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  5. KIDS DENTAL, P.C.

KIDS DENTAL, P.C.

Company Details

Name: KIDS DENTAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Mar 2012 (13 years ago)
Entity Number: 4211919
ZIP code: 10312
County: Richmond
Place of Formation: New York
Address: 739 Wood, STATEN ISLAND, NY, United States, 10312
Principal Address: 739 Woodrow Road, Staten Island, NY, United States, 10312

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KIDS DENTAL, P.C. 401(K) RETIREMENT PLAN 2023 454816743 2024-10-10 KIDS DENTAL, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 2014744019
Plan sponsor’s address 4864 ARTHUR KILL ROAD, STATEN ISLAND, NY, 10309

Signature of
Role Plan administrator
Date 2024-10-10
Name of individual signing LISA ALLI-LAZZARA
Valid signature Filed with authorized/valid electronic signature
KIDS DENTAL, P.C. CASH BALANCE PLAN 2023 454816743 2024-10-11 KIDS DENTAL, P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2014744019
Plan sponsor’s address 4864 ARTHUR KILL ROAD, STATEN ISLAND, NY, 10309

Signature of
Role Plan administrator
Date 2024-10-11
Name of individual signing LISA ALLI-LAZZARA
Valid signature Filed with authorized/valid electronic signature
KIDS DENTAL, P.C. CASH BALANCE PLAN 2022 454816743 2023-10-13 KIDS DENTAL, P.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 9175825042
Plan sponsor’s address 4864 ARTHUR KILL ROAD, STATEN ISLAND, NY, 10309

Signature of
Role Plan administrator
Date 2023-10-13
Name of individual signing LISA ALLI-LAZZARA
KIDS DENTAL, P.C. 401(K) RETIREMENT PLAN 2022 454816743 2023-10-11 KIDS DENTAL, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 9175825042
Plan sponsor’s address 4864 ARTHUR KILL ROAD, STATEN ISLAND, NY, 10309

Signature of
Role Plan administrator
Date 2023-10-12
Name of individual signing LISA ALLI-LAZZARA
KIDS DENTAL, P.C. 401(K) RETIREMENT PLAN 2021 454816743 2022-10-06 KIDS DENTAL, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 9175825042
Plan sponsor’s address 4864 ARTHUR KILL ROAD, STATEN ISLAND, NY, 10309

Signature of
Role Plan administrator
Date 2022-10-06
Name of individual signing LISA ALLI-LAZZARA
KIDS DENTAL, P.C. CASH BALANCE PLAN 2021 454816743 2022-10-06 KIDS DENTAL, P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 9175825042
Plan sponsor’s address 4864 ARTHUR KILL ROAD, STATEN ISLAND, NY, 10309

Signature of
Role Plan administrator
Date 2022-10-06
Name of individual signing LISA ALLI-LAZZARA
KIDS DENTAL, P.C. CASH BALANCE PLAN 2020 454816743 2021-10-14 KIDS DENTAL, P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 9175825042
Plan sponsor’s address 4864 ARTHUR KILL ROAD, STATEN ISLAND, NY, 10309

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing LISA ALLI-LAZZARA
KIDS DENTAL, P.C. 401(K) RETIREMENT PLAN 2020 454816743 2021-10-14 KIDS DENTAL, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 9175825042
Plan sponsor’s address 4864 ARTHUR KILL ROAD, STATEN ISLAND, NY, 10309

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing LISA ALLI-LAZZARA
KIDS DENTAL, P.C CASH BALANCE PLAN 2019 454816743 2020-10-15 KIDS DENTAL, P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 9175825042
Plan sponsor’s address 4864 ARTHUR KILL ROAD, STATEN ISLAND, NY, 10309
KIDS DENTAL, P.C. 401(K) RETIREMENT PLAN 2019 454816743 2020-10-15 KIDS DENTAL, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 9175825042
Plan sponsor’s address 4864 ARTHUR KILL ROAD, STATEN ISLAND, NY, 10309

Agent

Name Role Address
LISA ALLI-LAZZARA Agent 4864 ARTHUR KILL ROAD, 4TH FLOOR, STATEN ISLAND, NY, 10309

DOS Process Agent

Name Role Address
KIDS DENTAL DOS Process Agent 739 Wood, STATEN ISLAND, NY, United States, 10312

Chief Executive Officer

Name Role Address
DR. LISA LAZZARA Chief Executive Officer 739 WOOD, STATEN ISLAND, NY, United States, 10312

History

Start date End date Type Value
2024-03-01 2024-03-01 Address 4864 ARTHUR KILL RD, STATEN ISLAND, NY, 10309, USA (Type of address: Chief Executive Officer)
2024-03-01 2024-03-01 Address 739 WOOD, STATEN ISLAND, NY, 10312, USA (Type of address: Chief Executive Officer)
2014-02-25 2024-03-01 Address 4864 ARTHUR KILL ROAD, 4TH FLOOR, STATEN ISLAND, NY, 10309, USA (Type of address: Registered Agent)
2014-02-25 2024-03-01 Address 4864 ARTHUR KILL ROAD, 4TH FLOOR, STATEN ISLAND, NY, 10309, USA (Type of address: Service of Process)
2012-03-05 2024-03-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2012-03-05 2014-02-25 Address 4864 ARTHUR KILL ROAD, 4TH FLR, STATEN ISLAND, NY, 10309, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240301044166 2024-03-01 BIENNIAL STATEMENT 2024-03-01
220104003519 2022-01-04 BIENNIAL STATEMENT 2022-01-04
140225000779 2014-02-25 CERTIFICATE OF CHANGE 2014-02-25
120305000694 2012-03-05 CERTIFICATE OF INCORPORATION 2012-03-05

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6064868509 2021-03-02 0202 PPS 4864 Arthur Kill Rd, Staten Island, NY, 10309-2650
Loan Status Date 2022-03-08
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 174425
Loan Approval Amount (current) 174425
Undisbursed Amount 0
Franchise Name -
Lender Location ID 49407
Servicing Lender Name Israel Discount Bank of New York
Servicing Lender Address 1114 Avenue of the Americas, New York, NY, 10036
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Staten Island, RICHMOND, NY, 10309-2650
Project Congressional District NY-11
Number of Employees 17
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 49407
Originating Lender Name Israel Discount Bank of New York
Originating Lender Address New York, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 176082.04
Forgiveness Paid Date 2022-02-17

Related by officers

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State

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