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  5. SAMUEL GOODLOE III, DDS, MD, PLLC

SAMUEL GOODLOE III, DDS, MD, PLLC

Company Details

Name: SAMUEL GOODLOE III, DDS, MD, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 02 Jul 2010 (15 years ago)
Entity Number: 3968996
ZIP code: 14221
County: Erie
Place of Formation: New York
Address: 66 SANDHURST LANE, WILLIAMSVILLE, NY, United States, 14221

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SAMUEL GOODLOE, III, DDS, MD, PLLC 401(K) PLAN 2023 273004353 2024-07-09 SAMUEL GOODLOE, III, DDS, MD, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 7166260001
Plan sponsor’s address 1321 MILLERSPORT HIGHWAY, SUITE 201, WILLIAMSVILLE, NY, 14221

Signature of
Role Plan administrator
Date 2024-07-08
Name of individual signing SAMUEL GOODLOE III DDS MD
Role Employer/plan sponsor
Date 2024-07-08
Name of individual signing SAMUEL GOODLOE III DDS MD
SAMUEL GOODLOE, III, DDS, MD, PLLC 401(K) PLAN 2022 273004353 2023-07-24 SAMUEL GOODLOE, III, DDS, MD, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 7166260001
Plan sponsor’s address 1321 MILLERSPORT HIGHWAY, SUITE 201, WILLIAMSVILLE, NY, 14221

Signature of
Role Plan administrator
Date 2023-07-21
Name of individual signing SAMUEL GOODLOE III
Role Employer/plan sponsor
Date 2023-07-21
Name of individual signing SAMUEL GOODLOE III
SAMUEL GOODLOE, III, DDS, MD, PLLC 401(K) PLAN 2021 273004353 2022-06-22 SAMUEL GOODLOE, III, DDS, MD, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 7166260001
Plan sponsor’s address 1321 MILLERSPORT HIGHWAY, SUITE 201, WILLIAMSVILLE, NY, 14221

Signature of
Role Plan administrator
Date 2022-06-20
Name of individual signing SAMUEL GOODLOE III DDS MD
Role Employer/plan sponsor
Date 2022-06-20
Name of individual signing SAMUEL GOODLOE III DDS MD
SAMUEL GOODLOE, III, DDS, MD, PLLC 401(K) PLAN 2020 273004353 2021-06-29 SAMUEL GOODLOE, III, DDS, MD, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 7166260001
Plan sponsor’s address 1321 MILLERSPORT HIGHWAY, SUITE 201, WILLIAMSVILLE, NY, 14221

Signature of
Role Plan administrator
Date 2021-06-28
Name of individual signing SAMUEL GOODLOE III
Role Employer/plan sponsor
Date 2021-06-28
Name of individual signing SAMUEL GOODLOE III
SAMUEL GOODLOE, III, DDS, MD, PLLC 401(K) PLAN 2019 273004353 2020-07-06 SAMUEL GOODLOE, III, DDS, MD, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 7166260001
Plan sponsor’s address 1321 MILLERSPORT HIGHWAY, SUITE 201, WILLIAMSVILLE, NY, 14221

Signature of
Role Plan administrator
Date 2020-07-05
Name of individual signing SAMUEL GOODLOE III
Role Employer/plan sponsor
Date 2020-07-05
Name of individual signing SAMUEL GOODLOE III
SAMUEL GOODLOE, III, DDS, MD, PLLC 401(K) PLAN 2018 273004353 2019-07-16 SAMUEL GOODLOE, III, DDS, MD, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 7166260001
Plan sponsor’s address 1321 MILLERSPORT HIGHWAY, SUITE 201, WILLIAMSVILLE, NY, 14221

Signature of
Role Plan administrator
Date 2019-07-15
Name of individual signing SAMUEL GOODLOE III
Role Employer/plan sponsor
Date 2019-07-15
Name of individual signing SAMUEL GOODLOE III
SAMUEL GOODLOE, III, DDS, MD, PLLC 401(K) PLAN 2017 273004353 2018-04-23 SAMUEL GOODLOE, III, DDS, MD, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 7166260001
Plan sponsor’s address 1321 MILLERSPORT HIGHWAY, SUITE 201, WILLIAMSVILLE, NY, 14221

Signature of
Role Plan administrator
Date 2018-04-22
Name of individual signing SAMUEL GOODLOE III
Role Employer/plan sponsor
Date 2018-04-22
Name of individual signing SAMUEL GOODLOE III

DOS Process Agent

Name Role Address
SAMUEL GOODLOE, III DOS Process Agent 66 SANDHURST LANE, WILLIAMSVILLE, NY, United States, 14221

Filings

Filing Number Date Filed Type Effective Date
120709006972 2012-07-09 BIENNIAL STATEMENT 2012-07-01
110218000089 2011-02-18 CERTIFICATE OF PUBLICATION 2011-02-18
100702000020 2010-07-02 ARTICLES OF ORGANIZATION 2010-07-02

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9631688602 2021-03-26 0296 PPS 1321 Millersport Hwy Ste 201, Williamsville, NY, 14221-2900
Loan Status Date 2021-12-09
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 34640
Loan Approval Amount (current) 34640
Undisbursed Amount 0
Franchise Name -
Lender Location ID 46391
Servicing Lender Name Manufacturers and Traders Trust Company
Servicing Lender Address One M & T Plaza, 15th Fl, BUFFALO, NY, 14203
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Williamsville, ERIE, NY, 14221-2900
Project Congressional District NY-26
Number of Employees 4
NAICS code 621999
Borrower Race Black or African American
Borrower Ethnicity Unknown/NotStated
Business Type Sole Proprietorship
Originating Lender ID 46391
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address BUFFALO, NY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 34848.79
Forgiveness Paid Date 2021-11-05
4236707106 2020-04-13 0296 PPP 1321 Millersport HWY Suite 201, Williamsville, NY, 14221
Loan Status Date 2021-02-06
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 34960
Loan Approval Amount (current) 34960
Undisbursed Amount 0
Franchise Name -
Lender Location ID 46391
Servicing Lender Name Manufacturers and Traders Trust Company
Servicing Lender Address One M & T Plaza, 15th Fl, BUFFALO, NY, 14203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Williamsville, ERIE, NY, 14221-1000
Project Congressional District NY-26
Number of Employees 5
NAICS code 621999
Borrower Race Black or African American
Borrower Ethnicity Unknown/NotStated
Business Type Sole Proprietorship
Originating Lender ID 46391
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address BUFFALO, NY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 35215.73
Forgiveness Paid Date 2021-01-13

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State

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