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  5. WOODBURY FAMILY DENTAL, PLLC

WOODBURY FAMILY DENTAL, PLLC

Company Details

Name: WOODBURY FAMILY DENTAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 19 Dec 2008 (16 years ago)
Entity Number: 3755030
ZIP code: 10926
County: Orange
Place of Formation: New York
Address: TRIANGLE PLAZA, 118 RIVER ROAD, SUITE 14, HARRIMAN, NY, United States, 10926

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WOODBURY FAMILY DENTAL PLLC 401(K) PROFIT SHARING PLAN & TRUST 2023 264146955 2024-05-16 WOODBURY FAMILY DENTAL PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812990
Sponsor’s telephone number 8457821800
Plan sponsor’s address 505 STATE ROUTE 208- STE23, MONROE, NY, 10950

Signature of
Role Plan administrator
Date 2024-05-16
Name of individual signing CATHERINE LEWIS
WOODBURY FAMILY DENTAL PLLC 401(K) PROFIT SHARING PLAN & TRUST 2022 264146955 2023-06-08 WOODBURY FAMILY DENTAL PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812990
Sponsor’s telephone number 8457821800
Plan sponsor’s address 505 STATE ROUTE 208- STE23, MONROE, NY, 10950

Signature of
Role Plan administrator
Date 2023-06-08
Name of individual signing CATHERINE LEWIS
WOODBURY FAMILY DENTAL PLLC 401(K) PROFIT SHARING PLAN & TRUST 2021 264146955 2022-06-30 WOODBURY FAMILY DENTAL PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812990
Sponsor’s telephone number 8457821800
Plan sponsor’s address 505 STATE ROUTE 208- STE23, MONROE, NY, 10950

Signature of
Role Plan administrator
Date 2022-06-30
Name of individual signing CATHERINE LEWIS
WOODBURY FAMILY DENTAL PLLC 401(K) PROFIT SHARING PLAN & TRUST 2020 264146955 2021-06-01 WOODBURY FAMILY DENTAL PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812990
Sponsor’s telephone number 8457821800
Plan sponsor’s address 505 STATE ROUTE 208- STE23, MONROE, NY, 10950

Signature of
Role Plan administrator
Date 2021-06-01
Name of individual signing CATHERINE LEWIS
WOODBURY FAMILY DENTAL PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 264146955 2020-07-21 WOODBURY FAMILY DENTAL PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812990
Sponsor’s telephone number 8457821800
Plan sponsor’s address 505 STATE ROUTE 208- STE23, MONROE, NY, 10950

Signature of
Role Plan administrator
Date 2020-07-21
Name of individual signing CATHY LEWIS
WOODBURY FAMILY DENTAL PLLC 401 K PROFIT SHARING PLAN TRUST 2018 264146955 2019-08-20 WOODBURY FAMILY DENTAL PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812990
Sponsor’s telephone number 8457821800
Plan sponsor’s address 505 STATE ROUTE 208- STE23, MONROE, NY, 10950

Signature of
Role Plan administrator
Date 2019-08-20
Name of individual signing CATHERINE LEWIS
WOODBURY FAMILY DENTAL PLLC 401 K PROFIT SHARING PLAN TRUST 2017 264146955 2019-08-20 WOODBURY FAMILY DENTAL PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812990
Sponsor’s telephone number 8457821800
Plan sponsor’s address 505 STATE ROUTE 208- STE23, MONROE, NY, 10950

Signature of
Role Plan administrator
Date 2019-08-20
Name of individual signing CATHERINE LEWIS

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent TRIANGLE PLAZA, 118 RIVER ROAD, SUITE 14, HARRIMAN, NY, United States, 10926

Filings

Filing Number Date Filed Type Effective Date
141211006741 2014-12-11 BIENNIAL STATEMENT 2014-12-01
121228002024 2012-12-28 BIENNIAL STATEMENT 2012-12-01
101209002269 2010-12-09 BIENNIAL STATEMENT 2010-12-01
091106000391 2009-11-06 CERTIFICATE OF PUBLICATION 2009-11-06
081219000590 2008-12-19 ARTICLES OF ORGANIZATION 2009-01-01

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
3586285005 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 WOODBURY FAMILY DENTAL, PLLC
Recipient Name Raw WOODBURY FAMILY DENTAL, PLLC
Recipient Address 118 RIVER ROAD, SUITE 14, HARRIMAN, ORANGE, NEW YORK, 10926-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 13392.00
Face Value of Direct Loan 432000.00
Link View Page

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3085518406 2021-02-04 0202 PPS 505 State Route 208 Ste 23, Monroe, NY, 10950-1607
Loan Status Date 2021-10-15
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 127215
Loan Approval Amount (current) 127215
Undisbursed Amount 0
Franchise Name -
Lender Location ID 45120
Servicing Lender Name Valley National Bank
Servicing Lender Address 615 Main Ave, PASSAIC, NJ, 07055-5066
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Monroe, ORANGE, NY, 10950-1607
Project Congressional District NY-18
Number of Employees 11
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Partnership
Originating Lender ID 45120
Originating Lender Name Valley National Bank
Originating Lender Address PASSAIC, NJ
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 127889.95
Forgiveness Paid Date 2021-09-10
8801737204 2020-04-28 0202 PPP 118 River Road, Suite 14, Monroe, NY, 10950
Loan Status Date 2021-10-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 121127
Loan Approval Amount (current) 121127
Undisbursed Amount 0
Franchise Name -
Lender Location ID 45120
Servicing Lender Name Valley National Bank
Servicing Lender Address 615 Main Ave, PASSAIC, NJ, 07055-5066
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Monroe, ORANGE, NY, 10950-1000
Project Congressional District NY-18
Number of Employees 15
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Partnership
Originating Lender ID 45120
Originating Lender Name Valley National Bank
Originating Lender Address PASSAIC, NJ
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 122782.4
Forgiveness Paid Date 2021-09-10

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Date of last update: 10 Mar 2025

Sources: New York Secretary of State

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