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MARUSICH & CONTI DENTAL, PLLC

Company Details

Name: MARUSICH & CONTI DENTAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 04 Mar 2016 (9 years ago)
Entity Number: 4906998
ZIP code: 13901
County: Broome
Place of Formation: New York
Address: ATTN: ROBERT H. WEDLAKE, 80 EXCHANGE STREET, SUITE 700, BINGHAMTON, NY, United States, 13901

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COLUMBIA DENTAL GROUP 401K PS PROFIT SHARING PLAN 2023 161442332 2024-07-23 MARUSICH & CONTI DENTAL PLLC 20
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-28
Business code 621210
Sponsor’s telephone number 6077971310
Plan sponsor’s address 515 COLUMBIA DRIVE, JOHNSON CITY, NY, 137903302

Signature of

Role Plan administrator
Date 2024-07-11
Name of individual signing WILLIAM M. MARUSICH
Role Employer/plan sponsor
Date 2024-07-11
Name of individual signing WILLIAM M. MARUSICH
COLUMBIA DENTAL GROUP 401K PS PROFIT SHARING PLAN 2022 161442332 2023-07-21 MARUSICH & CONTI DENTAL PLLC 20
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-28
Business code 621210
Sponsor’s telephone number 6077971310
Plan sponsor’s address 515 COLUMBIA DRIVE, JOHNSON CITY, NY, 137903302

Signature of

Role Plan administrator
Date 2023-07-13
Name of individual signing WILLIAM M. MARUSICH
Role Employer/plan sponsor
Date 2023-07-13
Name of individual signing WILLIAM M. MARUSICH
COLUMBIA DENTAL GROUP 401K PS PROFIT SHARING PLAN 2021 161442332 2022-08-12 MARUSICH & CONTI DENTAL PLLC 23
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-28
Business code 621210
Sponsor’s telephone number 6077971310
Plan sponsor’s address 515 COLUMBIA DRIVE, JOHNSON CITY, NY, 137903302

Signature of

Role Plan administrator
Date 2022-08-12
Name of individual signing WILLIAM M. MARUSICH
Role Employer/plan sponsor
Date 2022-08-12
Name of individual signing WILLIAM M. MARUSICH
COLUMBIA DENTAL GROUP 401K PS PROFIT SHARING PLAN 2020 161442332 2021-08-13 MARUSICH & CONTI DENTAL PLLC 22
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-28
Business code 621210
Sponsor’s telephone number 6077971310
Plan sponsor’s address 515 COLUMBIA DRIVE, JOHNSON CITY, NY, 13790

Signature of

Role Plan administrator
Date 2021-07-27
Name of individual signing WILLIAM M. MARUSICH
Role Employer/plan sponsor
Date 2021-07-27
Name of individual signing WILLIAM M. MARUSICH
WILLIAM M. MARUSICH DDS & ROGER A. CONTI DDS PROFIT SHARING PLAN 2020 161442332 2021-08-13 MARUSICH & CONTI DENTAL PLLC 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-08-01
Business code 621210
Sponsor’s telephone number 6077971310
Plan sponsor’s address 515 COLUMBIA DRIVE, JOHNSON CITY, NY, 13790

Signature of

Role Plan administrator
Date 2021-07-20
Name of individual signing WILLIAM M. MARUSICH
Role Employer/plan sponsor
Date 2021-07-20
Name of individual signing WILLIAM M. MARUSICH
WILLIAM M. MARUSICH DDS & ROGER A. CONTI DDS PROFIT SHARING PLAN 2019 161442332 2020-08-10 MARUSICH & CONTI DENTAL PLLC 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-08-01
Business code 621210
Sponsor’s telephone number 6077971310
Plan sponsor’s address 190 MAIN STREET, JOHNSON CITY, NY, 137901501

Signature of

Role Plan administrator
Date 2020-07-29
Name of individual signing WILLIAM M. MARUSICH
Role Employer/plan sponsor
Date 2020-07-29
Name of individual signing WILLIAM M. MARUSICH
COLUMBIA DENTAL GROUP 401K PS PROFIT SHARING PLAN 2019 161442332 2020-08-10 MARUSICH & CONTI DENTAL PLLC 0
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-28
Business code 621210
Sponsor’s telephone number 6077971310
Plan sponsor’s address 190 MAIN STREET, JOHNSON CITY, NY, 137901501

Signature of

Role Plan administrator
Date 2020-07-29
Name of individual signing WILLIAM M. MARUSICH
Role Employer/plan sponsor
Date 2020-07-29
Name of individual signing WILLIAM M. MARUSICH

DOS Process Agent

Name Role Address
HINMAN, HOWARD & KATTELL, LLP DOS Process Agent ATTN: ROBERT H. WEDLAKE, 80 EXCHANGE STREET, SUITE 700, BINGHAMTON, NY, United States, 13901

History

Start date End date Type Value
2016-03-04 2016-03-24 Address ATTN: ROBERT H WEDLAKE, 80 EXCHANGE STREET SUITE 700, BINGHAMTON, NY, 13901, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
160511000470 2016-05-11 CERTIFICATE OF PUBLICATION 2016-05-11
160324000793 2016-03-24 CERTIFICATE OF MERGER 2016-03-24
160304000137 2016-03-04 ARTICLES OF ORGANIZATION 2016-03-04

Date of last update: 07 Mar 2025

Sources: New York Secretary of State