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  5. MASSAPEQUA DERMATOLOGY, PLLC

MASSAPEQUA DERMATOLOGY, PLLC

Company Details

Name: MASSAPEQUA DERMATOLOGY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 26 Apr 2004 (21 years ago)
Entity Number: 3044859
ZIP code: 11758
County: Nassau
Place of Formation: New York
Address: 20 HICKSVILLE ROAD SUITE NO. 2, MASSAPEQUA, NY, United States, 11758

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID KESSLER PROFIT SHARING PLAN 2023 900989982 2024-03-28 MASSAPEQUA DERMATOLOGY PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621310
Sponsor’s telephone number 5167991600
Plan sponsor’s address 24 BEAUMONT DRIVE, MELVILLE, NY, 11747

Signature of
Role Plan administrator
Date 2024-03-28
Name of individual signing DAVID KESSLER
DAVID KESSLER PROFIT SHARING PLAN 2022 900989982 2023-03-22 MASSAPEQUA DERMATOLOGY PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621310
Sponsor’s telephone number 5167991600
Plan sponsor’s address 24 BEAUMONT DRIVE, MELVILLE, NY, 11747

Signature of
Role Plan administrator
Date 2023-03-22
Name of individual signing DAVID KESSLER
DAVID KESSLER PROFIT SHARING PLAN 2021 900989982 2022-03-29 MASSAPEQUA DERMATOLOGY PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621310
Sponsor’s telephone number 5167991600
Plan sponsor’s address 24 BEAUMONT DRIVE, MELVILLE, NY, 11747

Signature of
Role Plan administrator
Date 2022-03-29
Name of individual signing DAVID KESSLER
DAVID KESSLER PROFIT SHARING PLAN 2020 900989982 2021-03-03 MASSAPEQUA DERMATOLOGY PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621310
Sponsor’s telephone number 5167991600
Plan sponsor’s address 24 BEAUMONT DRIVE, MELVILLE, NY, 11747

Signature of
Role Plan administrator
Date 2021-03-03
Name of individual signing DAVID KESSLER
DAVID KESSLER PROFIT SHARING PLAN 2019 900989982 2020-02-20 MASSAPEQUA DERMATOLOGY PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621310
Sponsor’s telephone number 5167991600
Plan sponsor’s address 24 BEAUMONT DRIVE, MELVILLE, NY, 11747

Signature of
Role Plan administrator
Date 2020-02-20
Name of individual signing DAVID KESSLER
DAVID KESSLER PROFIT SHARING PLAN 2018 900989982 2019-04-08 MASSAPEQUA DERMATOLOGY PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621310
Sponsor’s telephone number 5167991600
Plan sponsor’s address 24 BEAUMONT DRIVE, MELVILLE, NY, 11747

Signature of
Role Plan administrator
Date 2019-04-08
Name of individual signing DAVID KESSLER
DAVID KESSLER PROFIT SHARING PLAN 2017 900989982 2018-03-13 MASSAPEQUA DERMATOLOGY PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621310
Sponsor’s telephone number 5167991600
Plan sponsor’s address 24 BEAUMONT DRIVE, MELVILLE, NY, 11747

Signature of
Role Plan administrator
Date 2018-03-13
Name of individual signing DAVID KESSLER
DAVID KESSLER PROFIT SHARING PLAN 2016 900989982 2017-03-07 MASSAPEQUA DERMATOLOGY PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621310
Sponsor’s telephone number 5167991600
Plan sponsor’s address 24 BEAUMONT DRIVE, MELVILLE, NY, 11747

Signature of
Role Plan administrator
Date 2017-03-07
Name of individual signing DAVID KESSLER
DAVID KESSLER PROFIT SHARING PLAN 2015 900989982 2016-03-08 MASSAPEQUA DERMATOLOGY PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621310
Sponsor’s telephone number 5167991600
Plan sponsor’s address 24 BEAUMONT DRIVE, MELVILLE, NY, 11747

Signature of
Role Plan administrator
Date 2016-03-08
Name of individual signing DAVID KESSLER
DAVID KESSLER PROFIT SHARING PLAN 2014 900989982 2015-02-25 MASSAPEQUA DERMATOLOGY PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621310
Sponsor’s telephone number 5167991600
Plan sponsor’s address 24 BEAUMONT DRIVE, MELVILLE, NY, 11747

Signature of
Role Plan administrator
Date 2015-02-25
Name of individual signing DAVID KESSLER

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 20 HICKSVILLE ROAD SUITE NO. 2, MASSAPEQUA, NY, United States, 11758

Filings

Filing Number Date Filed Type Effective Date
060411002421 2006-04-11 BIENNIAL STATEMENT 2006-04-01
040830000834 2004-08-30 AFFIDAVIT OF PUBLICATION 2004-08-30
040830000835 2004-08-30 AFFIDAVIT OF PUBLICATION 2004-08-30
040426000176 2004-04-26 ARTICLES OF ORGANIZATION 2004-04-26

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3708968507 2021-02-24 0235 PPS 70 Grand Ave, Massapequa, NY, 11758-4906
Loan Status Date 2021-12-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 141442
Loan Approval Amount (current) 141442
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Massapequa, NASSAU, NY, 11758-4906
Project Congressional District NY-03
Number of Employees 21
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 48270
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address COLUMBUS, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 142404.59
Forgiveness Paid Date 2021-11-03
2920997708 2020-05-01 0235 PPP 70 GRAND AVE, MASSAPEQUA, NY, 11758
Loan Status Date 2021-04-23
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 141442
Loan Approval Amount (current) 141442
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MASSAPEQUA, NASSAU, NY, 11758-0001
Project Congressional District NY-03
Number of Employees 12
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 142697.22
Forgiveness Paid Date 2021-03-24

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State

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