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  5. LATHAM PERIODONTICS PLLC

LATHAM PERIODONTICS PLLC

Company Details

Name: LATHAM PERIODONTICS PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 08 Apr 2015 (10 years ago)
Entity Number: 4739120
ZIP code: 12110
County: Albany
Place of Formation: New York
Address: 815 TROY-SCHENECTADY ROAD, LATHAM, NY, United States, 12110

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LATHAM PERIODONTICS 401(K) P/S PLAN 2023 473796334 2024-08-05 LATHAM PERIODONTICS 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 5187851067
Plan sponsor’s address 815 TROY SCHENECTADY RD, LATHAM, NY, 12110

Signature of
Role Plan administrator
Date 2024-08-05
Name of individual signing JANG CHOI
LATHAM PERIODONTICS 401(K) P/S PLAN 2022 473796334 2023-05-08 LATHAM PERIODONTICS 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 5187851067
Plan sponsor’s address 815 TROY SCHENECTADY RD, LATHAM, NY, 12110

Plan administrator’s name and address
Administrator’s EIN 473796334
Plan administrator’s name LATHAM PERIODONTICS
Plan administrator’s address 815 TROY SCHENECTADY RD, LATHAM, NY, 12110
Administrator’s telephone number 5187851067

Signature of
Role Plan administrator
Date 2023-05-08
Name of individual signing JANG CHOI
LATHAM PERIODONTICS 401(K) P/S PLAN 2022 473796334 2023-02-26 LATHAM PERIODONTICS 9
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 5187851067
Plan sponsor’s address 815 TROY SCHENECTADY RD, LATHAM, NY, 12110

Plan administrator’s name and address
Administrator’s EIN 473796334
Plan administrator’s name LATHAM PERIODONTICS
Plan administrator’s address 815 TROY SCHENECTADY RD, LATHAM, NY, 12110
Administrator’s telephone number 5187851067

Signature of
Role Plan administrator
Date 2023-02-26
Name of individual signing JANG CHOI
LATHAM PERIODONTICS 401(K) P/S PLAN 2021 473796334 2022-07-25 LATHAM PERIODONTICS 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 5187851067
Plan sponsor’s address 815 TROY SCHENECTADY RD, LATHAM, NY, 12110

Plan administrator’s name and address
Administrator’s EIN 473796334
Plan administrator’s name LATHAM PERIODONTICS
Plan administrator’s address 815 TROY SCHENECTADY RD, LATHAM, NY, 12110
Administrator’s telephone number 5187851067

Signature of
Role Plan administrator
Date 2022-07-25
Name of individual signing JANG CHOI
LATHAM PERIODONTICS 401(K) P/S PLAN 2020 473796334 2021-05-14 LATHAM PERIODONTICS 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 5187851067
Plan sponsor’s address 815 TROY SCHENECTADY RD, LATHAM, NY, 12110

Plan administrator’s name and address
Administrator’s EIN 473796334
Plan administrator’s name LATHAM PERIODONTICS
Plan administrator’s address 815 TROY SCHENECTADY RD, LATHAM, NY, 12110
Administrator’s telephone number 5187851067

Signature of
Role Plan administrator
Date 2021-05-14
Name of individual signing JANG CHOI
LATHAM PERIODONTICS 401(K) P/S PLAN 2019 473796334 2020-06-02 LATHAM PERIODONTICS 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 5187851067
Plan sponsor’s address 815 TROY SCHENECTADY RD, LATHAM, NY, 12110

Plan administrator’s name and address
Administrator’s EIN 473796334
Plan administrator’s name LATHAM PERIODONTICS
Plan administrator’s address 815 TROY SCHENECTADY RD, LATHAM, NY, 12110
Administrator’s telephone number 5187851067

Signature of
Role Plan administrator
Date 2020-06-02
Name of individual signing JANG CHOI
LATHAM PERIODONTICS 401(K) P/S PLAN 2018 473796334 2019-05-08 LATHAM PERIODONTICS 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 5187851067
Plan sponsor’s address 815 TROY SCHENECTADY RD, LATHAM, NY, 12110

Plan administrator’s name and address
Administrator’s EIN 473796334
Plan administrator’s name LATHAM PERIODONTICS
Plan administrator’s address 815 TROY SCHENECTADY RD, LATHAM, NY, 12110
Administrator’s telephone number 5187851067

Signature of
Role Plan administrator
Date 2019-05-08
Name of individual signing JANG CHOI

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 815 TROY-SCHENECTADY ROAD, LATHAM, NY, United States, 12110

History

Start date End date Type Value
2015-04-08 2025-01-23 Address 815 TROY-SCHENECTADY ROAD, LATHAM, NY, 12110, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250123001780 2025-01-23 BIENNIAL STATEMENT 2025-01-23
221213000319 2022-12-13 BIENNIAL STATEMENT 2021-04-01
170419006043 2017-04-19 BIENNIAL STATEMENT 2017-04-01
150713000790 2015-07-13 CERTIFICATE OF PUBLICATION 2015-07-13
150408000553 2015-04-08 ARTICLES OF ORGANIZATION 2015-04-08

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2171707301 2020-04-29 0248 PPP 23 SUTHERLAND DR, WATERVLIET, NY, 12189-3457
Loan Status Date 2021-02-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 48975
Loan Approval Amount (current) 48975
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address WATERVLIET, ALBANY, NY, 12189-3457
Project Congressional District NY-20
Number of Employees 11
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 49322.52
Forgiveness Paid Date 2021-01-25

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Related by address

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State

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