| Name: | WESTFIELD FAMILY DENTAL PLLC |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY |
| Status: | Active |
| Date of registration: | 06 Aug 2020 (4 years ago) |
| Entity Number: | 5806182 |
| ZIP code: | 14572 |
| County: | Chautauqua |
| Place of Formation: | New York |
| Address: | 18 PLEASANTSIDE DRIVE, WAYLAND, NY, United States, 14572 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WESTFIELD FAMILY DENTAL PLLC 401(K) P/S PLAN | 2023 | 852462092 | 2024-05-14 | WESTFIELD FAMILY DENTAL PLLC | 7 | |||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-05-14 |
| Name of individual signing | JOSHUA LEE |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 339110 |
| Sponsor’s telephone number | 6077680832 |
| Plan sponsor’s address | 6 E 2ND ST, WESTFIELD, NY, 14787 |
Plan administrator’s name and address
| Administrator’s EIN | 852462092 |
| Plan administrator’s name | WESTFIELD FAMILY DENTAL PLLC |
| Plan administrator’s address | 6 E 2ND ST, WESTFIELD, NY, 14787 |
| Administrator’s telephone number | 6077680832 |
Signature of
| Role | Plan administrator |
| Date | 2023-03-09 |
| Name of individual signing | JOSHUA LEE |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 339110 |
| Sponsor’s telephone number | 6077680832 |
| Plan sponsor’s address | 6 E 2ND ST, WESTFIELD, NY, 14787 |
Plan administrator’s name and address
| Administrator’s EIN | 852462092 |
| Plan administrator’s name | WESTFIELD FAMILY DENTAL PLLC |
| Plan administrator’s address | 6 E 2ND ST, WESTFIELD, NY, 14787 |
| Administrator’s telephone number | 6077680832 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-20 |
| Name of individual signing | JOSHUA LEE |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 339110 |
| Sponsor’s telephone number | 6077680832 |
| Plan sponsor’s address | 6 E 2ND ST, WESTFIELD, NY, 14787 |
Plan administrator’s name and address
| Administrator’s EIN | 852462092 |
| Plan administrator’s name | WESTFIELD FAMILY DENTAL PLLC |
| Plan administrator’s address | 6 E 2ND ST, WESTFIELD, NY, 14787 |
| Administrator’s telephone number | 6077680832 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-25 |
| Name of individual signing | JOSHUA LEE |
| Name | Role | Address |
|---|---|---|
| THE LLC | DOS Process Agent | 18 PLEASANTSIDE DRIVE, WAYLAND, NY, United States, 14572 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 210323000100 | 2021-03-23 | CERTIFICATE OF PUBLICATION | 2021-03-23 |
| 200806000418 | 2020-08-06 | ARTICLES OF ORGANIZATION | 2020-08-06 |
Date of last update: 25 Dec 2024
Sources: New York Secretary of State
