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  5. HEALTHY SMILES DENTISTRY OF NORTHERN WESTCHESTER, PLLC

HEALTHY SMILES DENTISTRY OF NORTHERN WESTCHESTER, PLLC

Company Details

Name: HEALTHY SMILES DENTISTRY OF NORTHERN WESTCHESTER, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 20 Dec 2005 (19 years ago)
Entity Number: 3294868
ZIP code: 10578
County: Westchester
Place of Formation: New York
Address: 509B ROUTE 22, PO BOX 8, PURDYS, NY, United States, 10578

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEALTHY SMILES 401K PLAN 2022 203985929 2023-10-14 HEALTHY SMILES DENTISTRY OF NORTHERN WESTCHESTER PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-10-01
Business code 621210
Sponsor’s telephone number 9142774990
Plan sponsor’s address 509B ROUTE 22, PURDYS, NY, 105782900

Signature of
Role Plan administrator
Date 2023-10-14
Name of individual signing ANDREW MOSKOWITZ
HEALTHY SMILES 401K PLAN 2021 203985929 2022-10-17 HEALTHY SMILES DENTISTRY OF NORTHERN WESTCHESTER PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-10-01
Business code 621210
Sponsor’s telephone number 9142774990
Plan sponsor’s address 509B ROUTE 22, PURDYS, NY, 105782900

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing ANDREW MOSKOWITZ
HEALTHY SMILES 401K PLAN 2020 203985929 2022-01-05 HEALTHY SMILES DENTISTRY OF NORTHERN WESTCHESTER PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-10-01
Business code 621210
Sponsor’s telephone number 9142774990
Plan sponsor’s address 509B ROUTE 22, PURDYS, NY, 105782900

Signature of
Role Plan administrator
Date 2022-01-05
Name of individual signing ANDREW MOSKOWITZ
HEALTHY SMILES 401K PLAN 2019 203985929 2022-01-05 HEALTHY SMILES DENTISTRY OF NORTHERN WESTCHESTER PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-10-01
Business code 621210
Sponsor’s telephone number 9142774990
Plan sponsor’s address 509B ROUTE 22, PURDYS, NY, 105782900

Signature of
Role Plan administrator
Date 2022-01-05
Name of individual signing ANDREW MOSKOWITZ
HEALTHY SMILES 401K PLAN 2019 203985929 2020-10-16 HEALTHY SMILES DENTISTRY OF NORTHERN WESTCHESTER PLLC 5
Three-digit plan number (PN) 001
Effective date of plan 2009-10-01
Business code 621210
Sponsor’s telephone number 9142774990
Plan sponsor’s address 509B ROUTE 22, PURDYS, NY, 105782900

Signature of
Role Plan administrator
Date 2020-10-16
Name of individual signing ANDREW MOSKOWITZ
HEALTHY SMILES 401K PLAN 2018 203985929 2019-10-24 HEALTHY SMILES DENTISTRY OF NORTHERN WESTCHESTER PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-10-01
Business code 621210
Sponsor’s telephone number 9142774990
Plan sponsor’s address 509B ROUTE 22, PURDYS, NY, 105782900

Signature of
Role Plan administrator
Date 2019-10-24
Name of individual signing ANDREW MOSKOWITZ
HEALTHY SMILES 401K PLAN 2017 203985929 2018-10-17 HEALTHY SMILES DENTISTRY OF NORTHERN WESTCHESTER PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-10-01
Business code 621210
Sponsor’s telephone number 9142774990
Plan sponsor’s address 509B ROUTE 22, PURDYS, NY, 105782900

Signature of
Role Plan administrator
Date 2018-10-17
Name of individual signing ANDREW MOSKOWITZ
HEALTHY SMILES 401K PLAN 2016 203985929 2017-10-15 HEALTHY SMILES DENTISTRY OF NORTHERN WESTCHESTER PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-10-01
Business code 621210
Sponsor’s telephone number 9142774990
Plan sponsor’s address 509B ROUTE 22, PURDYS, NY, 105782900

Signature of
Role Plan administrator
Date 2017-10-15
Name of individual signing ANDREW MOSKOWITZ
HEALTHY SMILES 401K PLAN 2015 203985929 2016-10-16 HEALTHY SMILES DENTISTRY OF NORTHERN WESTCHESTER PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-10-01
Business code 621210
Sponsor’s telephone number 9142774990
Plan sponsor’s address 509B ROUTE 22, PURDYS, NY, 105782900

Signature of
Role Plan administrator
Date 2016-10-16
Name of individual signing ANDREW MOSKOWITZ
HEALTHY SMILES 401K PLAN 2014 203985929 2015-10-13 HEALTHY SMILES DENTISTRY OF NORTHERN WESTCHESTER PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-10-01
Business code 621210
Sponsor’s telephone number 9142774990
Plan sponsor’s address 509B ROUTE 22, PURDY, NY, 10578

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing ANDREW MOSKOWITZ

DOS Process Agent

Name Role Address
ANDREW M. MOSKOWITZ, D.D.S. DOS Process Agent 509B ROUTE 22, PO BOX 8, PURDYS, NY, United States, 10578

History

Start date End date Type Value
2005-12-20 2007-12-11 Address 2485 CROMPOND ROAD, YORKTOWN HEIGHTS, NY, 10598, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140305002155 2014-03-05 BIENNIAL STATEMENT 2013-12-01
120104002364 2012-01-04 BIENNIAL STATEMENT 2011-12-01
091211002176 2009-12-11 BIENNIAL STATEMENT 2009-12-01
071211002341 2007-12-11 BIENNIAL STATEMENT 2007-12-01
060324000684 2006-03-24 AFFIDAVIT OF PUBLICATION 2006-03-24
060324000680 2006-03-24 AFFIDAVIT OF PUBLICATION 2006-03-24
051220000080 2005-12-20 ARTICLES OF ORGANIZATION 2005-12-20

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9003887007 2020-04-09 0202 PPP 509 B Route 22, PURDYS, NY, 10578
Loan Status Date 2021-02-06
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 26400
Loan Approval Amount (current) 26400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 46391
Servicing Lender Name Manufacturers and Traders Trust Company
Servicing Lender Address One M & T Plaza, 15th Fl, BUFFALO, NY, 14203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address PURDYS, WESTCHESTER, NY, 10578-0001
Project Congressional District NY-17
Number of Employees 4
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 15793
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address Bridgeport, CT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 26588.78
Forgiveness Paid Date 2021-01-14

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State

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