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MY SARATOGA DENTIST PLLC

MY SARATOGA DENTIST PLLC

Company Details

Name:	MY SARATOGA DENTIST PLLC
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status:	Active
Date of registration:	29 Jan 2016 (9 years ago)
Entity Number:	4887670
ZIP code:	12866
County:	Saratoga
Place of Formation:	New York
Address:	569 NORTH BROADWAY, SARATOGA SPRINGS, NY, United States, 12866

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

MY SARATOGA DENTIST, PLLC 401(K) PENSION PLAN

2023

811463624

2024-07-31

MY SARATOGA DENTIST, PLLC

13

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621210
Sponsor’s telephone number	5185849172
Plan sponsor’s address	569 NORTH BROADWAY - SUITE 1, SARATOGA SPRINGS, NY, 12866

MY SARATOGA DENTIST, PLLC 401(K) PENSION PLAN

2022

811463624

2023-06-20

MY SARATOGA DENTIST, PLLC

10

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621210
Sponsor’s telephone number	5185849172
Plan sponsor’s address	569 NORTH BROADWAY, SARATOGA SPRINGS, NY, 12866

MY SARATOGA DENTIST, PLLC 401(K) PENSION PLAN

2021

811463624

2022-09-26

MY SARATOGA DENTIST, PLLC

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621210
Sponsor’s telephone number	5185849172
Plan sponsor’s address	569 NORTH BROADWAY, SARATOGA SPRINGS, NY, 12866

MY SARATOGA DENTIST, PLLC 401(K) PENSION PLAN

2020

811463624

2021-07-13

MY SARATOGA DENTIST, PLLC

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621210
Sponsor’s telephone number	5185849172
Plan sponsor’s address	569 NORTH BROADWAY, SARATOGA SPRINGS, NY, 12866

MY SARATOGA DENTIST, PLLC 401(K) PENSION PLAN

2019

811463624

2020-03-16

MY SARATOGA DENTIST, PLLC

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621210
Sponsor’s telephone number	5185849172
Plan sponsor’s address	569 NORTH BROADWAY, SARATOGA SPRINGS, NY, 12866

MY SARATOGA DENTIST, PLLC 401(K) PENSION PLAN

2018

811463624

2019-06-27

MY SARATOGA DENTIST, PLLC

7

Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621210
Sponsor’s telephone number	5185849172
Plan sponsor’s address	569 NORTH BROADWAY, SARATOGA SPRINGS, NY, 12866

MY SARATOGA DENTIST, PLLC 401(K) PENSION PLAN

2018

811463624

2020-02-27

MY SARATOGA DENTIST, PLLC

7

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621210
Sponsor’s telephone number	5185849172
Plan sponsor’s address	569 NORTH BROADWAY, SARATOGA SPRINGS, NY, 12866

MY SARATOGA DENTIST, PLLC 401(K) PENSION PLAN

2017

811463624

2018-07-30

MY SARATOGA DENTIST, PLLC

7

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621210
Sponsor’s telephone number	5185849172
Plan sponsor’s address	569 NORTH BROADWAY, SARATOGA SPRINGS, NY, 12866

DOS Process Agent

Name	Role	Address
THE LLC	DOS Process Agent	569 NORTH BROADWAY, SARATOGA SPRINGS, NY, United States, 12866

Filings

Filing Number	Date Filed	Type	Effective Date
160504000649	2016-05-04	CERTIFICATE OF PUBLICATION	2016-05-04
160129000167	2016-01-29	ARTICLES OF ORGANIZATION	2016-01-29

Paycheck Protection Program

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

4660277107

2020-04-13

0248

PPP

569 North Broadway Suite 1, SARATOGA SPRINGS, NY, 12866-1609

Loan Status Date	2021-03-09
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	109100
Loan Approval Amount (current)	109100
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	112475
Servicing Lender Name	Saratoga National Bank and Trust Company
Servicing Lender Address	171 S Broadway, SARATOGA SPRINGS, NY, 12866-4532
Rural or Urban Indicator	R
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	SARATOGA SPRINGS, SARATOGA, NY, 12866-1609
Project Congressional District	NY-20
Number of Employees	8
NAICS code	621391
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Limited Liability Company(LLC)
Originating Lender ID	112475
Originating Lender Name	Saratoga National Bank and Trust Company
Originating Lender Address	SARATOGA SPRINGS, NY
Gender	Male Owned
Veteran	Unanswered
Forgiveness Amount	109835
Forgiveness Paid Date	2021-02-12

5210018310

2021-01-25

0248

PPS

569 N Broadway Ste 1, Saratoga Springs, NY, 12866-1644

Loan Status Date	2021-11-08
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	98747
Loan Approval Amount (current)	98747
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	112475
Servicing Lender Name	Saratoga National Bank and Trust Company
Servicing Lender Address	171 S Broadway, SARATOGA SPRINGS, NY, 12866-4532
Rural or Urban Indicator	R
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	Saratoga Springs, SARATOGA, NY, 12866-1644
Project Congressional District	NY-20
Number of Employees	9
NAICS code	621210
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Limited Liability Company(LLC)
Originating Lender ID	112475
Originating Lender Name	Saratoga National Bank and Trust Company
Originating Lender Address	SARATOGA SPRINGS, NY
Gender	Male Owned
Veteran	Unanswered
Forgiveness Amount	99196.85
Forgiveness Paid Date	2021-07-13

Date of last update: 25 Mar 2025

Sources: New York Secretary of State