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AMERICAN MOBILE DENTAL, CORP

Company Details

Entity Name: AMERICAN MOBILE DENTAL, CORP
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 28 Nov 2018
Business ALEI: 1291739
Annual report due: 09 May 2025
NAICS code: 621210 - Offices of Dentists
Business address: 8 Grand Street, Oneonta, NY, 13820, United States
Mailing address: 76 Progress Dr., Suite 123, Stamford, CT, United States, 06902
Place of Formation: CONNECTICUT
E-Mail: ted@tdrdental.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMERICAN MOBILE DENTAL PC 2022 201941724 2023-05-31 AMERICAN MOBILE DENTAL 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9148356004
Plan sponsor’s address 76 PROGRESS DRIVE SUITE 123, STAMFORD, CT, 06902

Signature of
Role Plan administrator
Date 2023-05-31
Name of individual signing CESAR VILLAVERDE
Valid signature Filed with authorized/valid electronic signature
AMERICAN MOBILE DENTAL CORP 401K 2022 760674566 2023-05-31 AMERICAN MOBILE DENTAL CORP 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-01
Business code 561110
Sponsor’s telephone number 9148356004
Plan sponsor’s address 76 PROGRESS DRIVE, SUITE 123, STAMFORD, CT, 06902

Signature of
Role Plan administrator
Date 2023-05-31
Name of individual signing KJ DRAP
Valid signature Filed with authorized/valid electronic signature
AMERICAN MOBILE DENTAL CORP 401K 2021 760674566 2022-09-01 AMERICAN MOBILE DENTAL CORP 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-01
Business code 561110
Sponsor’s telephone number 9148356004
Plan sponsor’s address 76 PROGRESS DRIVE, SUITE 123, STAMFORD, CT, 06902

Signature of
Role Plan administrator
Date 2022-09-01
Name of individual signing KJ DRAP
Valid signature Filed with authorized/valid electronic signature
AMERICAN MOBILE DENTAL PC 2021 201941724 2022-05-25 AMERICAN MOBILE DENTAL 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9148356004
Plan sponsor’s address 76 PROGRESS DRIVE SUITE 123, STAMFORD, CT, 06902

Signature of
Role Plan administrator
Date 2022-05-25
Name of individual signing KJ DRAP
Valid signature Filed with authorized/valid electronic signature
AMERICAN MOBILE DENTAL CORP 401K 2020 760674566 2021-06-24 AMERICAN MOBILE DENTAL CORP 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-01
Business code 561110
Sponsor’s telephone number 9148356004
Plan sponsor’s address 76 PROGRESS DRIVE, SUITE 123, STAMFORD, CT, 06902

Signature of
Role Plan administrator
Date 2021-06-24
Name of individual signing EDWARD LORCH
Valid signature Filed with authorized/valid electronic signature
AMERICAN MOBILE DENTAL PC 2020 201941724 2021-06-24 AMERICAN MOBILE DENTAL 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9148356004
Plan sponsor’s address 76 PROGRESS DRIVE SUITE 123, STAMFORD, CT, 06902

Signature of
Role Plan administrator
Date 2021-06-24
Name of individual signing EDWARD LORCH
Valid signature Filed with authorized/valid electronic signature
AMERICAN MOBILE DENTAL PC 2019 201941724 2021-06-24 AMERICAN MOBILE DENTAL 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9148356004
Plan sponsor’s address 76 PROGRESS DRIVE SUITE 123, STAMFORD, CT, 06902

Signature of
Role Plan administrator
Date 2021-06-24
Name of individual signing EDWARD LORCH
Valid signature Filed with authorized/valid electronic signature
AMERICAN MOBILE DENTAL CORP 401K 2019 760674566 2021-06-24 AMERICAN MOBILE DENTAL CORP 2
Three-digit plan number (PN) 001
Effective date of plan 2014-05-01
Business code 561110
Sponsor’s telephone number 9148356004
Plan sponsor’s address 76 PROGRESS DRIVE, SUITE 123, STAMFORD, CT, 06902

Signature of
Role Plan administrator
Date 2021-06-24
Name of individual signing EDWARD LORCH
Valid signature Filed with authorized/valid electronic signature
AMERICAN MOBILE DENTAL CORP 401K 2019 760674566 2021-08-04 AMERICAN MOBILE DENTAL CORP 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-05-01
Business code 561110
Sponsor’s telephone number 9148356004
Plan sponsor’s address 76 PROGRESS DRIVE, SUITE 123, STAMFORD, CT, 06902

Signature of
Role Plan administrator
Date 2021-08-04
Name of individual signing EDWARD LORCH
Valid signature Filed with authorized/valid electronic signature
AMERICAN MOBILE DENTAL PC 2019 201941724 2021-06-08 AMERICAN MOBILE DENTAL 4
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9148356004
Plan sponsor’s address 76 PROGRESS DRIVE SUITE 123, STAMFORD, CT, 06902

Signature of
Role Plan administrator
Date 2021-06-08
Name of individual signing EDWARD LORCH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Phone E-Mail Residence address
EDWARD LORCH Agent 76 PROGRESS DRIVE, SUITE 123, STAMFORD, CT, 06905, United States +1 203-536-1410 ted@tdrdental.com 123 BROOK RUN LANE, STAMFORD, CT, 06905, United States

Officer

Name Role Business address Phone E-Mail Residence address
Theodore Randolph Officer 76 Progress Dr, Suite 123, Stamford, CT, 06902-3600, United States No data No data 14 Kingsbury Rd., Norwalk, CT, 06851, United States
Charles Randolph Officer 8 Grand Street, Oneonta, NY, 13820, United States No data No data 8 Grand Street, Oneonta, NY, 13820, United States
EDWARD LORCH Officer 76 PROGRESS DRIVE, SUITE 123, STAMFORD, CT, 06905, United States +1 203-536-1410 ted@tdrdental.com 123 BROOK RUN LANE, STAMFORD, CT, 06905, United States

Director

Name Role Business address Phone E-Mail Residence address
Charles Randolph Director 8 Grand Street, Oneonta, NY, 13820, United States No data No data 8 Grand Street, Oneonta, NY, 13820, United States
EDWARD LORCH Director 76 PROGRESS DRIVE, SUITE 123, STAMFORD, CT, 06905, United States +1 203-536-1410 ted@tdrdental.com 123 BROOK RUN LANE, STAMFORD, CT, 06905, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012347455 2024-04-10 No data Annual Report Annual Report No data
BF-0010584339 2023-04-10 No data Annual Report Annual Report No data
BF-0008002870 2022-05-09 2022-05-09 First Report Organization and First Report 2020
0006284859 2018-11-28 2018-11-28 Business Formation Certificate of Incorporation No data

Related by officers

EDWARD LORCH

TRIPLE DOUBLE PARTNERS, LLC SOLVERE HEALTH CORP.

Theodore Randolph

MEDIATE HEALTH INC AMD Compassion Foundation Inc.

Charles Randolph

AMD Compassion Foundation Inc.

Related by address

No related companies by address

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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