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ADIRONDACK DERMATOLOGY P.C.

Company Details

Name: ADIRONDACK DERMATOLOGY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 Mar 1996 (29 years ago)
Entity Number: 2012085
ZIP code: 12962
County: Clinton
Place of Formation: New York
Address: 1753 ROUTE 3, MORRISONVILLE, NY, United States, 12962

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
ADIRONDACK DERMATOLOGY, P.C. 401(K) PLAN AND TRUST 2023 141789371 2024-05-09 ADIRONDACK DERMATOLOGY, P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5185637546
Plan sponsor’s address 1753 ROUTE 3, MORRISONVILLE, NY, 12962

Signature of

Role Plan administrator
Date 2024-05-09
Name of individual signing JOHN DEJORDY
Role Employer/plan sponsor
Date 2024-05-09
Name of individual signing JOHN DEJORDY
ADIRONDACK DERMATOLOGY, P.C. 401(K) PLAN AND TRUST 2022 141789371 2023-06-29 ADIRONDACK DERMATOLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5185637546
Plan sponsor’s address 1753 ROUTE 3, MORRISONVILLE, NY, 12962

Signature of

Role Plan administrator
Date 2023-06-29
Name of individual signing JOHN DEJORDY
Role Employer/plan sponsor
Date 2023-06-29
Name of individual signing JOHN DEJORDY
ADIRONDACK DERMATOLOGY, P.C. PROFIT SHARING PLAN AND TRUST 2021 141789371 2022-06-30 ADIRONDACK DERMATOLOGY, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5185637546
Plan sponsor’s address 1753 ROUTE 3, MORRISONVILLE, NY, 12962

Signature of

Role Plan administrator
Date 2022-06-30
Name of individual signing JOHN DEJORDY
ADIRONDACK DERMATOLOGY, P.C. PROFIT SHARING PLAN AND TRUST 2020 141789371 2021-07-08 ADIRONDACK DERMATOLOGY, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5185637546
Plan sponsor’s address 1753 ROUTE 3, MORRISONVILLE, NY, 12962

Signature of

Role Plan administrator
Date 2021-07-08
Name of individual signing JOHN DEJORDY
ADIRONDACK DERMATOLOGY, P.C. PROFIT SHARING PLAN AND TRUST 2019 141789371 2020-07-16 ADIRONDACK DERMATOLOGY, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5185637546
Plan sponsor’s address 1753 ROUTE 3, MORRISONVILLE, NY, 12962

Signature of

Role Plan administrator
Date 2020-07-16
Name of individual signing JOHN DEJORDY
ADIRONDACK DERMATOLOGY, P.C. PROFIT SHARING PLAN AND TRUST 2018 141789371 2019-07-11 ADIRONDACK DERMATOLOGY, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5185637546
Plan sponsor’s address 1753 ROUTE 3, MORRISONVILLE, NY, 12962

Signature of

Role Plan administrator
Date 2019-07-11
Name of individual signing JOHN DEJORDY
ADIRONDACK DERMATOLOGY, P.C. PROFIT SHARING PLAN AND TRUST 2017 141789371 2018-08-16 ADIRONDACK DERMATOLOGY, P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5185637546
Plan sponsor’s address 1753 ROUTE 3, MORRISONVILLE, NY, 12962

Signature of

Role Plan administrator
Date 2018-08-16
Name of individual signing JOHN DEJORDY
ADIRONDACK DERMATOLOGY, P.C. PROFIT SHARING PLAN AND TRUST 2016 141789371 2017-07-10 ADIRONDACK DERMATOLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5185637546
Plan sponsor’s address 1753 ROUTE 3, MORRISONVILLE, NY, 12962

Signature of

Role Plan administrator
Date 2017-07-10
Name of individual signing JOHN DEJORDY
ADIRONDACK DERMATOLOGY, P.C. PROFIT SHARING PLAN AND TRUST 2015 141789371 2016-07-25 ADIRONDACK DERMATOLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5185637546
Plan sponsor’s address 1753 ROUTE 3, MORRISONVILLE, NY, 12962

Signature of

Role Plan administrator
Date 2016-07-25
Name of individual signing JOHN DEJORDY
ADIRONDACK DERMATOLOGY, P.C. PROFIT SHARING PLAN AND TRUST 2014 141789371 2015-06-18 ADIRONDACK DERMATOLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 5185637546
Plan sponsor’s address 1753 ROUTE 3, MORRISONVILLE, NY, 12962

Signature of

Role Plan administrator
Date 2015-06-18
Name of individual signing JOHN DEJORDY

Chief Executive Officer

Name Role Address
JOHN O. DE JORDY Chief Executive Officer 1753 ROUTE 3, MORRISONVILLE, NY, United States, 12962

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1753 ROUTE 3, MORRISONVILLE, NY, United States, 12962

History

Start date End date Type Value
2004-03-12 2008-03-03 Address 1753 ROUTE 3, MORRISONVILLE, NY, 12962, USA (Type of address: Chief Executive Officer)
2000-04-26 2004-03-12 Address PO BOX 2254, 176 U.S. OVAL SUITE 1200, PLATTSBURGH, NY, 12901, USA (Type of address: Chief Executive Officer)
2000-04-26 2004-03-12 Address 176 U.S. OVAL SUITE 1200, PLATTSBURGH, NY, 12901, USA (Type of address: Service of Process)
2000-04-26 2004-03-12 Address 176 U.S. OVAL SUITE 1200, PLASTTSBURGH, NY, 12901, USA (Type of address: Principal Executive Office)
1998-04-06 2000-04-26 Address 112 US OVAL, PO BOX 2254, PLATTSBURGH, NY, 12901, USA (Type of address: Chief Executive Officer)
1998-04-06 2000-04-26 Address 112 US OVAL, PLATTSBURGH, NY, 12903, USA (Type of address: Service of Process)
1998-04-06 2000-04-26 Address PO BOX 2254, 112 US OVAL, PLATTSBURGH, NY, 12901, USA (Type of address: Principal Executive Office)
1996-03-21 1998-04-06 Address 803 GRATTAN STREET, CHICOPEE, MA, 01020, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140520002020 2014-05-20 BIENNIAL STATEMENT 2014-03-01
120417002730 2012-04-17 BIENNIAL STATEMENT 2012-03-01
100412002398 2010-04-12 BIENNIAL STATEMENT 2010-03-01
080303003302 2008-03-03 BIENNIAL STATEMENT 2008-03-01
060321003053 2006-03-21 BIENNIAL STATEMENT 2006-03-01
040312002544 2004-03-12 BIENNIAL STATEMENT 2004-03-01
020311002054 2002-03-11 BIENNIAL STATEMENT 2002-03-01
000426002385 2000-04-26 BIENNIAL STATEMENT 2000-03-01
980406002134 1998-04-06 BIENNIAL STATEMENT 1998-03-01
960321000171 1996-03-21 CERTIFICATE OF INCORPORATION 1996-03-21

Date of last update: 04 Jan 2025

Sources: New York Secretary of State