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DAVID CHEN DDS PLLC

Company Details

Name: DAVID CHEN DDS PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 21 Feb 2018 (7 years ago)
Entity Number: 5290526
ZIP code: 11354
County: Queens
Place of Formation: New York
Address: 3828 147TH STREET, FLUSHING, NY, United States, 11354

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID CHEN DDS PLLC 401(K) PLAN 2023 824659056 2024-09-26 DAVID CHEN DDS PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 7183583307
Plan sponsor’s address 1311 JACKSON AVE., LONG ISLAND CITY, NY, 11101

Signature of

Role Plan administrator
Date 2024-09-26
Name of individual signing MICHAEL VANDERFORD
Valid signature Filed with authorized/valid electronic signature
DAVID CHEN DDS PLLC 401(K) PLAN 2022 824659056 2023-09-21 DAVID CHEN DDS PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 7183583307
Plan sponsor’s address 1311 JACKSON AVE., LONG ISLAND CITY, NY, 11101

Signature of

Role Plan administrator
Date 2023-09-21
Name of individual signing MICHAEL VANDERFORD
DAVID CHEN DDS PLLC 401(K) PLAN 2021 824659056 2022-09-16 DAVID CHEN DDS PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 7183583307
Plan sponsor’s address 1311 JACKSON AVE., LONG ISLAND CITY, NY, 11101

Signature of

Role Plan administrator
Date 2022-09-16
Name of individual signing DAVID CHEN
DAVID CHEN DDS PLLC 401(K) PLAN 2020 824659056 2021-09-23 DAVID CHEN DDS PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 7183583307
Plan sponsor’s address 1311 JACKSON AVE., LONG ISLAND CITY, NY, 11101

Signature of

Role Plan administrator
Date 2021-09-23
Name of individual signing DAVID CHEN

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 3828 147TH STREET, FLUSHING, NY, United States, 11354

Filings

Filing Number Date Filed Type Effective Date
200204060034 2020-02-04 BIENNIAL STATEMENT 2020-02-01
180607000291 2018-06-07 CERTIFICATE OF PUBLICATION 2018-06-07
180221000491 2018-02-21 ARTICLES OF ORGANIZATION 2018-02-21

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9015307103 2020-04-15 0202 PPP 3828 147TH ST, FLUSHING, NY, 11354-4721
Loan Status Date 2021-11-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 13730
Loan Approval Amount (current) 13730
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 Y
LMI Y
Business Age Description New Business or 2 years or less
Project Address FLUSHING, QUEENS, NY, 11354-4721
Project Congressional District NY-06
Number of Employees 2
NAICS code 339116
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 13906.8
Forgiveness Paid Date 2023-05-18
9989768509 2021-03-12 0202 PPP 13806 35th Ave Apt 2B, Flushing, NY, 11354-3444
Loan Status Date 2021-11-11
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 3771
Loan Approval Amount (current) 3771
Undisbursed Amount 0
Franchise Name -
Lender Location ID 123118
Servicing Lender Name Transportation Alliance Bank, Inc. d/b/a TAB Bank
Servicing Lender Address 4185 Harrison Blvd, Ste 200, OGDEN, UT, 84403-6400
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Flushing, QUEENS, NY, 11354-3444
Project Congressional District NY-06
Number of Employees 1
NAICS code 454110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Sole Proprietorship
Originating Lender ID 123118
Originating Lender Name Transportation Alliance Bank, Inc. d/b/a TAB Bank
Originating Lender Address OGDEN, UT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 3790.59
Forgiveness Paid Date 2021-10-04

Date of last update: 24 Mar 2025

Sources: New York Secretary of State