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PARK DENTAL ASSOCIATES, PLLC

Company Details

Name: PARK DENTAL ASSOCIATES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 26 Mar 2007 (18 years ago)
Entity Number: 3494457
ZIP code: 14618
County: Monroe
Place of Formation: New York
Address: 880 WESTFALL ROAD, SUITE C, ROCHESTER, NY, United States, 14618

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PARK DENTAL ASSOCIATES PLLC 401(K) PROFIT SHARING PLAN & TRUST 2020 208714126 2021-04-05 PARK DENTAL ASSOCIATES PLLC 14
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Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5854734320
Plan sponsor’s address 880 WESTFALL ROAD - SUITE C, ROCHESTER, NY, 14618

Signature of

Role Plan administrator
Date 2021-04-05
Name of individual signing EDWARD ROJAS
PARK DENTAL ASSOCIATES PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 208714126 2020-05-27 PARK DENTAL ASSOCIATES PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5854734320
Plan sponsor’s address 880 WESTFALL ROAD - SUITE C, ROCHESTER, NY, 14618

Signature of

Role Plan administrator
Date 2020-05-27
Name of individual signing EDWARD ROJAS
PARK DENTAL ASSOCIATES PLLC 401K PLAN 2017 208714126 2018-07-23 PARK DENTAL ASSOCIATES PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 5854734320
Plan sponsor’s address 880 WESTFALL ROAD SUITE C, ROCHESTER, NY, 146182611

Signature of

Role Plan administrator
Date 2018-07-23
Name of individual signing THOMAS J. MILLER DDS
Role Employer/plan sponsor
Date 2018-07-23
Name of individual signing THOMAS MILLER
PARK DENTAL ASSOCIATES PLLC 401K PLAN 2016 208714126 2017-05-15 PARK DENTAL ASSOCIATES PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 5854734320
Plan sponsor’s address 880 WESTFALL ROAD SUITE C, ROCHESTER, NY, 146182611

Signature of

Role Plan administrator
Date 2017-05-03
Name of individual signing THOMAS J. MILLER DDS
PARK DENTAL ASSOCIATES PLLC 401K PLAN 2015 208714126 2016-07-05 PARK DENTAL ASSOCIATES PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 5854734320
Plan sponsor’s address 880 WESTFALL ROAD SUITE C, ROCHESTER, NY, 146182611

Signature of

Role Plan administrator
Date 2016-07-05
Name of individual signing THOMAS J. MILLER DDS
PARK DENTAL ASSOCIATES PLLC 401K PLAN 2014 208714126 2015-04-28 PARK DENTAL ASSOCIATES PLLC 11
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 5854734320
Plan sponsor’s address 880 WESTFALL ROAD SUITE C, ROCHESTER, NY, 14618

Signature of

Role Plan administrator
Date 2015-04-28
Name of individual signing THOMAS J. MILLER DDS
Role Employer/plan sponsor
Date 2015-04-28
Name of individual signing THOMAS J. MILLER
PARK DENTAL ASSOCIATES PLLC 401K PLAN 2014 208714126 2015-10-06 PARK DENTAL ASSOCIATES PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 5854734320
Plan sponsor’s address 880 WESTFALL ROAD SUITE C, ROCHESTER, NY, 14618

Signature of

Role Plan administrator
Date 2015-10-06
Name of individual signing THOMAS J. MILLER
Role Employer/plan sponsor
Date 2015-10-06
Name of individual signing THOMAS J. MILLER
PARK DENTAL ASSOCIATES PLLC 401K PLAN 2013 208714126 2014-10-08 PARK DENTAL ASSOCIATES PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 5854734320
Plan sponsor’s address 880 WESTFALL ROAD SUITE C, ROCHESTER, NY, 14618

Signature of

Role Plan administrator
Date 2014-10-08
Name of individual signing THOMAS J. MILLER DDS
PARK DENTAL ASSOCIATES PLLC 401K PLAN 2012 208714126 2013-07-24 PARK DENTAL ASSOCIATES PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 5854734320
Plan sponsor’s address 880 WESTFALL ROAD SUITE C, ROCHESTER, NY, 14618

Signature of

Role Plan administrator
Date 2013-07-24
Name of individual signing THOMAS J. MILLER
PARK DENTAL ASSOCIATES PLLC 401K PLAN 2011 208714126 2012-04-30 PARK DENTAL ASSOCIATES PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 5854734320
Plan sponsor’s address 880 WESTFALL ROAD SUITE C, ROCHESTER, NY, 14618

Plan administrator’s name and address

Administrator’s EIN 208714126
Plan administrator’s name PARK DENTAL ASSOCIATES PLLC
Plan administrator’s address 880 WESTFALL ROAD SUITE C, ROCHESTER, NY, 14618
Administrator’s telephone number 5854734320

Signature of

Role Plan administrator
Date 2012-04-30
Name of individual signing KEPTJM040770
Role Employer/plan sponsor
Date 2012-04-30
Name of individual signing KEPTJM040770

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 880 WESTFALL ROAD, SUITE C, ROCHESTER, NY, United States, 14618

Filings

Filing Number Date Filed Type Effective Date
190425060011 2019-04-25 BIENNIAL STATEMENT 2019-03-01
150303007232 2015-03-03 BIENNIAL STATEMENT 2015-03-01
130312006492 2013-03-12 BIENNIAL STATEMENT 2013-03-01
110329003184 2011-03-29 BIENNIAL STATEMENT 2011-03-01
090304002164 2009-03-04 BIENNIAL STATEMENT 2009-03-01
070910000311 2007-09-10 CERTIFICATE OF PUBLICATION 2007-09-10
070326000335 2007-03-26 ARTICLES OF ORGANIZATION 2007-03-26

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
3977115008 Small Business Administration 59.041 - 504 CERTIFIED DEVELOPMENT LOANS No data No data TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Recipient PARK DENTAL ASSOCIATES PLLC
Recipient Name Raw PARK DENTAL ASSOCIATES PLLC
Recipient DUNS 158800425
Recipient Address 880C WESTFALL RD., ROCHESTER, MONROE, NEW YORK, 14618-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 92000.00
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3427365008 Small Business Administration 59.012 - 7(A) LOAN GUARANTEES No data No data TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Recipient PARK DENTAL ASSOCIATES PLLC
Recipient Name Raw PARK DENTAL ASSOCIATES PLLC
Recipient Address 880 WESTFALL ROAD, SUITE C, ROCHESTER, MONROE, NEW YORK, 14618-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 13020.00
Face Value of Direct Loan 420000.00
Link View Page
3427545003 Small Business Administration 59.012 - 7(A) LOAN GUARANTEES No data No data TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Recipient PARK DENTAL ASSOCIATES PLLC
Recipient Name Raw PARK DENTAL ASSOCIATES PLLC
Recipient Address 880 WESTFALL ROAD, SUITE C, ROCHESTER, MONROE, NEW YORK, 14618-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2904207901 2020-06-12 0219 PPP 880 Westfall Road, Rochester, NY, 14618-2611
Loan Status Date 2022-04-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 48500
Loan Approval Amount (current) 48500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 224780
Servicing Lender Name New York Business Development Corporation
Servicing Lender Address 50 Beaver Street, Albany, NY, 12207-1538
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Rochester, MONROE, NY, 14618-2611
Project Congressional District NY-25
Number of Employees 6
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 224780
Originating Lender Name New York Business Development Corporation
Originating Lender Address Albany, NY
Gender Male Owned
Veteran Veteran
Forgiveness Amount 49000.95
Forgiveness Paid Date 2021-07-02

Date of last update: 11 Mar 2025

Sources: New York Secretary of State