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LIBERTY 786 DENTISTRY PLLC

Company Details

Name: LIBERTY 786 DENTISTRY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 15 Jun 2011 (14 years ago)
Entity Number: 4107080
ZIP code: 11021
County: Nassau
Place of Formation: New York
Address: 27 HICKORY DRIVE, GREAT NECK, NY, United States, 11021

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LIBERTY 786 DENTISTRY PLLC 2023 452600099 2024-09-06 LIBERTY 786 DENTISTRY PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-05-01
Business code 621210
Sponsor’s telephone number 6466437472
Plan sponsor’s address 113-02 LIBERTY AVE,, SOUTH RICHMOND HIL, NY, 11419

Signature of

Role Plan administrator
Date 2024-09-06
Name of individual signing RBEEA KHAN
Valid signature Filed with authorized/valid electronic signature
LIBERTY 786 DENTISTRY PLLC 2022 452600099 2023-10-21 LIBERTY 786 DENTISTRY PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-05-01
Business code 621210
Sponsor’s telephone number 6466437472
Plan sponsor’s address 113-02 LIBERTY AVE,, SOUTH RICHMOND HIL, NY, 11419

Signature of

Role Plan administrator
Date 2023-10-21
Name of individual signing RBEEA KHAN

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 27 HICKORY DRIVE, GREAT NECK, NY, United States, 11021

Filings

Filing Number Date Filed Type Effective Date
110909000627 2011-09-09 CERTIFICATE OF PUBLICATION 2011-09-09
110615000602 2011-06-15 ARTICLES OF ORGANIZATION 2011-06-15

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1624317704 2020-05-01 0202 PPP 11302 LIBERTY AVE, SOUTH RICHMOND HILL, NY, 11419
Loan Status Date 2021-04-23
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 73122
Loan Approval Amount (current) 73122
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 SOUTH RICHMOND HILL, QUEENS, NY, 11419-0001
Project Congressional District NY-05
Number of Employees 8
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 73754.99
Forgiveness Paid Date 2021-03-22
5352428408 2021-02-08 0202 PPS 113-02, SOUTH RICHMOND HILL, NY, 11419
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) 79227.5
Loan Approval Amount (current) 79227.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 529471
Servicing Lender Name Itria Ventures LLC
Servicing Lender Address One Penn Plaza, Suite 4530, New York, NY, 10119
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address SOUTH RICHMOND HILL, QUEENS, NY, 11419
Project Congressional District NY-05
Number of Employees 8
NAICS code 621210
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 529471
Originating Lender Name Itria Ventures LLC
Originating Lender Address New York, NY
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 79656.65
Forgiveness Paid Date 2021-09-07

Date of last update: 27 Mar 2025

Sources: New York Secretary of State