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CLARENCE CENTER FAMILY DENTAL PLLC

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Company Details

Name: CLARENCE CENTER FAMILY DENTAL PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 30 Aug 2011 (14 years ago)
Entity Number: 4136249
ZIP code: 14031
County: Erie
Place of Formation: New York
Address: 9280 MAIN ST., CLARENCE, NY, United States, 14031

DOS Process Agent

Name Role Address
CLARENCE CENTER FAMILY DENTAL PLLC DOS Process Agent 9280 MAIN ST., CLARENCE, NY, United States, 14031

National Provider Identifier

NPI Number:
1124300074

Authorized Person:

Name:
DR. RYAN BARRETT GOLDSTEIN
Role:
OWNER/PARTNER
Phone:

Taxonomy:

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

Contacts:

Fax:
7167414469

Form 5500 Series

Employer Identification Number (EIN):
371647459
Plan Year:
2024
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
9
Sponsors Telephone Number:

History

Start date End date Type Value
2011-08-30 2020-12-18 Address 5860 GOODRICH ROAD, CLARENCE CENTER, NY, 14032, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
201218060494 2020-12-18 BIENNIAL STATEMENT 2019-08-01
130822002091 2013-08-22 BIENNIAL STATEMENT 2013-08-01
120406001073 2012-04-06 CERTIFICATE OF PUBLICATION 2012-04-06
110830000028 2011-08-30 ARTICLES OF ORGANIZATION 2011-08-30

USAspending Awards / Financial Assistance

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:
149052.00
Total Face Value Of Loan:
149052.00
Date:
2020-04-15
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:
2020-04-13
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:
149050.00
Total Face Value Of Loan:
149050.00

Paycheck Protection Program

Jobs Reported:
18
Initial Approval Amount:
$149,050
Date Approved:
2020-04-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$149,050
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$149,873.42
Servicing Lender:
Manufacturers and Traders Trust Company
Use of Proceeds:
Payroll: $127,270
Utilities: $2,272
Rent: $17,000
Healthcare: $2508
Jobs Reported:
18
Initial Approval Amount:
$149,052
Date Approved:
2021-01-23
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$149,052
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$149,766.63
Servicing Lender:
Manufacturers and Traders Trust Company
Use of Proceeds:
Payroll: $149,052

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State