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  5. WEST CHURCH STREET DENTAL, PLLC

WEST CHURCH STREET DENTAL, PLLC

Company Details

Name: WEST CHURCH STREET DENTAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 08 Sep 2015 (10 years ago)
Entity Number: 4816525
ZIP code: 14901
County: Chemung
Place of Formation: New York
Address: 452 WEST CHURCH STREET, ELMIRA, NY, United States, 14901

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WEST CHURCH STREET DENTAL, PLLC 401(K) PROFIT SHARING PLAN 2023 475014219 2024-07-17 WEST CHURCH STREET DENTAL, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 6077324722
Plan sponsor’s address 452 WEST CHURCH STREET, ELMIRA, NY, 14901

Signature of
Role Plan administrator
Date 2024-07-17
Name of individual signing MAI HUYNH
Role Employer/plan sponsor
Date 2024-07-17
Name of individual signing MAI HUYNH
WEST CHURCH STREET DENTAL, PLLC 401(K) PROFIT SHARING PLAN 2022 475014219 2023-04-10 WEST CHURCH STREET DENTAL, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 6077324722
Plan sponsor’s address 452 WEST CHURCH STREET, ELMIRA, NY, 14901

Signature of
Role Plan administrator
Date 2023-04-07
Name of individual signing MAI HUYNH
Role Employer/plan sponsor
Date 2023-04-07
Name of individual signing MAI HUYNH
WEST CHURCH STREET DENTAL, PLLC 401(K) PROFIT SHARING PLAN 2021 475014219 2022-07-07 WEST CHURCH STREET DENTAL, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 6077324722
Plan sponsor’s address 452 WEST CHURCH STREET, ELMIRA, NY, 14901

Signature of
Role Plan administrator
Date 2022-07-07
Name of individual signing MAI HUYNH
Role Employer/plan sponsor
Date 2022-07-07
Name of individual signing MAI HUYNH
WEST CHURCH STREET DENTAL, PLLC 401(K) PROFIT SHARING PLAN 2020 475014219 2021-06-28 WEST CHURCH STREET DENTAL, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 6077324722
Plan sponsor’s address 452 WEST CHURCH STREET, ELMIRA, NY, 14901

Signature of
Role Plan administrator
Date 2021-06-27
Name of individual signing MAI HUYNH
Role Employer/plan sponsor
Date 2021-06-27
Name of individual signing MAI HUYNH
WEST CHURCH STREET DENTAL, PLLC 401(K) PROFIT SHARING PLAN 2019 475014219 2020-07-28 WEST CHURCH STREET DENTAL, PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 6077324722
Plan sponsor’s address 452 WEST CHURCH STREET, ELMIRA, NY, 14901

Signature of
Role Plan administrator
Date 2020-07-28
Name of individual signing MAI HUYNH
Role Employer/plan sponsor
Date 2020-07-28
Name of individual signing MAI HUYNH

DOS Process Agent

Name Role Address
WEST CHURCH STREET DENTAL, PLLC DOS Process Agent 452 WEST CHURCH STREET, ELMIRA, NY, United States, 14901

History

Start date End date Type Value
2015-09-08 2023-10-02 Address 452 WEST CHURCH STREET, ELMIRA, NY, 14901, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231002006974 2023-10-02 BIENNIAL STATEMENT 2023-09-01
210726001415 2021-07-26 BIENNIAL STATEMENT 2021-07-26
160128000446 2016-01-28 CERTIFICATE OF PUBLICATION 2016-01-28
150908000504 2015-09-08 ARTICLES OF ORGANIZATION 2015-09-08

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4543338305 2021-01-23 0248 PPS 452 W Church St, Elmira, NY, 14901-2623
Loan Status Date 2022-04-13
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 52872.5
Loan Approval Amount (current) 52872.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 47180
Servicing Lender Name Chemung Canal Trust Company
Servicing Lender Address One Chemung Canal Plz, ELMIRA, NY, 14901-3408
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Elmira, CHEMUNG, NY, 14901-2623
Project Congressional District NY-23
Number of Employees 5
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 47180
Originating Lender Name Chemung Canal Trust Company
Originating Lender Address ELMIRA, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 53446.75
Forgiveness Paid Date 2022-03-02
3613857303 2020-04-29 0248 PPP 452 W. CHURCH ST, ELMIRA, NY, 14901-2603
Loan Status Date 2021-05-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 52870
Loan Approval Amount (current) 52870
Undisbursed Amount 0
Franchise Name -
Lender Location ID 47180
Servicing Lender Name Chemung Canal Trust Company
Servicing Lender Address One Chemung Canal Plz, ELMIRA, NY, 14901-3408
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address ELMIRA, CHEMUNG, NY, 14901-2603
Project Congressional District NY-23
Number of Employees 5
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 47180
Originating Lender Name Chemung Canal Trust Company
Originating Lender Address ELMIRA, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 53363.45
Forgiveness Paid Date 2021-04-13

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State

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