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1500 GRANT BLVD DENTISTRY PLLC

Company Details

Name: 1500 GRANT BLVD DENTISTRY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 03 Jan 2018 (7 years ago)
Entity Number: 5260214
ZIP code: 13208
County: Onondaga
Place of Formation: New York
Address: 1500 GRANT BLVD, SYRACUSE, NY, United States, 13208

Contact Details

Phone +1 315-472-3414

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
1500 GRANT BLVD DENTISTRY PLLC 401K 2023 823876196 2024-09-23 1500 GRANT BLVD DENTISTRY PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-03-01
Business code 621210
Sponsor’s telephone number 9178429627
Plan sponsor’s address 1500 GRANT BLVD, SYRACUSE, NY, 13208

Signature of

Role Plan administrator
Date 2024-09-23
Name of individual signing ARUN BALAKUMAR
Valid signature Filed with authorized/valid electronic signature
1500 GRANT BLVD DENTISTRY PLLC 401K 2022 823876196 2023-09-12 1500 GRANT BLVD DENTISTRY PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-03-01
Business code 621210
Sponsor’s telephone number 9178429627
Plan sponsor’s address 1500 GRANT BLVD, SYRACUSE, NY, 13208

Signature of

Role Plan administrator
Date 2023-09-12
Name of individual signing ARUN BALAKUMAR
1500 GRANT BLVD DENTISTRY PLLC 401K 2021 823876196 2022-10-14 1500 GRANT BLVD DENTISTRY PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-03-01
Business code 621210
Sponsor’s telephone number 9178429627
Plan sponsor’s address 1500 GRANT BLVD, SYRACUSE, NY, 13208

Signature of

Role Plan administrator
Date 2022-10-14
Name of individual signing ARUN BALAKUMAR
1500 GRANT BLVD DENTISTRY PLLC 401K 2020 823876196 2021-07-12 1500 GRANT BLVD DENTISTRY PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-03-01
Business code 621210
Sponsor’s telephone number 2015601199
Plan sponsor’s address 1500 GRANT BLVD, SYRACUSE, NY, 13208

Signature of

Role Plan administrator
Date 2021-07-12
Name of individual signing ARUN BALAKUMAR
1500 GRANT BLVD DENTISTRY PLLC 401K 2019 823876196 2020-11-11 1500 GRANT BLVD DENTISTRY PLLC 4
Three-digit plan number (PN) 001
Effective date of plan 2018-03-01
Business code 621210
Sponsor’s telephone number 2015601199
Plan sponsor’s address 1500 GRANT BLVD, SYRACUSE, NY, 13208

Signature of

Role Plan administrator
Date 2020-11-11
Name of individual signing ARUN BALAKUMAR
1500 GRANT BLVD DENTISTRY PLLC 401K 2019 823876196 2020-11-18 1500 GRANT BLVD DENTISTRY PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-03-01
Business code 621210
Sponsor’s telephone number 2015601199
Plan sponsor’s address 1500 GRANT BLVD, SYRACUSE, NY, 13208

Signature of

Role Plan administrator
Date 2020-11-18
Name of individual signing ARUN BALAKUMAR
1500 GRANT BLVD DENTISTRY PLLC 401K 2018 823876196 2019-07-31 1500 GRANT BLVD DENTISTRY PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-03-01
Business code 621210
Sponsor’s telephone number 2015601199
Plan sponsor’s address 1500 GRANT BLVD, SYRACUSE, NY, 13208

Signature of

Role Plan administrator
Date 2019-07-31
Name of individual signing ARUN BALAKUMAR

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1500 GRANT BLVD, SYRACUSE, NY, United States, 13208

Filings

Filing Number Date Filed Type Effective Date
180103000560 2018-01-03 ARTICLES OF ORGANIZATION 2018-01-03

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3591738405 2021-02-05 0248 PPS 1500 Grant Blvd, Syracuse, NY, 13208-3014
Loan Status Date 2021-12-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 37215
Loan Approval Amount (current) 37215
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Syracuse, ONONDAGA, NY, 13208-3014
Project Congressional District NY-22
Number of Employees 4
NAICS code 621210
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 48270
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address COLUMBUS, OH
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 37492.58
Forgiveness Paid Date 2021-11-10
2707547104 2020-04-11 0248 PPP 1500 GRANT BLVD, SYRACUSE, NY, 13208-3014
Loan Status Date 2021-05-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 41497
Loan Approval Amount (current) 41497
Undisbursed Amount 0
Franchise Name -
Lender Location ID 85712
Servicing Lender Name United Midwest Savings Bank, National Association
Servicing Lender Address 101 S Main St, DE GRAFF, OH, 43318
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address SYRACUSE, ONONDAGA, NY, 13208-3014
Project Congressional District NY-22
Number of Employees 4
NAICS code 621210
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 85712
Originating Lender Name United Midwest Savings Bank, National Association
Originating Lender Address DE GRAFF, OH
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 41901.6
Forgiveness Paid Date 2021-04-08

Date of last update: 24 Mar 2025

Sources: New York Secretary of State