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GUILDERLAND FAMILY DENTISTRY PLLC

Company Details

Name: GUILDERLAND FAMILY DENTISTRY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 07 Jun 2017 (8 years ago)
Entity Number: 5150374
ZIP code: 12309
County: Schenectady
Place of Formation: New York
Address: 9 Pinecrest Drive, Niskayuna, NY, United States, 12309

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GUILDERLAND FAMILY DENTISTRY 401(K) PLAN 2023 821105930 2024-06-21 GUILDERLAND FAMILY DENTISTRY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 7164403940
Plan sponsor’s address 3734 CARMAN ROAD, SCHENECTADY, NY, 12303

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2024-06-21
Name of individual signing TARA EVANS, FOR TAG RESOURCES
GUILDERLAND FAMILY DENTISTRY 401(K) PLAN 2022 821105930 2023-08-01 GUILDERLAND FAMILY DENTISTRY 7
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 7164403940
Plan sponsor’s address 3734 CARMAN ROAD, SCHENECTADY, NY, 12303

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2023-08-01
Name of individual signing TARA EVANS, FOR TAG RESOURCES
GUILDERLAND FAMILY DENTISTRY 401(K) PLAN 2022 821105930 2024-06-03 GUILDERLAND FAMILY DENTISTRY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 7164403940
Plan sponsor’s address 3734 CARMAN ROAD, SCHENECTADY, NY, 12303

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2024-06-03
Name of individual signing TARA EVANS, FOR TAG RESOURCES
GUILDERLAND FAMILY DENTISTRY 401(K) PLAN 2021 821105930 2022-09-28 GUILDERLAND FAMILY DENTISTRY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 7164403940
Plan sponsor’s address 3734 CARMAN ROAD, SCHENECTADY, NY, 12303

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2022-09-28
Name of individual signing TARA EVANS

DOS Process Agent

Name Role Address
GUILDERLAND FAMILY DENTISTRY PLLC DOS Process Agent 9 Pinecrest Drive, Niskayuna, NY, United States, 12309

History

Start date End date Type Value
2024-06-07 2024-08-05 Address 9 Pinecrest Drive, Niskayuna, NY, 12309, USA (Type of address: Service of Process)
2017-06-07 2024-06-07 Address 441 NEW KARNER ROAD, ALBANY, NY, 12205, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240805001484 2024-07-23 CERTIFICATE OF PUBLICATION 2024-07-23
240607003442 2024-06-07 BIENNIAL STATEMENT 2024-06-07
170607000902 2017-06-07 ARTICLES OF ORGANIZATION 2017-06-07

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1621928308 2021-01-19 0248 PPS 3734 Carman Rd, Schenectady, NY, 12303-5422
Loan Status Date 2021-12-09
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 84100
Loan Approval Amount (current) 84100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 47160
Servicing Lender Name The National Bank of Coxsackie
Servicing Lender Address 3-7 Reed St, COXSACKIE, NY, 12051-1210
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Schenectady, ALBANY, NY, 12303-5422
Project Congressional District NY-20
Number of Employees 8
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Professional Association
Originating Lender ID 47160
Originating Lender Name The National Bank of Coxsackie
Originating Lender Address COXSACKIE, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 84742.85
Forgiveness Paid Date 2021-11-05
5346787702 2020-05-01 0248 PPP 3734 CARMAN RD, SCHENECTADY, NY, 12303-5422
Loan Status Date 2021-04-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 84003
Loan Approval Amount (current) 84003
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address SCHENECTADY, ALBANY, NY, 12303-5422
Project Congressional District NY-20
Number of Employees 9
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Professional Association
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 84691.13
Forgiveness Paid Date 2021-02-25

Date of last update: 24 Mar 2025

Sources: New York Secretary of State