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  5. BROOKSIDE FAMILY DENTISTRY PLLC

BROOKSIDE FAMILY DENTISTRY PLLC

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Company Details

Name: BROOKSIDE FAMILY DENTISTRY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 15 Jul 2013 (12 years ago)
Entity Number: 4430809
ZIP code: 10918
County: Orange
Place of Formation: New York
Address: 13 LORI LANE, CHESTER, NY, United States, 10918

DOS Process Agent

Name Role Address
JORDAN SIEGEL DOS Process Agent 13 LORI LANE, CHESTER, NY, United States, 10918

National Provider Identifier

NPI Number:
1225899040
Certification Date:
2024-01-18
Link:
View on NPI website

Authorized Person:

Name:
MELISSA BARRETT
Role:
OFFICE MANAGER
Phone:
8456492157

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Phone:
+1 845-469-4444

Form 5500 Series

Employer Identification Number (EIN):
463170545
Plan Year:
2023
Number Of Participants:
17
Sponsors Telephone Number:
8453252576
File:
View File
Plan Year:
2022
Number Of Participants:
16
Sponsors Telephone Number:
8453252576
File:
View File
Plan Year:
2021
Number Of Participants:
16
Sponsors Telephone Number:
8453252576
File:
View File
Plan Year:
2020
Number Of Participants:
13
Sponsors Telephone Number:
8453252576
File:
View File
Plan Year:
2019
Number Of Participants:
9
Sponsors Telephone Number:
8453252576
File:
View File

Filings

Filing Number Date Filed Type Effective Date
140107000119 2014-01-07 CERTIFICATE OF PUBLICATION 2014-01-07
130715000812 2013-07-15 ARTICLES OF ORGANIZATION 2013-07-15

USAspending Awards / Financial Assistance

Date:
2021-01-28
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
121882.00
Total Face Value Of Loan:
121882.00
Date:
2020-05-09
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
140000.00
Total Face Value Of Loan:
140000.00
Date:
2020-04-30
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
80000.00
Total Face Value Of Loan:
121883.00

Paycheck Protection Program

Jobs Reported:
8
Initial Approval Amount:
$80,000
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$121,883
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$122,904.81
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $121,883
Jobs Reported:
13
Initial Approval Amount:
$121,882
Date Approved:
2021-01-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$121,882
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$122,506.44
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $121,878
Utilities: $1

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State

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