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MAPLE DENTAL PLLC

Company Details

Name: MAPLE DENTAL PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 09 Aug 2006 (19 years ago)
Entity Number: 3398622
ZIP code: 10601
County: Westchester
Place of Formation: New York
Address: 137 MAPLE AVENUE, WHITE PLAINS, NY, United States, 10601

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MAPLE DENTAL, PLLC 401(K) PLAN 2021 205366743 2022-01-27 MAPLE DENTAL, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 9149488898
Plan sponsor’s address 137 MAPLE AVE, WHITE PLAINS, NY, 10601

Signature of

Role Plan administrator
Date 2022-01-27
Name of individual signing KELLY DURANTE
MAPLE DENTAL, PLLC 401(K) PLAN 2020 205366743 2021-06-29 MAPLE DENTAL, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 9149488898
Plan sponsor’s address 137 MAPLE AVE, WHITE PLAINS, NY, 10601

Signature of

Role Plan administrator
Date 2021-06-29
Name of individual signing KELLY DURANTE
MAPLE DENTAL, PLLC 401(K) PLAN 2019 205366743 2020-07-10 MAPLE DENTAL, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 9149488898
Plan sponsor’s address 137 MAPLE AVE, WHITE PLAINS, NY, 10601

Signature of

Role Plan administrator
Date 2020-07-10
Name of individual signing KELLY DURANTE
MAPLE DENTAL, PLLC 401(K) PLAN 2018 205366743 2019-07-24 MAPLE DENTAL, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 9149488898
Plan sponsor’s address 137 MAPLE AVE, WHITE PLAINS, NY, 10601

Signature of

Role Plan administrator
Date 2019-07-24
Name of individual signing NAZARENO REGALBUTO
MAPLE DENTAL, PLLC 401(K) PLAN 2017 205366743 2018-07-25 MAPLE DENTAL, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 9149488898
Plan sponsor’s address 137 MAPLE AVE, WHITE PLAINS, NY, 10601

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 137 MAPLE AVENUE, WHITE PLAINS, NY, United States, 10601

Filings

Filing Number Date Filed Type Effective Date
210216060819 2021-02-16 BIENNIAL STATEMENT 2020-08-01
161202000682 2016-12-02 CERTIFICATE OF AMENDMENT 2016-12-02
120806006112 2012-08-06 BIENNIAL STATEMENT 2012-08-01
100812002271 2010-08-12 BIENNIAL STATEMENT 2010-08-01
080804003129 2008-08-04 BIENNIAL STATEMENT 2008-08-01
061129000156 2006-11-29 CERTIFICATE OF PUBLICATION 2006-11-29
060809000537 2006-08-09 ARTICLES OF ORGANIZATION 2006-08-09

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9242487209 2020-04-28 0202 PPP 137 Maple Ave, White Plains, NY, 10601
Loan Status Date 2021-04-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 131636
Loan Approval Amount (current) 131636
Undisbursed Amount 0
Franchise Name -
Lender Location ID 49274
Servicing Lender Name Citibank, N.A.
Servicing Lender Address 5800 S. Corporate Place, Sioux Falls, SD, 57108
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address White Plains, WESTCHESTER, NY, 10601-1000
Project Congressional District NY-16
Number of Employees 10
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 49274
Originating Lender Name Citibank, N.A.
Originating Lender Address Sioux Falls, SD
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 132802.44
Forgiveness Paid Date 2021-03-25

Date of last update: 28 Mar 2025

Sources: New York Secretary of State