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  5. DARBY DENTAL SUPPLY, LLC

DARBY DENTAL SUPPLY, LLC

Company Details

Name: DARBY DENTAL SUPPLY, LLC
Jurisdiction: New York
Legal type: FOREIGN LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 16 Aug 2006 (18 years ago)
Entity Number: 3401210
ZIP code: 10606
County: Nassau
Place of Formation: Delaware
Address: 10 BANK STREET, WHITE PLAINS, NY, United States, 10606

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
5GKH5 Active Non-Manufacturer 2009-05-17 2024-05-10 2029-01-04 2025-01-01

Contact Information
POC ROB REHKOPF
Phone +1 800-645-2310
Fax +1 866-252-5503
Address 300 JERICHO QUADRANGLE STE LL10, JERICHO, NY, 19904 2778, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DARBY DENTAL SUPPLY, LLC 401(K) SAVINGS AND PROFIT SHARING PLAN 2012 134338341 2013-10-15 DARBY DENTAL SUPPLY, LLC 350
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 423990
Sponsor’s telephone number 5166886714
Plan sponsor’s mailing address 300 JERICHO QUADRANGLE, JERICHO, NY, 11753
Plan sponsor’s address 300 JERICHO QUADRANGLE, JERICHO, NY, 11753

Plan administrator’s name and address
Administrator’s EIN 134338341
Plan administrator’s name DARBY DENTAL SUPPLY, LLC
Plan administrator’s address 300 JERICHO QUADRANGLE, JERICHO, NY, 11753
Administrator’s telephone number 5166886714

Number of participants as of the end of the plan year
Active participants 365
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 9
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 307
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing JOHN STANCO
Valid signature Filed with authorized/valid electronic signature
DARBY DENTAL SUPPLY, LLC HEALTH AND WELFARE BENEFIT PLAN 2012 134338341 2013-05-29 DARBY DENTAL SUPPLY, LLC 622
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2007-01-01
Business code 424990
Sponsor’s telephone number 5166886839
Plan sponsor’s mailing address 300 JERICHO QUADRANGLE STE 100, JERICHO, NY, 117532716
Plan sponsor’s address 300 JERICHO QUADRANGLE STE 100, JERICHO, NY, 117532716

Number of participants as of the end of the plan year
Active participants 582

Signature of
Role Plan administrator
Date 2013-05-28
Name of individual signing JOHN STANCO
Valid signature Filed with authorized/valid electronic signature
DARBY DENTAL SUPPLY, LLC HEALTH AND WELFARE BENEFIT PLAN 2011 134338341 2012-10-12 DARBY DENTAL SUPPLY, LLC 317
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2007-01-01
Business code 424990
Sponsor’s telephone number 5166886839
Plan sponsor’s mailing address 300 JERICHO QUADRANGLE STE 100, JERICHO, NY, 117532716
Plan sponsor’s address 300 JERICHO QUADRANGLE STE 100, JERICHO, NY, 117532716

Plan administrator’s name and address
Administrator’s EIN 134338341
Plan administrator’s name DARBY DENTAL SUPPLY, LLC
Plan administrator’s address 300 JERICHO QUADRANGLE STE 100, JERICHO, NY, 117532716
Administrator’s telephone number 5166886839

Number of participants as of the end of the plan year
Active participants 622

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing JOHN STANCO
Valid signature Filed with authorized/valid electronic signature
DARBY DENTAL SUPPLY, LLC HEALTH AND WELFARE BENEFIT PLAN 2010 134338341 2011-10-14 DARBY DENTAL SUPPLY, LLC 317
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2007-01-01
Business code 424990
Sponsor’s telephone number 5166886839
Plan sponsor’s mailing address 300 JERICHO QUADRANGLE STE 100, JERICHO, NY, 117532716
Plan sponsor’s address 300 JERICHO QUADRANGLE STE 100, JERICHO, NY, 117532716

Plan administrator’s name and address
Administrator’s EIN 134338341
Plan administrator’s name DARBY DENTAL SUPPLY, LLC
Plan administrator’s address 300 JERICHO QUADRANGLE STE 100, JERICHO, NY, 117532716
Administrator’s telephone number 5166886839

Number of participants as of the end of the plan year
Active participants 317

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing JAMES CONKLIN
Valid signature Filed with authorized/valid electronic signature
DARBY DENTAL SUPPLY, LLC HEALTH AND WELFARE BENEFIT PLAN 2009 134338341 2010-09-30 DARBY DENTAL SUPPLY, LLC 612
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2007-01-01
Business code 424990
Sponsor’s telephone number 5166886839
Plan sponsor’s mailing address 300 JERICHO QUADRANGLE STE 100, JERICHO, NY, 117532716
Plan sponsor’s address 300 JERICHO QUADRANGLE STE 100, JERICHO, NY, 117532716

Plan administrator’s name and address
Administrator’s EIN 134338341
Plan administrator’s name DARBY DENTAL SUPPLY, LLC
Plan administrator’s address 300 JERICHO QUADRANGLE STE 100, JERICHO, NY, 117532716
Administrator’s telephone number 5166886839

Number of participants as of the end of the plan year
Active participants 317
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2010-09-30
Name of individual signing JAMES CONKLIN
Valid signature Filed with authorized/valid electronic signature
DARBY DENTAL SUPPLY, LLC HEALTH AND WELFARE BENEFIT PLAN 2009 134338341 2010-09-30 DARBY DENTAL SUPPLY, LLC 612
Three-digit plan number (PN) 502
Effective date of plan 2007-01-01
Business code 424990
Sponsor’s telephone number 5166886839
Plan sponsor’s mailing address 300 JERICHO QUADRANGLE STE 100, JERICHO, NY, 117532716
Plan sponsor’s address 300 JERICHO QUADRANGLE STE 100, JERICHO, NY, 117532716

Plan administrator’s name and address
Administrator’s EIN 134338341
Plan administrator’s name DARBY DENTAL SUPPLY, LLC
Plan administrator’s address 300 JERICHO QUADRANGLE STE 100, JERICHO, NY, 117532716
Administrator’s telephone number 5166886839

Number of participants as of the end of the plan year
Active participants 317
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Employer/plan sponsor
Date 2010-09-30
Name of individual signing JAMES CONKLIN
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
UNITED CORPORATE SERVICES INC DOS Process Agent 10 BANK STREET, WHITE PLAINS, NY, United States, 10606

History

Start date End date Type Value
2010-08-25 2024-10-10 Address 10 BANK STREET, WHITE PLAINS, NY, 10606, USA (Type of address: Service of Process)
2006-08-16 2010-08-25 Address INC., 10 BANK STREET, WHITE PLAINS, NY, 10606, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
241010001353 2024-10-10 BIENNIAL STATEMENT 2024-10-10
220819000531 2022-08-19 BIENNIAL STATEMENT 2022-08-01
200814060176 2020-08-14 BIENNIAL STATEMENT 2020-08-01
180822006049 2018-08-22 BIENNIAL STATEMENT 2018-08-01
160804006873 2016-08-04 BIENNIAL STATEMENT 2016-08-01
140818006210 2014-08-18 BIENNIAL STATEMENT 2014-08-01
120823002533 2012-08-23 BIENNIAL STATEMENT 2012-08-01
100825002744 2010-08-25 BIENNIAL STATEMENT 2010-08-01
060816000370 2006-08-16 APPLICATION OF AUTHORITY 2006-08-16

Related by officers

UNITED CORPORATE SERVICES INC

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Related by address

10 BANK STREET, WHITE PLAINS, NY, United States, 10606

1790 BROADWAY LLC 99 LAFAYETTE WP, LLC ALLIANCE RYE, L.P. ALLIANCE WHITE PLAINS, L.P. APOLLO PARTNERS (CALIFORNIA) LTD. BIOBINA, LLC BRIAR HILLS PLUMBING & HEATING, INC. CRITERION RESEARCH GROUP, LLC CYBT, LLC

Date of last update: 31 Dec 2024

Sources: New York Secretary of State

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