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  5. MERRICK ORAL SURGERY PLLC

MERRICK ORAL SURGERY PLLC

Company Details

Name: MERRICK ORAL SURGERY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 02 Mar 2015 (10 years ago)
Entity Number: 4718443
ZIP code: 11566
County: Nassau
Place of Formation: New York
Address: 2116 MERRICK AVENUE,, SUITE 4008, MERRICK, NY, United States, 11566

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MERRICK ORAL SURGERY, PLLC RETIREMENT PLAN AND TRUST 2023 473305492 2024-10-14 MERRICK ORAL SURGERY, PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 5165461444
Plan sponsor’s address 2116 MERRICK AVENUE, SUITE 4008, MERRICK, NY, 11566

Signature of
Role Plan administrator
Date 2024-10-14
Name of individual signing CATHIE LYONS
Valid signature Filed with authorized/valid electronic signature
MERRICK ORAL SURGERY, PLLC RETIREMENT PLAN AND TRUST 2022 473305492 2023-09-29 MERRICK ORAL SURGERY, PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 5165461444
Plan sponsor’s address 2116 MERRICK AVENUE, SUITE 4008, MERRICK, NY, 11566

Signature of
Role Plan administrator
Date 2023-09-29
Name of individual signing CATHIE LYONS
MERRICK ORAL SURGERY, PLLC RETIREMENT PLAN AND TRUST 2021 473305492 2022-10-14 MERRICK ORAL SURGERY, PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 5165461444
Plan sponsor’s address 2116 MERRICK AVENUE, SUITE 4008, MERRICK, NY, 11566

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing STEVEN D'ABUNDO
MERRICK ORAL SURGERY, PLLC RETIREMENT PLAN AND TRUST 2020 473305492 2021-10-12 MERRICK ORAL SURGERY, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 5165461444
Plan sponsor’s address 2116 MERRICK AVENUE, SUITE 4008, MERRICK, NY, 11566

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing STEVEN D'ABUNDO
MERRICK ORAL SURGERY, PLLC RETIREMENT PLAN AND TRUST 2019 473305492 2020-10-14 MERRICK ORAL SURGERY, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 5165461444
Plan sponsor’s address 2116 MERRICK AVENUE, SUITE 4008, MERRICK, NY, 11566

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing CATHIE LYONS
MERRICK ORAL SURGERY PLLC RETIREMENT PLAN AND TRUST 2017 473305492 2018-10-04 MERRICK ORAL SURGERY PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 5165461444
Plan sponsor’s address 2116 MERRICK AVENUE, SUITE 4008, MERRICK, NY, 11566

Signature of
Role Plan administrator
Date 2018-10-04
Name of individual signing STEVEN DABUNDO
Role Employer/plan sponsor
Date 2018-10-04
Name of individual signing STEVEN DABUNDO
MERRICK ORAL SURGERY PLLC RETIREMENT PLAN AND TRUST 2016 473305492 2017-09-28 MERRICK ORAL SURGERY PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 5165461444
Plan sponsor’s address 2116 MERRICK AVENUE, SUITE 4008, MERRICK, NY, 11566

Signature of
Role Plan administrator
Date 2017-09-28
Name of individual signing STEVEN DABUNDO
Role Employer/plan sponsor
Date 2017-09-28
Name of individual signing STEVEN DABUNDO
MERRICK ORAL SURGERY PLLC RETIREMENT PLAN AND TRUST 2015 473305492 2016-09-30 MERRICK ORAL SURGERY PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 5165461444
Plan sponsor’s address 2116 MERRICK AVENUE, SUITE 4008, MERRICK, NY, 11566

Signature of
Role Plan administrator
Date 2016-09-30
Name of individual signing STEVEN DABUNDO
Role Employer/plan sponsor
Date 2016-09-30
Name of individual signing STEVEN DABUNDO

DOS Process Agent

Name Role Address
C/O STEVEN DABUNDO DDS DOS Process Agent 2116 MERRICK AVENUE,, SUITE 4008, MERRICK, NY, United States, 11566

Filings

Filing Number Date Filed Type Effective Date
150713000184 2015-07-13 CERTIFICATE OF PUBLICATION 2015-07-13
150302000426 2015-03-02 ARTICLES OF ORGANIZATION 2015-03-02

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2019057705 2020-05-01 0235 PPP 2116 MERRICK AVE, MERRICK, NY, 11566
Loan Status Date 2022-09-27
Loan Status Charged Off
Loan Maturity in Months 6
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 237500
Loan Approval Amount (current) 237500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MERRICK, NASSAU, NY, 11566-0001
Project Congressional District NY-04
Number of Employees 11
NAICS code 621210
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Male Owned
Veteran Veteran
Forgiveness Amount 151125.86
Forgiveness Paid Date 2022-02-01
1411588609 2021-03-13 0235 PPS 2116 Merrick Ave, Merrick, NY, 11566-3445
Loan Status Date 2021-11-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 112500
Loan Approval Amount (current) 112500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Merrick, NASSAU, NY, 11566-3445
Project Congressional District NY-04
Number of Employees 11
NAICS code 621210
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 48270
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address COLUMBUS, OH
Gender Male Owned
Veteran Veteran
Forgiveness Amount 113173.75
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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