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  5. ELIZABETH MATHEW, DDS, PLLC

ELIZABETH MATHEW, DDS, PLLC

Company Details

Name: ELIZABETH MATHEW, DDS, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 04 Sep 2008 (17 years ago)
Entity Number: 3716630
ZIP code: 10566
County: Rockland
Place of Formation: New York
Address: 1000 N. DIVISION ST., STE. 2C, PEEKSKILL, NY, United States, 10566

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELIZABETH MATHEW DDS PLLC 401(K) PROFIT SHARING PLAN & TRUST 2023 263319002 2024-06-25 ELIZABETH MATHEW, DDS, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9148061194
Plan sponsor’s address 538 WESTERN HIGHWAY, BLAUVELT, NY, 10913

Signature of
Role Plan administrator
Date 2024-06-25
Name of individual signing SHIRLEY HORNER
ELIZABETH MATHEW DDS PLLC 401(K) PROFIT SHARING PLAN & TRUST 2022 263319002 2023-04-11 ELIZABETH MATHEW DDS PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9148061194
Plan sponsor’s address 538 WESTERN HIGHWAY, BLAUVELT, NY, 10913

Signature of
Role Plan administrator
Date 2023-04-11
Name of individual signing ELIZABETH MATHEW
ELIZABETH MATHEW DDS PLLC 401(K) PROFIT SHARING PLAN & TRUST 2021 263319002 2022-06-01 ELIZABETH MATHEW DDS PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9148061194
Plan sponsor’s address 538 WESTERN HIGHWAY, BLAUVELT, NY, 10913

Signature of
Role Plan administrator
Date 2022-06-01
Name of individual signing ELIZABETH MATHEW
ELIZABETH MATHEW DDS PLLC 401(K) PROFIT SHARING PLAN & TRUST 2020 263319002 2021-10-02 ELIZABETH MATHEW DDS PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9148061194
Plan sponsor’s address 538 WESTERN HIGHWAY, BLAUVELT, NY, 10913

Signature of
Role Plan administrator
Date 2021-10-02
Name of individual signing ELIZABETH MATHEW
ELIZABETH MATHEW DDS PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 263319002 2020-04-14 ELIZABETH MATHEW DDS PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9148061194
Plan sponsor’s address 538 WESTERN HIGHWAY, BLAUVELT, NY, 10913

Signature of
Role Plan administrator
Date 2020-04-14
Name of individual signing ELIZABETH MATHEW
ELIZABETH MATHEW, DDS 401 K PROFIT SHARING PLAN TRUST 2018 263319002 2019-10-28 ELIZABETH MATHEW DDS PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9148061194
Plan sponsor’s address 538 WESTERN HIGHWAY, BLAUVELT, NY, 10913

Signature of
Role Plan administrator
Date 2019-10-28
Name of individual signing ELIZABETH MATHEW
ELIZABETH MATHEW, DDS 401 K PROFIT SHARING PLAN TRUST 2018 263319002 2019-10-27 ELIZABETH MATHEW DDS PLLC 2
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9148061194
Plan sponsor’s address 538 WESTERN HIGHWAY, BLAUVELT, NY, 10913

Signature of
Role Plan administrator
Date 2019-10-27
Name of individual signing ELIZABETH MATHEW
ELIZABETH MATHEW, DDS 401 K PROFIT SHARING PLAN TRUST 2017 263319002 2019-10-27 ELIZABETH MATHEW DDS PLLC 1
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9148061194
Plan sponsor’s address 538 WESTERN HIGHWAY, BLAUVELT, NY, 10913

Signature of
Role Plan administrator
Date 2019-10-27
Name of individual signing ELIZABETH MATHEW
ELIZABETH MATHEW, DDS 401 K PROFIT SHARING PLAN TRUST 2017 263319002 2019-10-27 ELIZABETH MATHEW DDS PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9148061194
Plan sponsor’s address 538 WESTERN HIGHWAY, BLAUVELT, NY, 10913

Signature of
Role Plan administrator
Date 2019-10-27
Name of individual signing ELIZABETH MATHEW
ELIZABETH MATHEW, DDS 401 K PROFIT SHARING PLAN TRUST 2016 263319002 2017-07-28 ELIZABETH MATHEW DDS PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9148061194
Plan sponsor’s address 538 WESTERN HIGHWAY, BLAUVELT, NY, 10913

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing ELIZABETH MATHEW

DOS Process Agent

Name Role Address
NAT J. AZZNARA W DOS Process Agent 1000 N. DIVISION ST., STE. 2C, PEEKSKILL, NY, United States, 10566

Filings

Filing Number Date Filed Type Effective Date
080904000697 2008-09-04 ARTICLES OF ORGANIZATION 2008-09-04

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5286088000 2020-06-27 0202 PPP 538 WESTERN HWY, BLAUVELT, NY, 10913
Loan Status Date 2022-06-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 33017
Loan Approval Amount (current) 33017
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address BLAUVELT, ROCKLAND, NY, 10913-0001
Project Congressional District NY-17
Number of Employees 4
NAICS code 621210
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 33439.44
Forgiveness Paid Date 2022-05-04

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State

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