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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

Date of last update: 17 Jan 2025

Sources: New York Secretary of State