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LUMIA DENTAL PLLC

Company Details

Name: LUMIA DENTAL PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 26 Sep 2017 (8 years ago)
Entity Number: 5207859
ZIP code: 07740
County: New York
Place of Formation: New York
Address: 22 COOPER AVENUE, LONG BRANCH, NJ, United States, 07740

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LUMIA DENTAL 401(K) PLAN 2023 822826019 2024-04-20 LUMIA DENTAL PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 9179151913
Plan sponsor’s address 160 BROADWAY, SUITE 1004, NEW YORK, NY, 10038

Signature of

Role Plan administrator
Date 2024-04-20
Name of individual signing MARC VALDIVIEZO
LUMIA DENTAL 401(K) PLAN 2022 822826019 2023-06-29 LUMIA DENTAL PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 9179151913
Plan sponsor’s address 160 BROADWAY, SUITE 1004, NEW YORK, NY, 10038

Signature of

Role Plan administrator
Date 2023-06-29
Name of individual signing MARC VALDIVIEZO
Role Employer/plan sponsor
Date 2023-06-29
Name of individual signing MEE KYUNG HAN
LUMIA DENTAL 401(K) PLAN 2021 822826019 2022-07-21 LUMIA DENTAL PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2122871275
Plan sponsor’s address 160 BROADWAY, SUITE 1004, NEW YORK, NY, 10038

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 22 COOPER AVENUE, LONG BRANCH, NJ, United States, 07740

Filings

Filing Number Date Filed Type Effective Date
180223000306 2018-02-23 CERTIFICATE OF CHANGE 2018-02-23
180109000647 2018-01-09 CERTIFICATE OF PUBLICATION 2018-01-09
171011000591 2017-10-11 CERTIFICATE OF CHANGE 2017-10-11
170926000270 2017-09-26 ARTICLES OF ORGANIZATION 2017-09-26

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3309787105 2020-04-11 0202 PPP 160 BROADWAY RM 1004, NEW YORK, NY, 10038-4201
Loan Status Date 2021-03-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 136082
Loan Approval Amount (current) 136082
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 Existing or more than 2 years old
Project Address NEW YORK, NEW YORK, NY, 10038-4201
Project Congressional District NY-10
Number of Employees 13
NAICS code 621210
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 136988.95
Forgiveness Paid Date 2021-02-12
9575148402 2021-02-17 0202 PPS 160 Broadway Rm 1004, New York, NY, 10038-4213
Loan Status Date 2021-11-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 157277
Loan Approval Amount (current) 157277
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 Existing or more than 2 years old
Project Address New York, NEW YORK, NY, 10038-4213
Project Congressional District NY-10
Number of Employees 13
NAICS code 621210
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 158237.9
Forgiveness Paid Date 2021-09-29

Date of last update: 24 Mar 2025

Sources: New York Secretary of State