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  5. SUFFOLK PEDIATRIC DENTISTRY, P.C.

SUFFOLK PEDIATRIC DENTISTRY, P.C.

Company Details

Name: SUFFOLK PEDIATRIC DENTISTRY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 25 Sep 1980 (45 years ago)
Entity Number: 652770
ZIP code: 11776
County: Suffolk
Place of Formation: New York
Address: 8 MEDICAL DRIVE, PORT JEFFERSON STA, NY, United States, 11776
Principal Address: 8 MEDICAL DRIVE, PORT JEFFERSON, NY, United States, 11776

Contact Details

Phone +1 631-929-7575

Phone +1 631-727-8585

Phone +1 516-928-8585

Phone +1 631-928-8585

Phone +1 631-654-4242

Phone +1 631-265-3266

Phone +1 631-750-9175

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUFFOLK PEDIATRIC DENTISTRY CASH BALANCE PLAN 2023 112544103 2024-09-26 SUFFOLK PEDIATRIC DENTISTRY, P.C. 41
File View Page
Three-digit plan number (PN) 006
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 6319288585
Plan sponsor’s address 8 MEDICAL DRIVE, PORT JEFFERSON STATION, NY, 11776

Signature of
Role Plan administrator
Date 2024-09-26
Name of individual signing PHIL CONIGLIO
Valid signature Filed with authorized/valid electronic signature
SUFFOLK PEDIATRIC DENTISTRY PROFIT SHARING PLAN 2023 112544103 2024-10-07 SUFFOLK PEDIATRIC DENTISTRY, P.C. 91
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 6319288585
Plan sponsor’s address 8 MEDICAL DRIVE, PORT JEFFERSON STATION, NY, 11776

Signature of
Role Plan administrator
Date 2024-10-07
Name of individual signing PHIL CONIGLIO
Valid signature Filed with authorized/valid electronic signature
SUFFOLK PEDIATRIC DENTISTRY, P.C. PROFIT SHARING PLAN II 2023 112544103 2024-10-07 SUFFOLK PEDIATRIC DENTISTRY, P.C. 91
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 6319288585
Plan sponsor’s address 8 MEDICAL DRIVE, PORT JEFFERSON STATION, NY, 11776

Signature of
Role Plan administrator
Date 2024-10-07
Name of individual signing PHIL CONIGLIO
Valid signature Filed with authorized/valid electronic signature
SUFFOLK PEDIATRIC DENTISTRY PROFIT SHARING PLAN 2022 112544103 2024-10-07 SUFFOLK PEDIATRIC DENTISTRY, P.C. 80
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 6319288585
Plan sponsor’s address 8 MEDICAL DRIVE, PORT JEFFERSON STATION, NY, 11776

Signature of
Role Plan administrator
Date 2024-10-07
Name of individual signing PHIL CONIGLIO
Valid signature Filed with authorized/valid electronic signature
SUFFOLK PEDIATRIC DENTISTRY PROFIT SHARING PLAN 2022 112544103 2023-10-13 SUFFOLK PEDIATRIC DENTISTRY, P.C. 55
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 6319288585
Plan sponsor’s address 8 MEDICAL DRIVE, PORT JEFFERSON STATION, NY, 11776

Signature of
Role Plan administrator
Date 2023-10-13
Name of individual signing PHIL CONIGLIO

Chief Executive Officer

Name Role Address
PHILIP CONIGLIO, JR. Chief Executive Officer 6 OLD POST ROAD, ST. JAMES, NY, United States, 11780

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 8 MEDICAL DRIVE, PORT JEFFERSON STA, NY, United States, 11776

History

Start date End date Type Value
2023-07-26 2023-07-26 Address 6 OLD POST ROAD, ST. JAMES, NY, 11780, USA (Type of address: Chief Executive Officer)
2020-01-08 2023-07-26 Address 6 OLD POST ROAD, ST. JAMES, NY, 11780, USA (Type of address: Chief Executive Officer)
2007-10-31 2023-07-26 Address 8 MEDICAL DRIVE, PORT JEFFERSON STA, NY, 11776, USA (Type of address: Service of Process)
1990-05-25 2007-10-23 Name STEPHEN B. GOLD, D.D.S., AND ROBERT SERINO, D.D.S., P.C.
1980-09-25 2023-07-26 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1980-09-25 1990-05-25 Name STEPHEN B. GOLD, D.D.S., P.C.
1980-09-25 2007-10-31 Address 499 JERICHO TPKE, MINEOLA, NY, 11501, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230726003890 2023-07-26 BIENNIAL STATEMENT 2022-09-01
210202060424 2021-02-02 BIENNIAL STATEMENT 2020-09-01
200108060526 2020-01-08 BIENNIAL STATEMENT 2018-09-01
071031000136 2007-10-31 CERTIFICATE OF CHANGE 2007-10-31
071023000809 2007-10-23 CERTIFICATE OF AMENDMENT 2007-10-23
C145301-6 1990-05-25 CERTIFICATE OF AMENDMENT 1990-05-25
A701041-5 1980-09-25 CERTIFICATE OF INCORPORATION 1980-09-25

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2046788507 2021-02-19 0235 PPS 8 Medical Dr, Port Jefferson Station, NY, 11776-1601
Loan Status Date 2022-01-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 590183
Loan Approval Amount (current) 590183
Undisbursed Amount 0
Franchise Name -
Lender Location ID 49274
Servicing Lender Name Citibank, N.A.
Servicing Lender Address 5800 S. Corporate Place, Sioux Falls, SD, 57108
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Port Jefferson Station, SUFFOLK, NY, 11776-1601
Project Congressional District NY-01
Number of Employees 77
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 49274
Originating Lender Name Citibank, N.A.
Originating Lender Address Sioux Falls, SD
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 594756.92
Forgiveness Paid Date 2021-12-02
7012827700 2020-05-01 0235 PPP 8 Medical Dr, Port Jefferson Station, NY, 11776
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) 533977
Loan Approval Amount (current) 533977
Undisbursed Amount 0
Franchise Name -
Lender Location ID 49274
Servicing Lender Name Citibank, N.A.
Servicing Lender Address 5800 S. Corporate Place, Sioux Falls, SD, 57108
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Port Jefferson Station, SUFFOLK, NY, 11776-0001
Project Congressional District NY-01
Number of Employees 65
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 49274
Originating Lender Name Citibank, N.A.
Originating Lender Address Sioux Falls, SD
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 538026.33
Forgiveness Paid Date 2021-02-09

Related by officers

THE CORPORATION

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Related by address

No related companies by address

Date of last update: 17 Mar 2025

Sources: New York Secretary of State

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