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  5. JAY D. EISENSTADT DDS PLLC

JAY D. EISENSTADT DDS PLLC

Company Details

Name: JAY D. EISENSTADT DDS PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 03 Apr 2007 (18 years ago)
Entity Number: 3498841
ZIP code: 11354
County: Queens
Place of Formation: New York
Address: 142-10 ROOSEVELT AVENUE, APT. 110, FLUSHING, NY, United States, 11354

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DR. JAY D. EISENSTADT 401(K) PS PLAN 2016 208962536 2017-07-28 JAY D. EISENSTADT, DDS, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 7188861171
Plan sponsor’s address 142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354

Plan administrator’s name and address
Administrator’s EIN 208962536
Plan administrator’s name JAY D. EISENSTADT, DDS, PLLC
Plan administrator’s address 142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354
Administrator’s telephone number 7188861171

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing JAY D. EISENSTADT
DR. JAY D. EISENSTADT 401(K) PS PLAN 2016 208962536 2017-07-28 JAY D. EISENSTADT, DDS, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 7188861171
Plan sponsor’s address 142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing JAY D. EISENSTADT
DR. JAY D. EISENSTADT 401(K) PS PLAN 2015 208962536 2016-10-10 JAY D. EISENSTADT, DDS, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 7188861171
Plan sponsor’s address 142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354

Plan administrator’s name and address
Administrator’s EIN 208962536
Plan administrator’s name JAY D. EISENSTADT, DDS, PLLC
Plan administrator’s address 142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354
Administrator’s telephone number 7188861171
DR. JAY D. EISENSTADT 401(K) PS PLAN 2014 208962536 2015-10-14 JAY D. EISENSTADT, DDS, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 7188861171
Plan sponsor’s address 142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354

Plan administrator’s name and address
Administrator’s EIN 208962536
Plan administrator’s name JAY D. EISENSTADT, DDS, PLLC
Plan administrator’s address 142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354
Administrator’s telephone number 7188861171

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing JAY D. EISENSTADT
DR. JAY D. EISENSTADT 401(K) PS PLAN 2013 208962536 2014-10-15 JAY D. EISENSTADT, DDS, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 7188861171
Plan sponsor’s address 142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354

Plan administrator’s name and address
Administrator’s EIN 208962536
Plan administrator’s name JAY D. EISENSTADT, DDS, PLLC
Plan administrator’s address 142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354
Administrator’s telephone number 7188861171

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing JAY D. EISENSTADT
DR. JAY D. EISENSTADT 401(K) PS PLAN 2012 208962536 2013-10-10 JAY D. EISENSTADT, DDS, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 7188861171
Plan sponsor’s address 142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354

Plan administrator’s name and address
Administrator’s EIN 208962536
Plan administrator’s name JAY D. EISENSTADT, DDS, PLLC
Plan administrator’s address 142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354
Administrator’s telephone number 7188861171

Signature of
Role Plan administrator
Date 2013-10-10
Name of individual signing JAY D. EISENSTADT
DR. JAY D. EISENSTADT 401(K) PS PLAN 2011 208962536 2012-09-23 JAY D. EISENSTADT, DDS, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 7188861171
Plan sponsor’s address 142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354

Plan administrator’s name and address
Administrator’s EIN 208962536
Plan administrator’s name JAY D. EISENSTADT, DDS, PLLC
Plan administrator’s address 142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354
Administrator’s telephone number 7188861171

Signature of
Role Plan administrator
Date 2012-09-23
Name of individual signing JAY D. EISENSTADT
DR. JAY D. EISENSTADT 401(K) PS PLAN 2010 208962536 2011-04-12 JAY D. EISENSTADT, DDS, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 7188861171
Plan sponsor’s address 142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354

Plan administrator’s name and address
Administrator’s EIN 208962536
Plan administrator’s name JAY D. EISENSTADT, DDS, PLLC
Plan administrator’s address 142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354
Administrator’s telephone number 7188861171

Signature of
Role Plan administrator
Date 2011-04-12
Name of individual signing JAY D. EISENSTADT
Role Employer/plan sponsor
Date 2011-04-12
Name of individual signing JAY D. EISENSTADT
DR. JAY D. EISENSTADT 401(K) PS PLAN 2009 208962536 2010-09-27 JAY D. EISENSTADT, DDS, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 7188861171
Plan sponsor’s address 142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354

Plan administrator’s name and address
Administrator’s EIN 208962536
Plan administrator’s name JAY D. EISENSTADT, DDS, PLLC
Plan administrator’s address 142-10 ROOSEVELT AVENUE, SUITE 110, FLUSHING, NY, 11354
Administrator’s telephone number 7188861171

Signature of
Role Plan administrator
Date 2010-09-27
Name of individual signing JAY D. EISENSTADT
Role Employer/plan sponsor
Date 2010-09-27
Name of individual signing JAY D. EISENSTADT

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 142-10 ROOSEVELT AVENUE, APT. 110, FLUSHING, NY, United States, 11354

Filings

Filing Number Date Filed Type Effective Date
130408007112 2013-04-08 BIENNIAL STATEMENT 2013-04-01
110427002890 2011-04-27 BIENNIAL STATEMENT 2011-04-01
090330002807 2009-03-30 BIENNIAL STATEMENT 2009-04-01
070403000791 2007-04-03 ARTICLES OF ORGANIZATION 2007-04-03

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6302007705 2020-05-01 0202 PPP 14210 ROOSEVELT AVE STE 110, FLUSHING, NY, 11354-6000
Loan Status Date 2021-04-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 47572
Loan Approval Amount (current) 47572
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description New Business or 2 years or less
Project Address FLUSHING, QUEENS, NY, 11354-6000
Project Congressional District NY-06
Number of Employees 4
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 47969.52
Forgiveness Paid Date 2021-03-03
3315528307 2021-01-21 0202 PPS 14210 Roosevelt Ave Ste 110, Flushing, NY, 11354-6000
Loan Status Date 2021-11-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 47572
Loan Approval Amount (current) 47572
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Flushing, QUEENS, NY, 11354-6000
Project Congressional District NY-06
Number of Employees 4
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 47906.96
Forgiveness Paid Date 2021-10-06

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State

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