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  5. ALDEN DENTAL, PLLC

ALDEN DENTAL, PLLC

Company Details

Name: ALDEN DENTAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 Sep 2016 (9 years ago)
Entity Number: 5013437
ZIP code: 14004
County: Erie
Place of Formation: New York
Address: 12763 Broadway St, Alden, NY, United States, 14004

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EAST TOWN DENTAL 401(K) PLAN 2023 821238828 2024-09-25 ALDEN DENTAL PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 7169026402
Plan sponsor’s address 12763 BROADWAY STREET, ALDEN, NY, 14004

Signature of
Role Plan administrator
Date 2024-09-25
Name of individual signing MICHAEL VANDERFORD
Valid signature Filed with authorized/valid electronic signature
EAST TOWN DENTAL 401(K) PLAN 2022 821238828 2023-08-29 ALDEN DENTAL PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 7169026402
Plan sponsor’s address 12763 BROADWAY STREET, ALDEN, NY, 14004

Signature of
Role Plan administrator
Date 2023-08-29
Name of individual signing MICHAEL VANDERFORD
EAST TOWN DENTAL 401(K) PLAN 2021 821238828 2022-08-15 ALDEN DENTAL PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621112
Sponsor’s telephone number 7169026402
Plan sponsor’s address 12763 BROADWAY STREET, ALDEN, NY, 14004

Signature of
Role Plan administrator
Date 2022-08-15
Name of individual signing CHAD FROEBEL
EAST TOWN DENTAL 401(K) PLAN 2020 821238828 2021-08-24 ALDEN DENTAL PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621112
Sponsor’s telephone number 7169026402
Plan sponsor’s address 12763 BROADWAY STREET, ALDEN, NY, 14004

Signature of
Role Plan administrator
Date 2021-08-24
Name of individual signing CHAD FROEBEL
EAST TOWN DENTAL 401(K) PLAN 2019 821238828 2020-09-11 ALDEN DENTAL PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621112
Sponsor’s telephone number 7169026402
Plan sponsor’s address 12763 BROADWAY STREET, ALDEN, NY, 14004

Signature of
Role Plan administrator
Date 2020-09-11
Name of individual signing CHAD FROEBEL

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 12763 Broadway St, Alden, NY, United States, 14004

History

Start date End date Type Value
2023-07-28 2024-09-01 Address 12763 Broadway St, Alden, NY, 14004, USA (Type of address: Service of Process)
2016-09-23 2023-07-28 Address 476 GENESEE STREET, CORFU, NY, 14036, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240901034864 2024-09-01 BIENNIAL STATEMENT 2024-09-01
230728002987 2023-07-28 BIENNIAL STATEMENT 2022-09-01
161130000410 2016-11-30 CERTIFICATE OF PUBLICATION 2016-11-30
160923000672 2016-09-23 ARTICLES OF ORGANIZATION 2016-09-23

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5296218605 2021-03-20 0296 PPS 12763 Broadway St, Alden, NY, 14004-9569
Loan Status Date 2022-02-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 48457.5
Loan Approval Amount (current) 48457.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 188567
Servicing Lender Name Loan Source Incorporated
Servicing Lender Address 353 East 83rd Street Suite 3H, NEW YORK, NY, 10028
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Alden, ERIE, NY, 14004-9569
Project Congressional District NY-23
Number of Employees 6
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 124336
Originating Lender Name Blue Ridge Bank, National Association
Originating Lender Address MARTINSVILLE, VA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 48841.18
Forgiveness Paid Date 2022-01-04
4407827810 2020-05-28 0296 PPP 12763 Broadway, Alden, NY, 14004
Loan Status Date 2021-04-29
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 48459.72
Loan Approval Amount (current) 48459.72
Undisbursed Amount 0
Franchise Name -
Lender Location ID 529253
Servicing Lender Name Fundbox, Inc.
Servicing Lender Address 560 Mission Street, 13th Floor, San Francisco, CA, 94105
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Alden, ERIE, NY, 14004-0001
Project Congressional District NY-23
Number of Employees 6
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 529253
Originating Lender Name Fundbox, Inc.
Originating Lender Address San Francisco, CA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 48863.55
Forgiveness Paid Date 2021-03-25

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State

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