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GRASSE RIVER FAMILY DENTAL PLLC

Company Details

Name: GRASSE RIVER FAMILY DENTAL PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 03 Nov 2020 (4 years ago)
Entity Number: 5871160
ZIP code: 13617
County: St. Lawrence
Place of Formation: New York
Address: 42 FARMER ST., CANTON, NY, United States, 13617

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GRASSE RIVER FAMILY DENTAL PLLC 401(K) PROFIT SHARING PLAN 2023 853828392 2024-06-19 GRASSE RIVER FAMILY DENTAL PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 3153862960
Plan sponsor’s address 1956 OLD DEKALB ROAD, CANTON, NY, 13617

Signature of

Role Plan administrator
Date 2024-06-19
Name of individual signing PHILIP ELVY
Role Employer/plan sponsor
Date 2024-06-19
Name of individual signing PHILIP ELVY
GRASSE RIVER FAMILY DENTAL PLLC 401(K) PROFIT SHARING PLAN 2022 853828392 2023-05-04 GRASSE RIVER FAMILY DENTAL PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 3153862960
Plan sponsor’s address 1956 OLD DEKALB ROAD, CANTON, NY, 13617

Signature of

Role Plan administrator
Date 2023-05-04
Name of individual signing PHILIP ELVY
Role Employer/plan sponsor
Date 2023-05-04
Name of individual signing PHILIP ELVY
GRASSE RIVER FAMILY DENTAL PLLC 401(K) PROFIT SHARING PLAN 2021 853828392 2022-06-27 GRASSE RIVER FAMILY DENTAL PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 3153862960
Plan sponsor’s address 1956 OLD DEKALB ROAD, CANTON, NY, 13617

Signature of

Role Plan administrator
Date 2022-06-23
Name of individual signing PHILIP ELVY
Role Employer/plan sponsor
Date 2022-06-23
Name of individual signing PHILIP ELVY

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 42 FARMER ST., CANTON, NY, United States, 13617

Filings

Filing Number Date Filed Type Effective Date
210218000405 2021-02-18 CERTIFICATE OF PUBLICATION 2021-02-18
201103000711 2020-11-03 ARTICLES OF ORGANIZATION 2020-11-03

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4251758801 2021-04-16 0248 PPS 1956 DeKalb Rd, Canton, NY, 13617
Loan Status Date 2021-11-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 60405.45
Loan Approval Amount (current) 60405.45
Undisbursed Amount 0
Franchise Name -
Lender Location ID 47029
Servicing Lender Name Community Bank, National Association
Servicing Lender Address 45-49 Court St, CANTON, NY, 13617-1118
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Canton, SAINT LAWRENCE, NY, 13617
Project Congressional District NY-21
Number of Employees 7
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Sole Proprietorship
Originating Lender ID 47029
Originating Lender Name Community Bank, National Association
Originating Lender Address CANTON, NY
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 60663.62
Forgiveness Paid Date 2021-10-04
4081337303 2020-04-29 0248 PPP 1956 Old DeKalb Rd., CANTON, NY, 13617
Loan Status Date 2021-04-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 38710
Loan Approval Amount (current) 38710
Undisbursed Amount 0
Franchise Name -
Lender Location ID 47029
Servicing Lender Name Community Bank, National Association
Servicing Lender Address 45-49 Court St, CANTON, NY, 13617-1118
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address CANTON, SAINT LAWRENCE, NY, 13617-0001
Project Congressional District NY-21
Number of Employees 6
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Sole Proprietorship
Originating Lender ID 47029
Originating Lender Name Community Bank, National Association
Originating Lender Address CANTON, NY
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 39031.35
Forgiveness Paid Date 2021-03-05

Date of last update: 22 Mar 2025

Sources: New York Secretary of State