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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
Date Formed: 28 Nov 2018 (Companies founded in November 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

Date of last update: 04 Nov 2024

Sources: Connecticut's Official State Website