DENTAL LLC 401(K) PLAN 2018 203895782 2019-09-25 ROSLYN DENTAL, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 5162252285
Plan sponsor’s address 588 PACING WAY, WESTBURY, NY, 11590

Signature of
Role Plan administrator
Date 2019-09-25
Name of individual signing RANDI GERSTENBLATT
ROSLYN DENTAL LLC 401(K) PLAN 2017 203895782 2018-09-14 ROSLYN DENTAL, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 5162252285
Plan sponsor’s address 588 PACING WAY, WESTBURY, NY, 11590

Signature of
Role Plan administrator
Date 2018-09-14
Name of individual signing RANDI GERSTENBLATT

DOS Process Agent

Name Role Address
ROSLYN DENTAL, LLC DOS Process Agent 70 GLEN COVE ROAD, SUITE 103, ROSLYN HEIGHTS, NY, United States, 11577

History

Start date End date Type Value
2007-12-20 2013-12-18 Address 70 GLEN COVE ROAD, ROSLYN HEIGHTS, NY, 11577, USA (Type of address: Service of Process)
2005-12-02 2007-12-20 Address 69 KNOLLS DRIVE NORTH, MANHASSET HILL, NY, 11040, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
171204006043 2017-12-04 BIENNIAL STATEMENT 2017-12-01
160406006299 2016-04-06 BIENNIAL STATEMENT 2015-12-01
131218006382 2013-12-18 BIENNIAL STATEMENT 2013-12-01
111230002290 2011-12-30 BIENNIAL STATEMENT 2011-12-01
091217002290 2009-12-17 BIENNIAL STATEMENT 2009-12-01
071220002495 2007-12-20 BIENNIAL STATEMENT 2007-12-01
060213000391 2006-02-13 AFFIDAVIT OF PUBLICATION 2006-02-13
060213000388 2006-02-13 AFFIDAVIT OF PUBLICATION 2006-02-13
051202000813 2005-12-02 ARTICLES OF ORGANIZATION 2005-12-02

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5485997303 2020-04-30 0235 PPP 70 Glen Cove Road, Roslyn Heights, NY, 11590
Loan Status Date 2021-04-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 47848
Loan Approval Amount (current) 47848
Undisbursed Amount 0
Franchise Name -
Lender Location ID 29805
Servicing Lender Name TD Bank, National Association
Servicing Lender Address 2035 Limestone Rd, WILMINGTON, DE, 19808-5529
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Roslyn Heights, NASSAU, NY, 11590-0001
Project Congressional District NY-03
Number of Employees 6
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 29805
Originating Lender Name TD Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 48264.01
Forgiveness Paid Date 2021-03-18
4919638409 2021-02-07 0235 PPS 588 Pacing Way, Westbury, NY, 11590-6677
Loan Status Date 2021-11-23
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 47847
Loan Approval Amount (current) 47847
Undisbursed Amount 0
Franchise Name -
Lender Location ID 29805
Servicing Lender Name TD Bank, National Association
Servicing Lender Address 2035 Limestone Rd, WILMINGTON, DE, 19808-5529
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Westbury, NASSAU, NY, 11590-6677
Project Congressional District NY-04
Number of Employees 5
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 29805
Originating Lender Name TD Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 48183.26
Forgiveness Paid Date 2021-10-25

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State

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