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  5. NANCY M. ROSEN D.M.D. PLLC

NANCY M. ROSEN D.M.D. PLLC

Company Details

Name: NANCY M. ROSEN D.M.D. PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 11 May 2012 (13 years ago)
Entity Number: 4244270
ZIP code: 10021
County: New York
Place of Formation: New York
Address: 20 EAST 74TH STREET, 6A, NEW YORK, NY, United States, 10021

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NANCY M. ROSEN, D.M.D. PLLC 401(K) PLAN 2023 200803923 2024-09-10 NANCY M. ROSEN, D.M.D. PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 2128888327
Plan sponsor’s address 30 EAST 60TH STREET, ROOM 408, NEW YORK, NY, 10022
NANCY M. ROSEN, D.M.D. PLLC 401(K) PLAN 2022 200803923 2023-06-27 NANCY M. ROSEN, D.M.D. PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 2128888327
Plan sponsor’s address 30 EAST 60TH STREET, ROOM 408, NEW YORK, NY, 10022

Signature of
Role Plan administrator
Date 2023-06-27
Name of individual signing NANCY M. ROSEN
NANCY M. ROSEN, D.M.D. PLLC 401(K) PLAN 2021 200803923 2022-05-26 NANCY M. ROSEN, D.M.D. PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 2128888327
Plan sponsor’s address 30 EAST 60TH STREET, ROOM 408, NEW YORK, NY, 10022

Signature of
Role Plan administrator
Date 2022-05-26
Name of individual signing NANCY M. ROSEN
NANCY M. ROSEN, D.M.D. PLLC 401(K) PLAN 2020 200803923 2021-08-17 NANCY M. ROSEN, D.M.D. PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 2128888327
Plan sponsor’s address 30 EAST 60TH STREET, ROOM 408, NEW YORK, NY, 10022

Signature of
Role Plan administrator
Date 2021-08-17
Name of individual signing NANCY M. ROSEN
NANCY M. ROSEN, D.M.D. PLLC 401(K) PLAN 2019 200803923 2020-08-03 NANCY M. ROSEN, D.M.D. PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 2128888327
Plan sponsor’s address 30 EAST 60TH STREET, ROOM 408, NEW YORK, NY, 10022

Signature of
Role Plan administrator
Date 2020-08-03
Name of individual signing NANCY M. ROSEN

DOS Process Agent

Name Role Address
NANCY ROSEN DOS Process Agent 20 EAST 74TH STREET, 6A, NEW YORK, NY, United States, 10021

Filings

Filing Number Date Filed Type Effective Date
200519060022 2020-05-19 BIENNIAL STATEMENT 2020-05-01
140520006013 2014-05-20 BIENNIAL STATEMENT 2014-05-01
120821001480 2012-08-21 CERTIFICATE OF PUBLICATION 2012-08-21
120511000204 2012-05-11 ARTICLES OF ORGANIZATION 2012-05-11

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2590987701 2020-05-01 0202 PPP 30 E 60TH ST RM 408, NEW YORK, NY, 10022
Loan Status Date 2021-05-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 74980
Loan Approval Amount (current) 74980
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 NEW YORK, NEW YORK, NY, 10022-0001
Project Congressional District NY-12
Number of Employees 5
NAICS code -
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 75714.8
Forgiveness Paid Date 2021-04-27
1274868406 2021-02-01 0202 PPS 30 E 60th St Rm 408, New York, NY, 10022-1095
Loan Status Date 2022-01-21
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 79115
Loan Approval Amount (current) 79115
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 New York, NEW YORK, NY, 10022-1095
Project Congressional District NY-12
Number of Employees 7
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 48270
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address COLUMBUS, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 79763.26
Forgiveness Paid Date 2021-12-01

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State

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