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PERIODONTAL ASSOCIATES, LLC

Company Details

Entity Name: PERIODONTAL ASSOCIATES, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Date Formed: 03 Feb 2003 (Companies founded in February 2003)
Business ALEI: 0738948
Annual report due: 31 Mar 2025
NAICS code: 621210 - Offices of Dentists
Business address: 61 4TH STREET, STAMFORD, CT, 06905, United States
Mailing address: 61 FOURTH STREET, STAMFORD, CT, United States, 06905
ZIP code: 06905 (Companies in Fairfield, 06905)
County: Fairfield
Place of Formation: CONNECTICUT
E-Mail: Rchungdds@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PERIODONTAL ASSOCIATES LLC 401(K) PLAN 2023 010767656 2024-04-18 PERIODONTAL ASSOCIATES LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2033253141
Plan sponsor’s address 61 FOURTH STREET, STAMFORD, CT, 06905

Signature of
Role Plan administrator
Date 2024-04-18
Name of individual signing ROBERT CHUNG
Valid signature Filed with authorized/valid electronic signature
PERIODONTAL ASSOCIATES LLC CASH BALANCE PLAN 2023 010767656 2024-04-18 PERIODONTAL ASSOCIATES LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 2033253141
Plan sponsor’s address 61 FOURTH STREET, STAMFORD, CT, 06905

Signature of
Role Plan administrator
Date 2024-04-18
Name of individual signing ROBERT CHUNG
Valid signature Filed with authorized/valid electronic signature
PERIODONTAL ASSOCIATES LLC 401(K) PLAN 2022 010767656 2023-06-16 PERIODONTAL ASSOCIATES LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2033253141
Plan sponsor’s address 61 FOURTH STREET, STAMFORD, CT, 06905

Signature of
Role Plan administrator
Date 2023-06-16
Name of individual signing ROBERT CHUNG
Valid signature Filed with authorized/valid electronic signature
PERIODONTAL ASSOCIATES LLC CASH BALANCE PLAN 2022 010767656 2023-06-16 PERIODONTAL ASSOCIATES LLC 0
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 2033253141
Plan sponsor’s address 61 FOURTH STREET, STAMFORD, CT, 06905

Signature of
Role Plan administrator
Date 2023-06-16
Name of individual signing ROBERT CHUNG
Valid signature Filed with authorized/valid electronic signature
PERIODONTAL ASSOCIATES LLC 401(K) PLAN 2021 010767656 2022-04-05 PERIODONTAL ASSOCIATES LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2033253141
Plan sponsor’s address 61 FOURTH STREET, STAMFORD, CT, 06905

Signature of
Role Plan administrator
Date 2022-04-05
Name of individual signing ROBERT CHUNG
Valid signature Filed with authorized/valid electronic signature
PERIODONTAL ASSOCIATES LLC 401(K) PLAN 2020 010767656 2021-03-16 PERIODONTAL ASSOCIATES LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2033253141
Plan sponsor’s address 61 FOURTH STREET, STAMFORD, CT, 06905

Signature of
Role Plan administrator
Date 2021-03-16
Name of individual signing ROBERT CHUNG
Valid signature Filed with authorized/valid electronic signature
PERIODONTAL ASSOCIATES LLC 401(K) PLAN 2020 010767656 2021-03-11 PERIODONTAL ASSOCIATES LLC 7
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2033253141
Plan sponsor’s address 61 FOURTH STREET, STAMFORD, CT, 06905

Signature of
Role Plan administrator
Date 2021-03-11
Name of individual signing ROBERT CHUNG
Valid signature Filed with authorized/valid electronic signature
PERIODONTAL ASSOCIATES LLC 401(K) PLAN 2019 010767656 2020-10-14 PERIODONTAL ASSOCIATES LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2033253141
Plan sponsor’s address 61 FOURTH STREET, STAMFORD, CT, 06905

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing ROBERT CHUNG
Valid signature Filed with authorized/valid electronic signature
PERIODONTAL ASSOCIATES LLC 401(K) PLAN 2018 010767656 2019-02-25 PERIODONTAL ASSOCIATES LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2033253141
Plan sponsor’s address 61 FOURTH STREET, STAMFORD, CT, 06905

Signature of
Role Plan administrator
Date 2019-02-25
Name of individual signing ROBERT CHUNG
Valid signature Filed with authorized/valid electronic signature
PERIODONTAL ASSOCIATES LLC 401(K) PLAN 2017 010767656 2018-03-30 PERIODONTAL ASSOCIATES LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2033253141
Plan sponsor’s address 61 FOURTH STREET, STAMFORD, CT, 06905

Signature of
Role Plan administrator
Date 2018-03-30
Name of individual signing ROBERT CHUNG
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
ROBERT M. CHUNG Officer 61 FOURTH STREET, STAMFORD, CT, 06905, United States 4 CAREY DRIVE, BEDFORD, NY, 10506, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
SAMUEL D. BUSH Agent 217 BEDFORD STREET, STAMFORD, CT, 06901, United States 61 4TH STREET, STAMFORD, CT, 06905, United States +1 203-981-3119 joycefcheung@gmail.com 22 ROLLING RIDGE ROAD, STAMFORD, CT, 06903, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012334750 2024-02-15 No data Annual Report Annual Report No data
BF-0011269279 2023-01-25 No data Annual Report Annual Report No data
BF-0010325975 2022-03-16 No data Annual Report Annual Report 2022
0007151585 2021-02-15 No data Annual Report Annual Report 2021
0006765378 2020-02-20 No data Annual Report Annual Report 2020
0006322181 2019-01-15 No data Annual Report Annual Report 2019
0006046615 2018-01-30 No data Annual Report Annual Report 2018
0005753691 2017-01-30 No data Annual Report Annual Report 2017
0005533497 2016-04-11 No data Annual Report Annual Report 2016
0005258717 2015-01-16 No data Annual Report Annual Report 2015

Related by officers

SAMUEL D. BUSH

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Related by address

61 4TH STREET, STAMFORD, CT, 06905, United States

HANNA & MAZER, LLC

Date of last update: 04 Nov 2024

Sources: Connecticut's Official State Website

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