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  5. A DENTIST 4 KIDS, PLLC

A DENTIST 4 KIDS, PLLC

Company Details

Name: A DENTIST 4 KIDS, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 20 Sep 2019 (6 years ago)
Entity Number: 5624847
ZIP code: 14625
County: Monroe
Place of Formation: New York
Address: 10 WOODCREST DRIVE, ROCHESTER, NY, United States, 14625

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
A DENTIST 4 KIDS 401(K) PLAN 2023 841738428 2024-04-12 A DENTIST 4 KIDS 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 3153961041
Plan sponsor’s address 1081 LONG POND RD SUITE 130, ROCHESTER, NY, 14626

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 DR., KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2024-04-12
Name of individual signing TARA EVANS, FOR TAG RESOURCES
A DENTIST 4 KIDS 401(K) PLAN 2022 841738428 2023-09-01 A DENTIST 4 KIDS 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 3153961041
Plan sponsor’s address 1081 LONG POND RD SUITE 130, ROCHESTER, NY, 14626

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 DR., KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2023-09-01
Name of individual signing TARA EVANS, FOR TAG RESOURCES
A DENTIST 4 KIDS 401(K) PLAN 2021 841738428 2022-05-19 A DENTIST 4 KIDS 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 3153961041
Plan sponsor’s address 1081 LONG POND RD SUITE 130, ROCHESTER, NY, 14626

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

Signature of
Role Plan administrator
Date 2022-05-19
Name of individual signing TARA EVANS
A DENTIST 4 KIDS 401(K) PLAN 2021 841738428 2022-05-19 A DENTIST 4 KIDS 1
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 3153961041
Plan sponsor’s address 1081 LONG POND RD SUITE 130, ROCHESTER, NY, 14626

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

Signature of
Role Plan administrator
Date 2022-05-19
Name of individual signing TARA EVANS

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 10 WOODCREST DRIVE, ROCHESTER, NY, United States, 14625

History

Start date End date Type Value
2019-09-20 2024-05-13 Address 10 WOODCREST DRIVE, ROCHESTER, NY, 14625, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240513001067 2024-05-13 BIENNIAL STATEMENT 2024-05-13
200226000942 2020-02-26 CERTIFICATE OF PUBLICATION 2020-02-26
190920000233 2019-09-20 ARTICLES OF ORGANIZATION 2019-09-20

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8907327110 2020-04-15 0219 PPP 770 Fetzner Road, Rochester, NY, 14626
Loan Status Date 2021-03-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 17402
Loan Approval Amount (current) 17402
Undisbursed Amount 0
Franchise Name -
Lender Location ID 46391
Servicing Lender Name Manufacturers and Traders Trust Company
Servicing Lender Address One M & T Plaza, 15th Fl, BUFFALO, NY, 14203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address Rochester, MONROE, NY, 14626-0191
Project Congressional District NY-25
Number of Employees 4
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 46391
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address BUFFALO, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 17520.24
Forgiveness Paid Date 2021-02-16

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State

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