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  5. CAMILLUS DENTAL, PLLC

CAMILLUS DENTAL, PLLC

Company Details

Name: CAMILLUS DENTAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 25 Feb 2016 (9 years ago)
Entity Number: 4901927
ZIP code: 13031
County: Onondaga
Place of Formation: New York
Address: 5210 WEST GENESEE STREET, CAMILLUS, NY, United States, 13031

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAMILLUS DENTAL 401(K) PROFIT SHARING PLAN 2023 811685648 2024-07-18 CAMILLUS DENTAL, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 3154879225
Plan sponsor’s DBA name CAMILLUS DENTAL ASSOCIATES
Plan sponsor’s address 5210 WEST GENESEE STREET, CAMILLUS, NY, 130312202

Signature of
Role Plan administrator
Date 2024-07-18
Name of individual signing STEPHANIE T. CAVALLARO, D.D.S.
CAMILLUS DENTAL 401(K) PROFIT SHARING PLAN 2022 811685648 2023-07-31 CAMILLUS DENTAL, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 3154879225
Plan sponsor’s DBA name CAMILLUS DENTAL ASSOCIATES
Plan sponsor’s address 5210 WEST GENESEE STREET, CAMILLUS, NY, 130312202

Signature of
Role Plan administrator
Date 2023-07-31
Name of individual signing STEPHANIE T. CAVALLARO, D.D.S.
Role Employer/plan sponsor
Date 2023-07-31
Name of individual signing STEPHANIE T. CAVALLARO
CAMILLUS DENTAL 401(K) PROFIT SHARING PLAN 2021 811685648 2022-08-29 CAMILLUS DENTAL, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 3154879225
Plan sponsor’s DBA name CAMILLUS DENTAL ASSOCIATES
Plan sponsor’s address 5210 WEST GENESEE STREET, CAMILLUS, NY, 130312202

Signature of
Role Plan administrator
Date 2022-08-15
Name of individual signing STEPHANIE T. CAVALLARO, D.D.S.
CAMILLUS DENTAL 401(K) PROFIT SHARING PLAN 2020 811685648 2021-07-21 CAMILLUS DENTAL, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 3154879225
Plan sponsor’s DBA name CAMILLUS DENTAL ASSOCIATES
Plan sponsor’s address 5210 WEST GENESEE STREET, CAMILLUS, NY, 130312202

Signature of
Role Plan administrator
Date 2021-07-21
Name of individual signing STEPHANIE T. CAVALLARO, D.D.S.
Role Employer/plan sponsor
Date 2021-07-21
Name of individual signing STEPHANIE CAVALLARO
CAMILLUS DENTAL 401(K) PROFIT SHARING PLAN 2019 811685648 2020-05-30 CAMILLUS DENTAL, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 3154879225
Plan sponsor’s DBA name CAMILLUS DENTAL ASSOCIATES
Plan sponsor’s address 5210 WEST GENESEE STREET, CAMILLUS, NY, 130312202

Signature of
Role Plan administrator
Date 2020-05-30
Name of individual signing STEPHANIE T. CAVALLARO, D.D.S.
Role Employer/plan sponsor
Date 2020-05-30
Name of individual signing STEPHANIE T. CAVALLARO
CAMILLUS DENTAL 401(K) PROFIT SHARING PLAN 2018 811685648 2019-07-15 CAMILLUS DENTAL, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 3154879225
Plan sponsor’s DBA name CAMILLUS DENTAL ASSOCIATES
Plan sponsor’s address 5210 WEST GENESEE STREET, CAMILLUS, NY, 130312202

Signature of
Role Plan administrator
Date 2019-07-15
Name of individual signing STEPHANIE T. CAVALLARO, D.D.S.
CAMILLUS DENTAL 401(K) PROFIT SHARING PLAN 2017 811685648 2018-07-07 CAMILLUS DENTAL, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 3154879225
Plan sponsor’s DBA name CAMILLUS DENTAL ASSOCIATES
Plan sponsor’s address 5210 WEST GENESEE STREET, CAMILLUS, NY, 130312202

Signature of
Role Plan administrator
Date 2018-07-07
Name of individual signing STEPHANIE T. CAVALLARO, D.D.S.
Role Employer/plan sponsor
Date 2018-07-07
Name of individual signing STEPHANIE T. CAVALLARO, D.D.S.
CAMILLUS DENTAL 401(K) PROFIT SHARING PLAN 2016 811685648 2017-04-12 CAMILLUS DENTAL, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 3154879225
Plan sponsor’s DBA name CAMILLUS DENTAL ASSOCIATES
Plan sponsor’s address 5210 WEST GENESEE STREET, CAMILLUS, NY, 130312202

Signature of
Role Plan administrator
Date 2017-04-12
Name of individual signing STEPHANIE T. CAVALLARO, D.D.S.

DOS Process Agent

Name Role Address
CAMILLUS DENTAL, PLLC DOS Process Agent 5210 WEST GENESEE STREET, CAMILLUS, NY, United States, 13031

History

Start date End date Type Value
2016-02-25 2023-11-03 Address 5210 WEST GENESEE STREET, CAMILLUS, NY, 13031, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231103004680 2023-11-03 BIENNIAL STATEMENT 2022-02-01
210922002747 2021-09-22 BIENNIAL STATEMENT 2021-09-22
191003061327 2019-10-03 BIENNIAL STATEMENT 2018-02-01
170118000556 2017-01-18 CERTIFICATE OF PUBLICATION 2017-01-18
160225000007 2016-02-25 ARTICLES OF ORGANIZATION 2016-02-25

Related by officers

No related officers

Related by address

5210 WEST GENESEE STREET, CAMILLUS, NY, United States, 13031

5210 WEST GENESEE STREET, LLC CAMILLUS DENTAL ASSOCIATES, L.L.P.

Date of last update: 14 Jan 2025

Sources: New York Secretary of State

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