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  5. ORAL SURGERY OF NNY, PLLC

ORAL SURGERY OF NNY, PLLC

Company Details

Name: ORAL SURGERY OF NNY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 12 Dec 2012 (12 years ago)
Entity Number: 4331909
ZIP code: 13601
County: Jefferson
Place of Formation: New York
Address: 127 WINSLOW STREET, WATERTOWN, NY, United States, 13601

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ORAL SURGERY OF NNY PLLC CASH BALANCE PENSION PLAN 2021 461558447 2022-03-22 ORAL SURGERY OF NNY PLLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3157715833
Plan sponsor’s address 38667 CLOVER RISE LANE, CLAYTON, NY, 13624
ORAL SURGERY OF NNY PLLC 401K PROFIT SHARING PLAN 2021 461558447 2022-02-23 ORAL SURGERY OF NNY PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3157715833
Plan sponsor’s address 38667 CLOVER RISE LANE, CLAYTON, NY, 13624
ORAL SURGERY OF NNY PLLC 401K PROFIT SHARING PLAN 2021 461558447 2022-08-05 ORAL SURGERY OF NNY PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3157715833
Plan sponsor’s address 38667 CLOVER RISE LANE, CLAYTON, NY, 13624
ORAL SURGERY OF NNY PLLC CASH BALANCE PENSION PLAN 2021 461558447 2022-08-11 ORAL SURGERY OF NNY PLLC 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3157715833
Plan sponsor’s address 38667 CLOVER RISE LANE, CLAYTON, NY, 13624
ORAL SURGERY OF NNY PLLC CASH BALANCE PENSION PLAN 2021 461558447 2022-03-07 ORAL SURGERY OF NNY PLLC 12
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3157715833
Plan sponsor’s address 38667 CLOVER RISE LANE, CLAYTON, NY, 13624
ORAL SURGERY OF NNY PLLC 401K PROFIT SHARING PLAN 2020 461558447 2021-07-07 ORAL SURGERY OF NNY PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3157715833
Plan sponsor’s address 38667 CLOVER RISE LANE, CLAYTON, NY, 13624
ORAL SURGERY OF NNY, PLLC CASH BALANCE PENSION PLAN 2020 461558447 2021-07-07 ORAL SURGERY OF NNY PLLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3157715833
Plan sponsor’s address 38667 CLOVER RISE LANE, CLAYTON, NY, 13624
ORAL SURGERY OF NNY PLLC 401K PROFIT SHARING PLAN 2019 461558447 2020-08-03 ORAL SURGERY OF NNY PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3157715833
Plan sponsor’s address 38667 CLOVER RISE LANE, CLAYTON, NY, 13624
ORAL SURGERY OF NNY PLLC DEFINED BENEFIT PENSION PLAN 2019 461558447 2020-08-03 ORAL SURGERY OF NNY PLLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3157715833
Plan sponsor’s address 38667 CLOVER RISE LANE, CLAYTON, NY, 13624
ORAL SURGERY OF NNY PLLC DEFINED BENEFIT PENSION PLAN 2018 461558447 2019-07-09 ORAL SURGERY OF NNY PLLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3157715833
Plan sponsor’s address 38667 CLOVER RISE LANE, CLAYTON, NY, 13624

DOS Process Agent

Name Role Address
ORAL SURGERY OF NNY, PLLC DOS Process Agent 127 WINSLOW STREET, WATERTOWN, NY, United States, 13601

History

Start date End date Type Value
2024-10-01 2024-12-02 Address 127 WINSLOW STREET, WATERTOWN, NY, 13601, USA (Type of address: Service of Process)
2023-08-08 2024-10-01 Address 127 WINSLOW STREET, WATERTOWN, NY, 13601, USA (Type of address: Service of Process)
2012-12-12 2023-08-08 Address 127 WINSLOW STREET, WATERTOWN, NY, 13601, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
241202006698 2024-12-02 BIENNIAL STATEMENT 2024-12-02
241001037259 2024-09-13 CERTIFICATE OF AMENDMENT 2024-09-13
230808002479 2023-08-08 BIENNIAL STATEMENT 2022-12-01
210719000648 2021-07-19 BIENNIAL STATEMENT 2021-07-19
130215000525 2013-02-15 CERTIFICATE OF PUBLICATION 2013-02-15
121212000717 2012-12-12 ARTICLES OF ORGANIZATION 2013-01-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2255928508 2021-02-20 0248 PPS 163 Bellew Ave S, Watertown, NY, 13601-2390
Loan Status Date 2021-08-25
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 149487.5
Loan Approval Amount (current) 149487.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 101727
Servicing Lender Name Northern CU
Servicing Lender Address 120 Factory St, WATERTOWN, NY, 13601-1958
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Watertown, JEFFERSON, NY, 13601-2390
Project Congressional District NY-24
Number of Employees 13
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 101727
Originating Lender Name Northern CU
Originating Lender Address WATERTOWN, NY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 150191.93
Forgiveness Paid Date 2021-08-16
8380107008 2020-04-08 0248 PPP 163 S Bellew Ave, WATERTOWN, NY, 13601-2390
Loan Status Date 2021-02-12
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 166100
Loan Approval Amount (current) 207800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 101727
Servicing Lender Name Northern CU
Servicing Lender Address 120 Factory St, WATERTOWN, NY, 13601-1958
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Watertown, JEFFERSON, NY, 13601-0001
Project Congressional District NY-24
Number of Employees 13
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 101727
Originating Lender Name Northern CU
Originating Lender Address WATERTOWN, NY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 209160.66
Forgiveness Paid Date 2021-01-14

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State

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