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  5. ALICE URBANKOVA DDS, PLLC

ALICE URBANKOVA DDS, PLLC

Company Details

Name: ALICE URBANKOVA DDS, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 May 2012 (13 years ago)
Entity Number: 4249065
ZIP code: 10022
County: New York
Place of Formation: New York
Address: ATTN: THEODORE N. KAPLAN, ESQ., 850 THIRD AVE., NEW YORK, NY, United States, 10022

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALICE URBANKOVA DDS, PLLC DEFINED BENEFIT PENSION PLAN 2020 300738556 2021-08-01 ALICE URBANKOVA DDS, PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6314822630
Plan sponsor’s address 630 5TH AVE., SUITE 1860, NEW YORK, NY, 10111

Signature of
Role Plan administrator
Date 2021-08-01
Name of individual signing ALICE URBANKOVA
ALICE URBANKOVA DDS, PLLC 401(K) PROFIT SHARING PLAN 2020 300738556 2021-08-01 ALICE URBANKOVA DDS, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6314822630
Plan sponsor’s address 630 5TH AVE., SUITE 1860, NEW YORK, NY, 10111

Signature of
Role Plan administrator
Date 2021-08-01
Name of individual signing ALICE URBANKOVA
ALICE URBANKOVA DDS, PLLC 401(K) PROFIT SHARING PLAN 2019 300738556 2020-10-13 ALICE URBANKOVA DDS, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6314822630
Plan sponsor’s address 630 5TH AVE., SUITE 1860, NEW YORK, NY, 10111

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing ALICE URBANKOVA
ALICE URBANKOVA DDS, PLLC DEFINED BENEFIT PENSION PLAN 2019 300738556 2020-10-07 ALICE URBANKOVA DDS, PLLC 4
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6314822630
Plan sponsor’s address 630 5TH AVE., SUITE 1860, NEW YORK, NY, 10111

Signature of
Role Plan administrator
Date 2020-10-06
Name of individual signing ALICE URBANKOVA
ALICE URBANKOVA DDS, PLLC DEFINED BENEFIT PENSION PLAN 2018 300738556 2019-10-14 ALICE URBANKOVA DDS, PLLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6314822630
Plan sponsor’s address 630 5TH AVE., SUITE 1860, NEW YORK, NY, 10111

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing ALICE URBANKOVA
ALICE URBANKOVA DDS, PLLC 401(K) PROFIT SHARING PLAN 2018 300738556 2019-10-14 ALICE URBANKOVA DDS, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6314822630
Plan sponsor’s address 630 5TH AVE., SUITE 1860, NEW YORK, NY, 10111

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing ALICE URBANKOVA
ALICE URBANKOVA DDS, PLLC DEFINED BENEFIT PENSION PLAN 2017 300738556 2018-09-26 ALICE URBANKOVA DDS, PLLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6314822630
Plan sponsor’s address 630 5TH AVE., SUITE 1860, NEW YORK, NY, 10111

Signature of
Role Plan administrator
Date 2018-09-26
Name of individual signing ALICE URBANKOVA
ALICE URBANKOVA DDS, PLLC 401(K) PROFIT SHARING PLAN 2017 300738556 2018-09-26 ALICE URBANKOVA DDS, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6314822630
Plan sponsor’s address 630 5TH AVE., SUITE 1860, NEW YORK, NY, 10111

Signature of
Role Plan administrator
Date 2018-09-26
Name of individual signing ALICE URBANKOVA
ALICE URBANKOVA DDS, PLLC DEFINED BENEFIT PENSION PLAN 2016 300738556 2017-07-27 ALICE URBANKOVA DDS, PLLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6314822630
Plan sponsor’s address 630 5TH AVE., SUITE 1860, NEW YORK, NY, 10111

Signature of
Role Plan administrator
Date 2017-07-27
Name of individual signing ALICE URBANKOVA
ALICE URBANKOVA DDS, PLLC 401(K) PROFIT SHARING PLAN 2016 300738556 2017-07-27 ALICE URBANKOVA DDS, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 6314822630
Plan sponsor’s address 630 5TH AVE., SUITE 1860, NEW YORK, NY, 10111

Signature of
Role Plan administrator
Date 2017-07-27
Name of individual signing ALICE URBANKOVA

DOS Process Agent

Name Role Address
C/O KAPLAN FOX & KILSHEIMER LLP DOS Process Agent ATTN: THEODORE N. KAPLAN, ESQ., 850 THIRD AVE., NEW YORK, NY, United States, 10022

Filings

Filing Number Date Filed Type Effective Date
180613006331 2018-06-13 BIENNIAL STATEMENT 2018-05-01
160519006063 2016-05-19 BIENNIAL STATEMENT 2016-05-01
140625006088 2014-06-25 BIENNIAL STATEMENT 2014-05-01
120821000073 2012-08-21 CERTIFICATE OF PUBLICATION 2012-08-21
120523000019 2012-05-23 ARTICLES OF ORGANIZATION 2012-05-23

Related by officers

C/O KAPLAN FOX & KILSHEIMER LLP

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Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: New York Secretary of State

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