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HYUN SHIK CHOI, DDS, PLLC

Company Details

Name: HYUN SHIK CHOI, DDS, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 04 Jun 2018 (7 years ago)
Entity Number: 5352296
ZIP code: 14845
County: Steuben
Place of Formation: New York
Address: 343 WEXFORD LANE, HORSEHEADS, NY, United States, 14845

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SAFARI SMILES PEDIATRIC DENTISTRY 401(K) PLAN 2023 830782420 2024-08-30 HYUN SHIK CHOI DDS PLLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-03-14
Business code 541990
Sponsor’s telephone number 6079628520
Plan sponsor’s address 100 WEST MARKET STREET, CORNING, NY, 14830

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 2024-08-30
Name of individual signing TARA EVANS, FOR TAG RESOURCES
SAFARI SMILES PEDIATRIC DENTISTRY 401(K) PLAN 2022 830782420 2023-10-06 HYUN SHIK CHOI DDS PLLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-03-14
Business code 541990
Sponsor’s telephone number 6079628520
Plan sponsor’s address 100 WEST MARKET STREET, CORNING, NY, 14830

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 2023-10-06
Name of individual signing TARA EVANS, FOR TAG RESOURCES
SAFARI SMILES PEDIATRIC DENTISTRY 401(K) PLAN 2021 830782420 2023-10-04 HYUN SHIK CHOI DDS PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-03-14
Business code 541990
Sponsor’s telephone number 6079628520
Plan sponsor’s address 100 WEST MARKET STREET, CORNING, NY, 14830

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 2023-10-04
Name of individual signing TARA EVANS, FOR TAG RESOURCES
SAFARI SMILES PEDIATRIC DENTISTRY 401(K) PLAN 2021 830782420 2022-09-23 HYUN SHIK CHOI DDS PLLC 17
Three-digit plan number (PN) 001
Effective date of plan 2003-03-14
Business code 541990
Sponsor’s telephone number 6079628520
Plan sponsor’s address 100 WEST MARKET STREET, CORNING, NY, 14830

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 2022-09-23
Name of individual signing TARA EVANS
HYUN SHIK CHOI DDS PLLC 401(K) PROFIT SHARING PLAN & TRUST 2020 830782420 2021-05-20 HYUN SHIK CHOI DDS PLLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-03-14
Business code 541990
Sponsor’s telephone number 6079628520
Plan sponsor’s address 100 WEST MARKET STREET, CORNING, NY, 148302520

Signature of

Role Plan administrator
Date 2021-05-20
Name of individual signing CATRINA DAVIS
HYUN SHIK CHOI DDS PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 830782420 2021-05-20 HYUN SHIK CHOI DDS PLLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-03-14
Business code 541990
Sponsor’s telephone number 6079628520
Plan sponsor’s address 100 WEST MARKET STREET, CORNING, NY, 148302520

Signature of

Role Plan administrator
Date 2021-05-20
Name of individual signing CATRINA DAVIS
HYUN SHIK CHOI DDS PLLC 401(K) PROFIT SHARING PLAN AND TRUST 2018 830782420 2019-10-03 HYUN SHIK CHOI DDS PLLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-03-14
Business code 621900
Sponsor’s telephone number 6079628520
Plan sponsor’s address 100 WEST MARKET STREET, CORNING, NY, 148302520

Signature of

Role Plan administrator
Date 2019-10-02
Name of individual signing HYUN CHOI
Role Employer/plan sponsor
Date 2019-10-02
Name of individual signing HYUN CHOI

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 343 WEXFORD LANE, HORSEHEADS, NY, United States, 14845

History

Start date End date Type Value
2018-11-27 2019-11-12 Address 343 WEXFORD LN, HORSEHEADS, NY, 14845, USA (Type of address: Service of Process)
2018-06-04 2018-11-27 Address 11 BROADWAY, SUITE 615, NY, NY, 10004, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
211206002861 2021-12-06 BIENNIAL STATEMENT 2021-12-06
191112000730 2019-11-12 CERTIFICATE OF CHANGE 2019-11-12
181127000333 2018-11-27 CERTIFICATE OF CHANGE 2018-11-27
181121000232 2018-11-21 CERTIFICATE OF PUBLICATION 2018-11-21
180604000233 2018-06-04 ARTICLES OF ORGANIZATION 2018-06-04

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9017528404 2021-02-14 0248 PPS 100 W Market St Ste 202, Corning, NY, 14830-2564
Loan Status Date 2022-01-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 131390
Loan Approval Amount (current) 131390
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 R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Corning, STEUBEN, NY, 14830-2564
Project Congressional District NY-23
Number of Employees 20
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 132455.52
Forgiveness Paid Date 2021-12-09
8102647300 2020-05-01 0248 PPP 100 W MARKET ST STE 202, CORNING, NY, 14830-2564
Loan Status Date 2021-02-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 131389
Loan Approval Amount (current) 131389
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 R
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address CORNING, STEUBEN, NY, 14830-2564
Project Congressional District NY-23
Number of Employees 13
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 132252.93
Forgiveness Paid Date 2020-12-31

Date of last update: 23 Mar 2025

Sources: New York Secretary of State