| Name: | NEWARK FAMILY DENTAL, PLLC |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY |
| Status: | Active |
| Date of registration: | 10 Mar 2014 (11 years ago) |
| Entity Number: | 4541863 |
| ZIP code: | 14450 |
| County: | Wayne |
| Place of Formation: | New York |
| Address: | 3 KINGSLEY CIRCLE, FAIRPORT, NY, United States, 14450 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NEWARK FAMILY DENTAL, PLLC 401(K) PROFIT SHARING PLAN | 2023 | 465147002 | 2024-08-05 | NEWARK FAMILY DENTAL, PLLC | 18 | |||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-08-01 |
| Name of individual signing | KATHLEEN POLEON |
| Role | Employer/plan sponsor |
| Date | 2024-08-01 |
| Name of individual signing | KATHLEEN POLEON |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3153314530 |
| Plan sponsor’s address | 114 HIGH STREET, NEWARK, NY, 145131459 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-23 |
| Name of individual signing | KATHLEEN POLEON |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 7169091470 |
| Plan sponsor’s address | 111 MASON ST, NEWARK, NY, 145131459 |
Signature of
| Role | Plan administrator |
| Date | 2022-05-26 |
| Name of individual signing | EDWARD ROJAS |
| Name | Role | Address |
|---|---|---|
| THE LLC | DOS Process Agent | 3 KINGSLEY CIRCLE, FAIRPORT, NY, United States, 14450 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 210107060584 | 2021-01-07 | BIENNIAL STATEMENT | 2020-03-01 |
| 140725000038 | 2014-07-25 | CERTIFICATE OF PUBLICATION | 2014-07-25 |
| 140310000851 | 2014-03-10 | ARTICLES OF ORGANIZATION | 2014-03-10 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9329178405 | 2021-02-16 | 0219 | PPS | 111 Mason St, Newark, NY, 14513-1459 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2904837902 | 2020-06-12 | 0219 | PPP | 111 Mason St, Newark, NY, 14513-1408 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 25 Mar 2025
Sources: New York Secretary of State
