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  5. DERMATOLOGY GROUP, P.C.

DERMATOLOGY GROUP, P.C.

Company Details

Name: DERMATOLOGY GROUP, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 02 Nov 1972 (52 years ago)
Date of dissolution: 30 Oct 2017
Entity Number: 245862
ZIP code: 11706
County: Suffolk
Place of Formation: New York
Address: 332 EAST MAIN STREET, BAY SHORE, NY, United States, 11706

Contact Details

Phone +1 631-666-0500

Shares Details

Shares issued 500

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DERMATOLOGY GROUP, P.C. 401K PLAN 2020 112280754 2021-10-06 DERMATOLOGY GROUP, P.C. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6316660500
Plan sponsor’s address 332 E. MAIN STREET, BAY SHORE, NY, 117068436
DERMATOLOGY GROUP, P.C. 401K PLAN 2019 112280754 2020-09-09 DERMATOLOGY GROUP, P.C. 11
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6316660500
Plan sponsor’s address 332 E. MAIN STREET, BAY SHORE, NY, 117068436
DERMATOLOGY GROUP, P.C. 401K PLAN 2018 112280754 2019-10-15 DERMATOLOGY GROUP, P.C. 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6316660500
Plan sponsor’s address 332 E. MAIN STREET, BAY SHORE, NY, 117068436
DERMATOLOGY GROUP, P.C. 401K PLAN 2017 112280754 2018-10-15 DERMATOLOGY GROUP, P.C. 23
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6316660500
Plan sponsor’s address 332 E. MAIN STREET, BAY SHORE, NY, 117068436
DERMATOLOGY GROUP, P.C. 401K PLAN 2016 112280754 2017-10-06 DERMATOLOGY GROUP, P.C. 37
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6316660500
Plan sponsor’s address 332 E. MAIN STREET, BAY SHORE, NY, 117068436
DERMATOLOGY GROUP, P.C. 401K PLAN 2015 112280754 2016-10-17 DERMATOLOGY GROUP, P.C. 37
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6316660500
Plan sponsor’s address 332 E. MAIN STREET, BAY SHORE, NY, 117068436
DERMATOLOGY GROUP, P.C. 401K PLAN 2014 112280754 2015-10-14 DERMATOLOGY GROUP, P.C. 35
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6316660500
Plan sponsor’s address 332 E. MAIN STREET, BAY SHORE, NY, 117068436

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing JEFFREY PARDES
DERMATOLOGY GROUP, P.C. 401K PLAN 2013 112280754 2014-10-15 DERMATOLOGY GROUP, P.C. 40
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6316660500
Plan sponsor’s address 332 E. MAIN STREET, BAY SHORE, NY, 117068436

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing JEFFREY PARDES
DERMATOLOGY GROUP, P.C. 401K PLAN 2012 112280754 2013-10-14 DERMATOLOGY GROUP, P.C. 43
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6316660500
Plan sponsor’s address 332 E. MAIN STREET, BAY SHORE, NY, 117068436

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing ROBERT SKROKOV
DERMATOLOGY GROUP, P.C. 401K PLAN 2011 112280754 2012-10-12 DERMATOLOGY GROUP, P.C. 41
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6316660500
Plan sponsor’s address 332 E. MAIN STREET, BAY SHORE, NY, 117068436

Plan administrator’s name and address
Administrator’s EIN 112280754
Plan administrator’s name DERMATOLOGY GROUP, P.C.
Plan administrator’s address 332 E. MAIN STREET, BAY SHORE, NY, 117068436
Administrator’s telephone number 6316660500

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing JULIE HUH, M.D.

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 332 EAST MAIN STREET, BAY SHORE, NY, United States, 11706

Chief Executive Officer

Name Role Address
GAVAN MOYNIHAN MD Chief Executive Officer 332 EAST MAIN ST, BAY SHORE, NY, United States, 11706

History

Start date End date Type Value
1992-11-13 1996-11-14 Address DERMATOLOGY GROUP, P.C., 332 EAST MAIN STREET, BAY SHORE, NY, 11706, USA (Type of address: Chief Executive Officer)
1992-11-13 1993-11-18 Address 332 EAST MAIN STREET, BAY SHORE, NY, 11706, USA (Type of address: Principal Executive Office)
1992-11-13 1993-11-18 Address 332 EAST MAIN STREET, BAY SHORE, NY, 11706, USA (Type of address: Service of Process)
1980-04-23 1992-11-13 Address 332 EAST MAINS T, BAY SHORE, NY, 11706, USA (Type of address: Service of Process)
1972-11-02 1990-05-23 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1972-11-02 1980-04-23 Address 225 W. 34TH ST., NEW YORK, NY, 10001, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
171030000423 2017-10-30 CERTIFICATE OF DISSOLUTION 2017-10-30
121105006755 2012-11-05 BIENNIAL STATEMENT 2012-11-01
101206002332 2010-12-06 BIENNIAL STATEMENT 2010-11-01
081104002913 2008-11-04 BIENNIAL STATEMENT 2008-11-01
061101002616 2006-11-01 BIENNIAL STATEMENT 2006-11-01
041215002302 2004-12-15 BIENNIAL STATEMENT 2004-11-01
021029002107 2002-10-29 BIENNIAL STATEMENT 2002-11-01
C316267-2 2002-05-14 ASSUMED NAME CORP INITIAL FILING 2002-05-14
981204002349 1998-12-04 BIENNIAL STATEMENT 1998-11-01
961114002325 1996-11-14 BIENNIAL STATEMENT 1996-11-01

Related by officers

THE CORPORATION

ARSHIA DESIGNS INC. AAA VACUUM CORP. ATLANTICA TELECOM, INC. MISTY SPORTSWEAR, INC. INRACKS, INC. FAT JAMS ELECTRONICS INC. CROQUEMBOUCHE, INC. LONG BEACH PEDIATRIC GROUP, P.C. LAW OFFICES OF JOSEPH A. GRECO, P.C. TEREZ, INC.

Related by address

332 EAST MAIN STREET, BAY SHORE, NY, United States, 11706

MEDICAL & CLINICAL RESEARCH ASSOCIATES, LLC 332 EAST MAIN STREET ASSOCIATES, INC.

Date of last update: 08 Jan 2025

Sources: New York Secretary of State

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