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SUFFOLK DENTAL SMILES P.C.

Company Details

Name: SUFFOLK DENTAL SMILES P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 24 Jan 2014 (11 years ago)
Entity Number: 4518517
ZIP code: 11706
County: Suffolk
Place of Formation: New York
Address: 375 E MAIN STREET, SUITE 19, BAY SHORE, NY, United States, 11706

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
SUFFOLK DENTAL SMILES, P.C. 401K PLAN 2023 464675467 2024-04-19 SUFFOLK DENTAL SMILES, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6316650165
Plan sponsor’s address 375 E MAIN ST SUITE 19, BAY SHORE, NY, 117060000

Signature of

Role Plan administrator
Date 2024-04-19
Name of individual signing SURESH PATEL
SUFFOLK DENTAL SMILES, P.C. 401K PLAN 2022 464675467 2023-05-18 SUFFOLK DENTAL SMILES, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6316650165
Plan sponsor’s address 375 E MAIN ST SUITE 19, BAY SHORE, NY, 117060000

Signature of

Role Plan administrator
Date 2023-05-18
Name of individual signing SURESH PATEL
SUFFOLK DENTAL SMILES, P.C. 401K PLAN 2021 464675467 2022-05-04 SUFFOLK DENTAL SMILES, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6316650165
Plan sponsor’s address 375 E MAIN ST SUITE 19, BAY SHORE, NY, 117060000

Signature of

Role Plan administrator
Date 2022-05-04
Name of individual signing SURESH PATEL
SUFFOLK DENTAL SMILES, P.C. 401K PLAN 2020 464675467 2021-09-20 SUFFOLK DENTAL SMILES, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6316650165
Plan sponsor’s address 375 E MAIN ST SUITE 19, BAY SHORE, NY, 117060000

Signature of

Role Plan administrator
Date 2021-09-20
Name of individual signing SURESH PATEL
SUFFOLK DENTAL SMILES, P.C. 401K PLAN 2019 464675467 2020-06-26 SUFFOLK DENTAL SMILES, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6316650165
Plan sponsor’s address 375 E MAIN ST SUITE 19, BAY SHORE, NY, 117060000

Signature of

Role Plan administrator
Date 2020-06-26
Name of individual signing SURESH PATEL
SUFFOLK DENTAL SMILES, P. C. 401(K) PLAN 2018 464675467 2019-09-10 SUFFOLK DENTAL SMILES, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6316650165
Plan sponsor’s address 375 E. MAIN ST - SUITE 19, BAY SHONE, NY, 11706

Signature of

Role Plan administrator
Date 2019-09-10
Name of individual signing SURESH PATEL
Role Employer/plan sponsor
Date 2019-09-10
Name of individual signing SURESH PATEL
SUFFOLK DENTAL SMILES, P. C. 401(K) PLAN 2017 464675467 2018-07-10 SUFFOLK DENTAL SMILES, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6316650165
Plan sponsor’s address 375 E. MAIN ST - SUITE 19, BAY SHONE, NY, 11706

Signature of

Role Plan administrator
Date 2018-07-10
Name of individual signing SURESH PATEL
Role Employer/plan sponsor
Date 2018-07-10
Name of individual signing SURESH PATEL
SUFFOLK DENTAL SMILES, P. C. 401(K) PLAN 2016 464675467 2017-08-23 SUFFOLK DENTAL SMILES, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6316650165
Plan sponsor’s address 375 E. MAIN ST - SUITE 19, BAY SHONE, NY, 11706

Signature of

Role Plan administrator
Date 2017-08-23
Name of individual signing SURESH PATEL
SUFFOLK DENTAL SMILES, P. C. 401(K) PLAN 2015 464675467 2016-10-14 SUFFOLK DENTAL SMILES, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6316650165
Plan sponsor’s address 375 E. MAIN ST - SUITE 19, BAY SHONE, NY, 11706

Signature of

Role Plan administrator
Date 2016-10-14
Name of individual signing SURESH PATEL

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 375 E MAIN STREET, SUITE 19, BAY SHORE, NY, United States, 11706

Filings

Filing Number Date Filed Type Effective Date
140124000128 2014-01-24 CERTIFICATE OF INCORPORATION 2014-01-24

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7315788302 2021-01-28 0235 PPS 375 E Main St Ste B, Bay Shore, NY, 11706-8418
Loan Status Date 2021-10-14
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 52600
Loan Approval Amount (current) 52600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 49274
Servicing Lender Name Citibank, N.A.
Servicing Lender Address 5800 S. Corporate Place, Sioux Falls, SD, 57108
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Bay Shore, SUFFOLK, NY, 11706-8418
Project Congressional District NY-02
Number of Employees 5
NAICS code 621210
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 49274
Originating Lender Name Citibank, N.A.
Originating Lender Address Sioux Falls, SD
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 52943.36
Forgiveness Paid Date 2021-09-28

Date of last update: 26 Mar 2025

Sources: New York Secretary of State