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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

Date of last update: 12 Jan 2025

Sources: New York Secretary of State