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FORMOSO DENTAL, P.C.

FORMOSO DENTAL, P.C.

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Company Details

Name:	FORMOSO DENTAL, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	20 Oct 2008 (17 years ago)
Entity Number:	3733537
ZIP code:	10016
County:	New York
Place of Formation:	New York
Address:	30 EAST 40TH STREET, SUITE 305, NEW YORK CITY, NY, United States, 10016
Principal Address:	30 EAST 40TH STREET SUITE 305, SUITE 305, NEW YORK, NY, United States, 10016

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Agent

Name	Role	Address
DR. DAVID LEE	Agent	405 LEXINGTON AVE., TOWER SUITES 6900, NEW YORK CITY, NY, 10174

DOS Process Agent

Name	Role	Address
FORMOSO DENTAL, P.C.	DOS Process Agent	30 EAST 40TH STREET, SUITE 305, NEW YORK CITY, NY, United States, 10016

Chief Executive Officer

Name	Role	Address
DR. DAVID FORMOSAN LEE	Chief Executive Officer	30 EAST 40TH STREET, SUITE 305, NEW YORK, NY, United States, 10016

National Provider Identifier

NPI Number:

1629490826

Certification Date:

2020-11-10

Link:

View on NPI website

Authorized Person:

Name:

DR. DAVID FORMOSAN LEE

Role:

PRESIDENT

Phone:

7183884613

Taxonomy:

Selected Taxonomy:

122300000X - Dentist

Is Primary:

Yes

Contacts:

Phone:

+1 718-388-4613

Phone:

+1 212-370-1919

Form 5500 Series

Employer Identification Number (EIN):

263818439

Plan Year:

2024

Number Of Participants:

3

Sponsors Telephone Number:

2123701919

File:

Plan Year:

2023

Number Of Participants:

3

Sponsors Telephone Number:

2123701919

File:

Plan Year:

2022

Number Of Participants:

3

Sponsors Telephone Number:

2123701919

File:

Plan Year:

2021

Number Of Participants:

2

Sponsors Telephone Number:

2123701919

File:

Plan Year:

2020

Number Of Participants:

2

Sponsors Telephone Number:

2123701919

File:

History

Start date	End date	Type	Value
2020-10-02	2025-06-26	Address	30 EAST 40TH STREET, SUITE 305, NEW YORK CITY, NY, 10016, USA (Type of address: Service of Process)
2020-10-02	2025-06-26	Address	30 EAST 40TH STREET, SUITE 305, NEW YORK, NY, 10016, USA (Type of address: Chief Executive Officer)
2012-10-04	2020-10-02	Address	405 LEXINGTON AVE., STE. 6900, NEW YORK, NY, 10174, USA (Type of address: Chief Executive Officer)
2012-02-02	2025-06-26	Address	405 LEXINGTON AVE., TOWER SUITES 6900, NEW YORK CITY, NY, 10174, USA (Type of address: Registered Agent)
2012-02-02	2020-10-02	Address	405 LEXINGTON AVE., TOWER SUITES 6900, NEW YORK CITY, NY, 10174, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
250626002669	2025-04-23	CERTIFICATE OF CHANGE BY ENTITY	2025-04-23
201002061137	2020-10-02	BIENNIAL STATEMENT	2020-10-01
121004006314	2012-10-04	BIENNIAL STATEMENT	2012-10-01
120202000978	2012-02-02	CERTIFICATE OF CHANGE	2012-02-02
081020000262	2008-10-20	CERTIFICATE OF INCORPORATION	2008-10-20

Paycheck Protection Program

Jobs Reported:

5

Initial Approval Amount:

$56,587

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$56,587

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$57,185.88

Servicing Lender:

WebBank

Use of Proceeds:

Payroll: $56,587

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State