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SILVER LAKE DENTAL PLLC

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Company Details

Name: SILVER LAKE DENTAL PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 14 Jan 2011 (14 years ago)
Entity Number: 4042769
ZIP code: 14530
County: Wyoming
Place of Formation: New York
Address: 114 NORTH CENTER STREET, PERRY, NY, United States, 14530

Contact Details

Phone +1 585-237-3530

Phone +1 585-468-2610

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 114 NORTH CENTER STREET, PERRY, NY, United States, 14530

National Provider Identifier

NPI Number:
1518265172

Authorized Person:

Name:
DR. TIMOTHY J DERUYTER
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
5852376651

Form 5500 Series

Employer Identification Number (EIN):
274654652
Plan Year:
2023
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
14
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
210106060315 2021-01-06 BIENNIAL STATEMENT 2021-01-01
170110006375 2017-01-10 BIENNIAL STATEMENT 2017-01-01
150107006088 2015-01-07 BIENNIAL STATEMENT 2015-01-01
130109006178 2013-01-09 BIENNIAL STATEMENT 2013-01-01
110426000146 2011-04-26 CERTIFICATE OF PUBLICATION 2011-04-26

USAspending Awards / Financial Assistance

Date:
2021-03-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
180000.00
Total Face Value Of Loan:
180000.00
Date:
2021-01-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
142477.22
Total Face Value Of Loan:
142477.22
Date:
2020-05-09
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-05-08
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-04-28
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
167900.00
Total Face Value Of Loan:
167900.00

Paycheck Protection Program

Date Approved:
2021-01-21
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
142477.22
Current Approval Amount:
142477.22
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Veteran
Forgiveness Amount:
143218.88
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
167900
Current Approval Amount:
167900
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Veteran
Forgiveness Amount:
169252.4

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State