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  5. MY SIMON DENTISTRY PLLC

MY SIMON DENTISTRY PLLC

Company Details

Name: MY SIMON DENTISTRY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 06 Nov 2014 (10 years ago)
Entity Number: 4662305
ZIP code: 11510
County: Nassau
Place of Formation: New York
Address: 960 ATLANTIC AVENUE, BALDWIN, NY, United States, 11510

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MY SIMON DENTISTRY, PLLC 401(K) PROFIT SHARING PLN 2023 472283450 2024-02-20 MY SIMON DENTISTRY, PLLC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5163771818
Plan sponsor’s address 960 ATLANTIC AVENUE, BALDWIN, NY, 11510
MY SIMON DENTISTRY, PLLC 401(K) PROFIT SHARING PLN 2022 472283450 2023-02-22 MY SIMON DENTISTRY, PLLC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5163771818
Plan sponsor’s address 960 ATLANTIC AVENUE, BALDWIN, NY, 11510
MY SIMON DENTISTRY, PLLC 401(K) PROFIT SHARING PLN 2021 472283450 2022-03-10 MY SIMON DENTISTRY, PLLC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5163771818
Plan sponsor’s address 960 ATLANTIC AVENUE, BALDWIN, NY, 11510
MY SIMON DENTISTRY, PLLC 401(K) PROFIT SHARING PLN 2020 472283450 2021-02-16 MY SIMON DENTISTRY, PLLC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5163771818
Plan sponsor’s address 960 ATLANTIC AVENUE, BALDWIN, NY, 11510
MY SIMON DENTISTRY, PLLC 401(K) PROFIT SHARING PLN 2019 472283450 2020-01-30 MY SIMON DENTISTRY, PLLC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5163771818
Plan sponsor’s address 960 ATLANTIC AVENUE, BALDWIN, NY, 11510
MY SIMON DENTISTRY, PLLC 401(K) PROFIT SHARING PLN 2018 472283450 2019-04-03 MY SIMON DENTISTRY, PLLC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5163771818
Plan sponsor’s address 960 ATLANTIC AVENUE, BALDWIN, NY, 11510
MY SIMON DENTISTRY, PLLC. 2017 472283450 2018-02-22 MY SIMON DENTISTRY, PLLC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5163771818
Plan sponsor’s address 960 ATLANTIC AVENUE, BALDWIN, NY, 11510
MY SIMON DENTISTRY, PLLC. 2016 472283450 2017-02-08 MY SIMON DENTISTRY, PLLC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5163771818
Plan sponsor’s address 960 ATLANTIC AVENUE, BALDWIN, NY, 11510

Signature of
Role Plan administrator
Date 2017-02-08
Name of individual signing MATTHEW SIMON, DDS.

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 960 ATLANTIC AVENUE, BALDWIN, NY, United States, 11510

Filings

Filing Number Date Filed Type Effective Date
150317000011 2015-03-17 CERTIFICATE OF PUBLICATION 2015-03-17
141106000341 2014-11-06 ARTICLES OF ORGANIZATION 2014-11-06

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7587937209 2020-04-28 0235 PPP 960 ATLANTIC AVE, BALDWIN, NY, 11510-4265
Loan Status Date 2021-05-01
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 61700
Loan Approval Amount (current) 61700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 317954
Servicing Lender Name Newtek Small Business Finance, Inc.
Servicing Lender Address 1981 Marcus Avenue, LAKE SUCCESS, NY, 11042
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address BALDWIN, NASSAU, NY, 11510-4265
Project Congressional District NY-04
Number of Employees 6
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 317954
Originating Lender Name Newtek Small Business Finance, Inc.
Originating Lender Address LAKE SUCCESS, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 62229.59
Forgiveness Paid Date 2021-03-17
1600908303 2021-01-19 0235 PPS 960 Atlantic Ave, Baldwin, NY, 11510-4265
Loan Status Date 2021-11-11
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 65000
Loan Approval Amount (current) 65000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 317954
Servicing Lender Name Newtek Small Business Finance, Inc.
Servicing Lender Address 1981 Marcus Avenue, LAKE SUCCESS, NY, 11042
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Baldwin, NASSAU, NY, 11510-4265
Project Congressional District NY-04
Number of Employees 7
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 317954
Originating Lender Name Newtek Small Business Finance, Inc.
Originating Lender Address LAKE SUCCESS, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 65473.06
Forgiveness Paid Date 2021-10-25

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State

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