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  5. WILLARD L. SIMONS, D.D.S., P.C.

WILLARD L. SIMONS, D.D.S., P.C.

Company Details

Name: WILLARD L. SIMONS, D.D.S., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 16 Dec 1981 (43 years ago)
Date of dissolution: 13 Jan 2025
Entity Number: 670553
ZIP code: 14727
County: Allegany
Place of Formation: New York
Address: 130 WEST MAIN STREET, CUBA, NY, United States, 14727

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
WILLARD L. SIMONS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST 2015 161170669 2016-11-10 WILLARD L. SIMONS, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-10-21
Business code 621210
Sponsor’s telephone number 5859683170
Plan sponsor’s mailing address 130 W MAIN ST, CUBA, NY, 14727
Plan sponsor’s address 130 W MAIN ST, CUBA, NY, 14727

Plan administrator’s name and address
Administrator’s EIN 161170669
Plan administrator’s name WILLARD L. SIMONS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST
Plan administrator’s address 130 W MAIN ST, CUBA, NY, 14727
Administrator’s telephone number 5859683170

Number of participants as of the end of the plan year
Active participants 6
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 5
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
WILLARD L. SIMONS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST 2014 161170669 2016-04-19 WILLARD L. SIMONS, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-10-21
Business code 621210
Sponsor’s telephone number 5859683170
Plan sponsor’s mailing address 130 W MAIN ST, CUBA, NY, 14727
Plan sponsor’s address 130 W MAIN ST, CUBA, NY, 14727

Plan administrator’s name and address
Administrator’s EIN 161170669
Plan administrator’s name WILLARD L. SIMONS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST
Plan administrator’s address 130 W MAIN ST, CUBA, NY, 14727
Administrator’s telephone number 5859683170

Number of participants as of the end of the plan year
Active participants 6
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 6
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
WILLARD L. SIMONS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST 2013 161170669 2015-04-29 WILLARD L. SIMONS, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-10-21
Business code 621210
Sponsor’s telephone number 5859683170
Plan sponsor’s mailing address 130 W MAIN ST, CUBA, NY, 14727
Plan sponsor’s address 130 W MAIN ST, CUBA, NY, 14727

Plan administrator’s name and address
Administrator’s EIN 161170669
Plan administrator’s name WILLARD L. SIMONS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST
Plan administrator’s address 130 W MAIN ST, CUBA, NY, 14727
Administrator’s telephone number 5859683170

Number of participants as of the end of the plan year
Active participants 6
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 3
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
WILLARD L. SIMONS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST 2012 161170669 2014-04-25 WILLARD L. SIMONS, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-10-21
Business code 621210
Sponsor’s telephone number 5859683170
Plan sponsor’s mailing address 130 W MAIN ST, CUBA, NY, 14727
Plan sponsor’s address 130 W MAIN ST, CUBA, NY, 14727

Plan administrator’s name and address
Administrator’s EIN 161170669
Plan administrator’s name WILLARD L. SIMONS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST
Plan administrator’s address 130 W MAIN ST, CUBA, NY, 14727
Administrator’s telephone number 5859683170

Number of participants as of the end of the plan year
Active participants 6
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 3
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2014-04-25
Name of individual signing KENNETH FRANK
Valid signature Filed with authorized/valid electronic signature
WILLARD L. SIMONS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST 2011 161170669 2013-05-21 WILLARD L. SIMONS, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-10-21
Business code 621210
Sponsor’s telephone number 5859683170
Plan sponsor’s mailing address 130 W MAIN ST, CUBA, NY, 14727
Plan sponsor’s address 130 W MAIN ST, CUBA, NY, 14727

Plan administrator’s name and address
Administrator’s EIN 161170669
Plan administrator’s name WILLARD L. SIMONS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST
Plan administrator’s address 130 W MAIN ST, CUBA, NY, 14727
Administrator’s telephone number 5859683170

Number of participants as of the end of the plan year
Active participants 6
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 6
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-05-21
Name of individual signing KENNETH FRANK
Valid signature Filed with authorized/valid electronic signature
WILLARD L. SIMONS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST 2010 161170669 2012-04-27 WILLARD L. SIMONS, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-10-21
Business code 621210
Sponsor’s telephone number 5859683170
Plan sponsor’s mailing address 130 W MAIN ST, CUBA, NY, 14727
Plan sponsor’s address 130 W MAIN ST, CUBA, NY, 14727

Plan administrator’s name and address
Administrator’s EIN 161170669
Plan administrator’s name WILLARD L. SIMONS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST
Plan administrator’s address 130 W MAIN ST, CUBA, NY, 14727
Administrator’s telephone number 5859683170

Number of participants as of the end of the plan year
Active participants 6
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 6
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-04-27
Name of individual signing KENNETH FRANK
Valid signature Filed with authorized/valid electronic signature
WILLARD L. SIMONS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST 2009 161170669 2011-04-21 WILLARD L. SIMONS, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-10-21
Business code 621210
Sponsor’s telephone number 5859683170
Plan sponsor’s mailing address 130 W MAIN ST, CUBA, NY, 14727
Plan sponsor’s address 130 W MAIN ST, CUBA, NY, 14727

Plan administrator’s name and address
Administrator’s EIN 161170669
Plan administrator’s name WILLARD L. SIMONS, D.D.S., P.C. PROFIT SHARING PLAN AND TRUST
Plan administrator’s address 130 W MAIN ST, CUBA, NY, 14727
Administrator’s telephone number 5859683170

Number of participants as of the end of the plan year
Active participants 6
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 6
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-04-21
Name of individual signing KENNETH FRANK
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
WILLARD L. SIMONS Chief Executive Officer 130 WEST MAIN STREET, CUBA, NY, United States, 14727

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 130 WEST MAIN STREET, CUBA, NY, United States, 14727

History

Start date End date Type Value
1994-01-19 2025-01-21 Address 130 WEST MAIN STREET, CUBA, NY, 14727, USA (Type of address: Service of Process)
1993-01-21 2025-01-21 Address 130 WEST MAIN STREET, CUBA, NY, 14727, USA (Type of address: Chief Executive Officer)
1981-12-16 1994-01-19 Address 130 WEST MAIN ST., CUBA, NY, 14727, USA (Type of address: Service of Process)
1981-12-16 2025-01-13 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
250121000667 2025-01-13 CERTIFICATE OF DISSOLUTION-CANCELLATION 2025-01-13
140609002345 2014-06-09 BIENNIAL STATEMENT 2013-12-01
111223002490 2011-12-23 BIENNIAL STATEMENT 2011-12-01
091209002354 2009-12-09 BIENNIAL STATEMENT 2009-12-01
080717002878 2008-07-17 BIENNIAL STATEMENT 2007-12-01
060127002787 2006-01-27 BIENNIAL STATEMENT 2005-12-01
031204002232 2003-12-04 BIENNIAL STATEMENT 2003-12-01
000118002082 2000-01-18 BIENNIAL STATEMENT 1999-12-01
980107002071 1998-01-07 BIENNIAL STATEMENT 1997-12-01
940119003213 1994-01-19 BIENNIAL STATEMENT 1993-12-01

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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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