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  5. JAY B. LUBLINER, DMD, PLLC

JAY B. LUBLINER, DMD, PLLC

Company Details

Name: JAY B. LUBLINER, DMD, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 20 Sep 2011 (14 years ago)
Entity Number: 4144074
ZIP code: 11758
County: Nassau
Place of Formation: New York
Address: 89 GRAND AVENUE, MASSAPEQUA, NY, United States, 11758

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JAY B LUBLINER DMD PLLC 401(K) PROFIT SHARING PLAN & TRUST 2023 453506541 2024-02-01 JAY B LUBLINER DMD PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 5167980223
Plan sponsor’s address 89 GRAND AVE, MASSAPEQUA, NY, 117584905

Signature of
Role Plan administrator
Date 2024-02-01
Name of individual signing JAY LUBLINER
JAY B LUBLINER DMD PLLC 401(K) PROFIT SHARING PLAN & TRUST 2022 453506541 2023-03-30 JAY B LUBLINER DMD PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 5167980223
Plan sponsor’s address 89 GRAND AVE, MASSAPEQUA, NY, 117584905

Signature of
Role Plan administrator
Date 2023-03-30
Name of individual signing JAY B. LUBLINER
JAY B LUBLINER DMD PLLC 401(K) PROFIT SHARING PLAN & TRUST 2021 453506541 2022-03-30 JAY B LUBLINER DMD PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 5167980223
Plan sponsor’s address 89 GRAND AVE, MASSAPEQUA, NY, 117584905

Signature of
Role Plan administrator
Date 2022-03-30
Name of individual signing JAY LUBLINER
JAY B LUBLINER DMD PLLC 401(K) PROFIT SHARING PLAN & TRUST 2020 453506541 2021-04-02 JAY B LUBLINER DMD PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 5167980223
Plan sponsor’s address 89 GRAND AVE, MASSAPEQUA, NY, 117584905

Signature of
Role Plan administrator
Date 2021-04-02
Name of individual signing JAY B. LUBLINER
JAY B LUBLINER DMD PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 453506541 2020-04-10 JAY B LUBLINER DMD PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 5167980223
Plan sponsor’s address 89 GRAND AVE, MASSAPEQUA, NY, 117584905

Signature of
Role Plan administrator
Date 2020-04-10
Name of individual signing JAY B. LUBLINER
JAY B LUBLINER DMD PLLC 401 K PROFIT SHARING PLAN TRUST 2018 453506541 2019-05-16 JAY B LUBLINER DMD PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 5167980223
Plan sponsor’s address 89 GRAND AVE, MASSAPEQUA, NY, 117584905

Signature of
Role Plan administrator
Date 2019-05-16
Name of individual signing JAY B. LUBLINER
JAY B LUBLINER DMD PLLC 401 K PROFIT SHARING PLAN TRUST 2017 453506541 2018-04-26 JAY B LUBLINER DMD PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 5167980223
Plan sponsor’s address 89 GRAND AVE, MASSAPEQUA, NY, 117584905

Signature of
Role Plan administrator
Date 2018-04-26
Name of individual signing JAY B.LUBLINER
JAY B LUBLINER DMD PLLC 401 K PROFIT SHARING PLAN TRUST 2016 453506541 2017-05-15 JAY B LUBLINER DMD PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 5167980223
Plan sponsor’s address 89 GRAND AVE, MASSAPEQUA, NY, 117584905

Signature of
Role Plan administrator
Date 2017-05-15
Name of individual signing JAY LUBLINER
JAY B LUBLINER DMD PLLC 401 K PROFIT SHARING PLAN TRUST 2015 453506541 2016-05-12 JAY B LUBLINER DMD PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 5167980223
Plan sponsor’s address 89 GRAND AVE, MASSAPEQUA, NY, 117584905

Signature of
Role Plan administrator
Date 2016-05-12
Name of individual signing JAY B. LUBLINER
JAY B LUBLINER DMD PLLC 401 K PROFIT SHARING PLAN TRUST 2014 453506541 2015-05-28 JAY B LUBLINER DMD PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 5167980223
Plan sponsor’s address 89 GRAND AVE, MASSAPEQUA, NY, 117584905

Signature of
Role Plan administrator
Date 2015-05-28
Name of individual signing JAY B. LUBLINER

DOS Process Agent

Name Role Address
C/O JAY B. LUBLINER DOS Process Agent 89 GRAND AVENUE, MASSAPEQUA, NY, United States, 11758

History

Start date End date Type Value
2011-09-20 2023-09-01 Address 89 GRAND AVENUE, MASSAPEQUA, NY, 11758, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230901000419 2023-09-01 BIENNIAL STATEMENT 2023-09-01
210901004328 2021-09-01 BIENNIAL STATEMENT 2021-09-01
190903060182 2019-09-03 BIENNIAL STATEMENT 2019-09-01
170905006154 2017-09-05 BIENNIAL STATEMENT 2017-09-01
130909006694 2013-09-09 BIENNIAL STATEMENT 2013-09-01
111221000450 2011-12-21 CERTIFICATE OF PUBLICATION 2011-12-21
110920000798 2011-09-20 ARTICLES OF ORGANIZATION 2011-09-20

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1272628400 2021-02-01 0235 PPS 89 Grand Ave, Massapequa, NY, 11758-4905
Loan Status Date 2021-11-23
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 51937
Loan Approval Amount (current) 51937
Undisbursed Amount 0
Franchise Name -
Lender Location ID 29805
Servicing Lender Name TD Bank, National Association
Servicing Lender Address 2035 Limestone Rd, WILMINGTON, DE, 19808-5529
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Massapequa, NASSAU, NY, 11758-4905
Project Congressional District NY-03
Number of Employees 10
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 29805
Originating Lender Name TD Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 52304.89
Forgiveness Paid Date 2021-10-25
1968017200 2020-04-15 0235 PPP 89 Grand Avenue, MASSAPEQUA, NY, 11758
Loan Status Date 2021-03-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 51937
Loan Approval Amount (current) 51937
Undisbursed Amount 0
Franchise Name -
Lender Location ID 29805
Servicing Lender Name TD Bank, National Association
Servicing Lender Address 2035 Limestone Rd, WILMINGTON, DE, 19808-5529
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address MASSAPEQUA, NASSAU, NY, 11758-0001
Project Congressional District NY-03
Number of Employees 10
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 29805
Originating Lender Name TD Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 52303.18
Forgiveness Paid Date 2021-02-12

Related by officers

C/O JAY B. LUBLINER

LUBLINER REALTY, LLC

Related by address

89 GRAND AVENUE, MASSAPEQUA, NY, United States, 11758

DONNA GENTILE DDS P.C. ROTODO RESTAURANT CORP. DRS. JAFFE & LUBLINER LLP

Date of last update: 26 Mar 2025

Sources: New York Secretary of State

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