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  5. KATIE CLOUGH-PERIN, DDS, P.C.

KATIE CLOUGH-PERIN, DDS, P.C.

Company Details

Name: KATIE CLOUGH-PERIN, DDS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Apr 2015 (10 years ago)
Entity Number: 4737794
ZIP code: 13601
County: Jefferson
Place of Formation: New York
Address: 26624 CHISHOLM TRAIL, WATERTOWN, NY, United States, 13601

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
DR. KATIE CLOUGH-PERIN, DDS, P.C. 401(K) RETIREMENT PLAN 2023 473656479 2024-10-10 KATIE CLOUGH-PERIN, DDS, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 3152214213
Plan sponsor’s address 1340 WASHINGTON STREET, WATERTOWN, NY, 136014541

Signature of
Role Plan administrator
Date 2024-10-10
Name of individual signing DR. KATIE CLOUGH-PERIN
Valid signature Filed with authorized/valid electronic signature
DR. KATIE CLOUGH-PERIN, DDS, P.C. 401(K) RETIREMENT PLAN 2022 473656479 2023-10-12 KATIE CLOUGH-PERIN, DDS, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 3152214213
Plan sponsor’s address 1340 WASHINGTON STREET, WATERTOWN, NY, 136014541

Signature of
Role Plan administrator
Date 2023-10-12
Name of individual signing DR. KATIE CLOUGH-PERIN
DR. KATIE CLOUGH-PERIN, DDS, P.C. 401(K) RETIREMENT PLAN 2021 473656479 2022-06-23 KATIE CLOUGH-PERIN, DDS, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 3152214213
Plan sponsor’s address 1340 WASHINGTON STREET, WATERTOWN, NY, 136014541

Signature of
Role Plan administrator
Date 2022-06-23
Name of individual signing DR. KATIE CLOUGH-PERIN
DR. KATIE CLOUGH-PERIN, DDS, P.C. 401(K) RETIREMENT PLAN 2020 473656479 2021-10-15 KATIE CLOUGH-PERIN, DDS, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 3152214213
Plan sponsor’s address 1340 WASHINGTON STREET, WATERTOWN, NY, 136014541

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing DR. KATIE CLOUGH-PERIN
DR. KATIE CLOUGH-PERIN, DDS, P.C. 401(K) RETIREMENT PLAN 2019 473656479 2020-10-13 KATIE CLOUGH-PERIN, DDS, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 3152214213
Plan sponsor’s address 1340 WASHINGTON STREET, WATERTOWN, NY, 136014541

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing DR. KATIE CLOUGH-PERIN
DR. KATIE CLOUGH-PERIN, DDS, P.C. 401(K) RETIREMENT PLAN 2018 473656479 2019-10-15 KATIE CLOUGH-PERIN, DDS, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 3152214213
Plan sponsor’s address 1340 WASHINGTON STREET, WATERTOWN, NY, 13601

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing DR. KATIE CLOUGH-PERIN
DR. KATIE CLOUGH-PERIN, DDS, P.C. 401(K) RETIREMENT PLAN 2017 473656479 2018-10-04 KATIE CLOUGH-PERIN, DDS, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 3152214213
Plan sponsor’s address 1340 WASHINGTON STREET, WATERTOWN, NY, 13601

Signature of
Role Plan administrator
Date 2018-10-04
Name of individual signing DR. KATIE CLOUGH-PERIN

DOS Process Agent

Name Role Address
DR. KATIE CLOUGH-PERIN DOS Process Agent 26624 CHISHOLM TRAIL, WATERTOWN, NY, United States, 13601

Filings

Filing Number Date Filed Type Effective Date
150406000549 2015-04-06 CERTIFICATE OF INCORPORATION 2015-04-06

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1780588310 2021-01-19 0248 PPS 1340 Washington St, Watertown, NY, 13601-4541
Loan Status Date 2021-12-10
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 74590
Loan Approval Amount (current) 74590
Undisbursed Amount 0
Franchise Name -
Lender Location ID 50344
Servicing Lender Name Watertown Savings Bank
Servicing Lender Address 111 Clinton St, WATERTOWN, NY, 13601-3650
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Watertown, JEFFERSON, NY, 13601-4541
Project Congressional District NY-24
Number of Employees 7
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 50344
Originating Lender Name Watertown Savings Bank
Originating Lender Address WATERTOWN, NY
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 75160.15
Forgiveness Paid Date 2021-11-03
5931547004 2020-04-06 0248 PPP 1340 WASHINGTON ST, WATERTOWN, NY, 13601-4541
Loan Status Date 2021-06-11
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 74590
Loan Approval Amount (current) 74590
Undisbursed Amount 0
Franchise Name -
Lender Location ID 50344
Servicing Lender Name Watertown Savings Bank
Servicing Lender Address 111 Clinton St, WATERTOWN, NY, 13601-3650
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address WATERTOWN, JEFFERSON, NY, 13601-4541
Project Congressional District NY-24
Number of Employees 7
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 50344
Originating Lender Name Watertown Savings Bank
Originating Lender Address WATERTOWN, NY
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 75368.6
Forgiveness Paid Date 2021-05-03

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State

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