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CROSS COUNTY PEDIATRIC DENTISTRY P.C.

Company Details

Name: CROSS COUNTY PEDIATRIC DENTISTRY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 12 Jun 2006 (19 years ago)
Entity Number: 3374706
ZIP code: 11762
County: Suffolk
Place of Formation: New York
Address: STACEY REYNOLDS, PO BOX 739, MASSAPEQUA PARK, NY, United States, 11762

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CROSS COUNTY PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2023 205086482 2024-09-11 CROSS COUNTY PEDIATRIC DENTISTRY, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 5162225100
Plan sponsor’s address 585 STEWART AVE, STE LL60, GARDEN CITY, NY, 11530
CROSS COUNTY PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2022 205086482 2023-09-08 CROSS COUNTY PEDIATRIC DENTISTRY, P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 5162225100
Plan sponsor’s address 585 STEWART AVENUE, SUITE LL60, GARDEN CITY, NY, 11530
CROSS COUNTY PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2021 205086482 2022-08-10 CROSS COUNTY PEDIATRIC DENTISTRY, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 5162225100
Plan sponsor’s address 585 STEWART AVENUE, SUITE LL60, GARDEN CITY, NY, 11530

Signature of

Role Plan administrator
Date 2022-08-10
Name of individual signing STACEY REYNOLDS, DDS
Role Employer/plan sponsor
Date 2022-08-10
Name of individual signing STACEY REYNOLDS, DDS
CROSS COUNTY PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2020 205086482 2021-09-11 CROSS COUNTY PEDIATRIC DENTISTRY, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 5162225100
Plan sponsor’s address 585 STEWART AVENUE, SUITE LL60, GARDEN CITY, NY, 11530

Signature of

Role Plan administrator
Date 2021-09-11
Name of individual signing STACEY REYNOLDS
Role Employer/plan sponsor
Date 2021-09-11
Name of individual signing STACEY REYNOLDS
CROSS COUNTY PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2019 205086482 2020-10-06 CROSS COUNTY PEDIATRIC DENTISTRY, P.C. 12
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 5162225100
Plan sponsor’s address 585 STEWART AVENUE, SUITE LL60, GARDEN CITY, NY, 11530

Signature of

Role Plan administrator
Date 2020-10-06
Name of individual signing STACEY REYNOLDS
Role Employer/plan sponsor
Date 2020-10-06
Name of individual signing STACEY REYNOLDS
CROSS COUNTY PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2019 205086482 2020-10-07 CROSS COUNTY PEDIATRIC DENTISTRY, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 5162225100
Plan sponsor’s address 585 STEWART AVENUE, SUITE LL60, GARDEN CITY, NY, 11530

Signature of

Role Plan administrator
Date 2020-10-07
Name of individual signing STACEY REYNOLDS
CROSS COUNTY PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2018 205086482 2019-06-14 CROSS COUNTY PEDIATRIC DENTISTRY, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 5162225100
Plan sponsor’s address 585 STEWART AVENUE, SUITE LL60, GARDEN CITY, NY, 11530

Signature of

Role Plan administrator
Date 2019-06-14
Name of individual signing STACEY REYNOLDS
Role Employer/plan sponsor
Date 2019-06-14
Name of individual signing STACEY REYNOLDS
CROSS COUNTY PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2017 205086482 2018-07-19 CROSS COUNTY PEDIATRIC DENTISTRY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 5162225100
Plan sponsor’s address 585 STEWART AVENUE, SUITE LL60, GARDEN CITY, NY, 11530

Signature of

Role Plan administrator
Date 2018-07-19
Name of individual signing STACEY REYNOLDS
Role Employer/plan sponsor
Date 2018-07-19
Name of individual signing STACEY REYNOLDS
CROSS COUNTY PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2016 205086482 2017-05-24 CROSS COUNTY PEDIATRIC DENTISTRY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 5162225100
Plan sponsor’s address 585 STEWART AVENUE, SUITE LL60, GARDEN CITY, NY, 11530

Signature of

Role Plan administrator
Date 2017-05-24
Name of individual signing STACEY REYNOLDS
Role Employer/plan sponsor
Date 2017-05-24
Name of individual signing STACEY REYNOLDS
CROSS COUNTY PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2015 205086482 2016-06-08 CROSS COUNTY PEDIATRIC DENTISTRY, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 5162225100
Plan sponsor’s address 585 STEWART AVENUE, SUITE LL60, GARDEN CITY, NY, 11530

Signature of

Role Plan administrator
Date 2016-06-08
Name of individual signing STACEY REYNOLDS
Role Employer/plan sponsor
Date 2016-06-08
Name of individual signing STACEY REYNOLDS

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent STACEY REYNOLDS, PO BOX 739, MASSAPEQUA PARK, NY, United States, 11762

Filings

Filing Number Date Filed Type Effective Date
060612000666 2006-06-12 CERTIFICATE OF INCORPORATION 2006-06-12

Date of last update: 31 Dec 2024

Sources: New York Secretary of State