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  5. WINSTON DERMATOLOGY ASSOCIATES, P.C.

WINSTON DERMATOLOGY ASSOCIATES, P.C.

Company Details

Name: WINSTON DERMATOLOGY ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 18 Mar 1974 (51 years ago)
Entity Number: 338910
ZIP code: 11776
County: Suffolk
Place of Formation: New York
Address: 2 MEDICAL DRIVE, PT JEFFERSON STATION, NY, United States, 11776

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
MARVIN I. WINSTON, M.D., P.C. RETIREMENT TRUST 2023 112322308 2024-06-11 WINSTON DERMATOLOGY ASSOCIATES, P.C 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-04-01
Business code 621111
Sponsor’s telephone number 6319281570
Plan sponsor’s address 2 MEDICAL DRIVE, PORT JEFFERSON STATION, NY, 11776

Signature of
Role Plan administrator
Date 2024-06-11
Name of individual signing MICHAEL WINSTON
Role Employer/plan sponsor
Date 2024-06-11
Name of individual signing MICHAEL WINSTON
MARVIN I. WINSTON, M.D., P.C. RETIREMENT TRUST 2022 112322308 2023-08-26 WINSTON DERMATOLOGY ASSOCIATES, P.C 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-04-01
Business code 621111
Sponsor’s telephone number 6319281570
Plan sponsor’s address 2 MEDICAL DRIVE, PORT JEFFERSON STATION, NY, 11776

Signature of
Role Plan administrator
Date 2023-08-26
Name of individual signing MICHAEL WINSTON
MARVIN I. WINSTON, M.D., P.C. RETIREMENT TRUST 2021 112322308 2022-03-17 WINSTON DERMATOLOGY ASSOCIATES, P.C 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-04-01
Business code 621111
Sponsor’s telephone number 6319281570
Plan sponsor’s address 2 MEDICAL DRIVE, PORT JEFFERSON STATION, NY, 11776

Plan administrator’s name and address
Administrator’s EIN 112322308
Plan administrator’s name WINSTON DERMATOLOGY ASSOCIATES, P.C
Plan administrator’s address 2 MEDICAL DRIVE, PORT JEFFERSON STATION, NY, 11776
Administrator’s telephone number 6319281570

Signature of
Role Plan administrator
Date 2022-03-17
Name of individual signing MICHAEL WINSTON
MARVIN I. WINSTON, M.D., P.C. RETIREMENT TRUST 2020 112322308 2021-02-17 WINSTON DERMATOLOGY ASSOCIATES, P.C 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-04-01
Business code 621111
Sponsor’s telephone number 6319281570
Plan sponsor’s address 2 MEDICAL DRIVE, PORT JEFFERSON STATION, NY, 11776

Plan administrator’s name and address
Administrator’s EIN 112322308
Plan administrator’s name WINSTON DERMATOLOGY ASSOCIATES, P.C
Plan administrator’s address 2 MEDICAL DRIVE, PORT JEFFERSON STATION, NY, 11776
Administrator’s telephone number 6319281570

Signature of
Role Plan administrator
Date 2021-02-17
Name of individual signing MICHAEL WINSTON
MARVIN I. WINSTON, M.D., P.C. RETIREMENT TRUST 2019 112322308 2020-02-26 WINSTON DERMATOLOGY ASSOCIATES, P.C 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-04-01
Business code 621111
Sponsor’s telephone number 6319281570
Plan sponsor’s address 2 MEDICAL DRIVE, PORT JEFFERSON STATION, NY, 11776

Plan administrator’s name and address
Administrator’s EIN 112322308
Plan administrator’s name WINSTON DERMATOLOGY ASSOCIATES, P.C
Plan administrator’s address 2 MEDICAL DRIVE, PORT JEFFERSON STATION, NY, 11776
Administrator’s telephone number 6319281570

Signature of
Role Plan administrator
Date 2020-02-26
Name of individual signing MICHAEL WINSTON
MARVIN I. WINSTON, M.D., P.C. RETIREMENT TRUST 2018 112322308 2019-08-31 WINSTON DERMATOLOGY ASSOCIATES, P.C 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-04-01
Business code 621111
Sponsor’s telephone number 6319281570
Plan sponsor’s address 2 MEDICAL DRIVE, PORT JEFFERSON STATION, NY, 11776

Plan administrator’s name and address
Administrator’s EIN 112322308
Plan administrator’s name WINSTON DERMATOLOGY ASSOCIATES, P.C
Plan administrator’s address 2 MEDICAL DRIVE, PORT JEFFERSON STATION, NY, 11776
Administrator’s telephone number 6319281570

Signature of
Role Plan administrator
Date 2019-08-31
Name of individual signing MICHAEL WINSTON
MARVIN I. WINSTON, M.D., P.C. RETIREMENT TRUST 2017 112322308 2018-09-25 WINSTON DERMATOLOGY ASSOCIATES, P.C 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-04-01
Business code 621111
Sponsor’s telephone number 6319281570
Plan sponsor’s address 2 MEDICAL DRIVE, PORT JEFFERSON STATION, NY, 11776

Plan administrator’s name and address
Administrator’s EIN 112322308
Plan administrator’s name WINSTON DERMATOLOGY ASSOCIATES, P.C
Plan administrator’s address 2 MEDICAL DRIVE, PORT JEFFERSON STATION, NY, 11776
Administrator’s telephone number 6319281570

Signature of
Role Plan administrator
Date 2018-09-25
Name of individual signing MICHAEL WINSTON
MARVIN I. WINSTON, M.D., P.C. RETIREMENT TRUST 2016 112322308 2017-09-16 WINSTON DERMATOLOGY ASSOCIATES, P.C 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-04-01
Business code 621111
Sponsor’s telephone number 6319281570
Plan sponsor’s address 2 MEDICAL DRIVE, PORT JEFFERSON STATION, NY, 11776

Plan administrator’s name and address
Administrator’s EIN 112322308
Plan administrator’s name WINSTON DERMATOLOGY ASSOCIATES, P.C
Plan administrator’s address 2 MEDICAL DRIVE, PORT JEFFERSON STATION, NY, 11776
Administrator’s telephone number 6319281570

Signature of
Role Plan administrator
Date 2017-09-16
Name of individual signing MICHAEL WINSTON
MARVIN I. WINSTON, M.D., P.C. RETIREMENT TRUST 2015 112322308 2016-08-18 WINSTON DERMATOLOGY ASSOCIATES, P.C 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-04-01
Business code 621111
Sponsor’s telephone number 6319281570
Plan sponsor’s address 2 MEDICAL DRIVE, PORT JEFFERSON STATION, NY, 11776

Plan administrator’s name and address
Administrator’s EIN 112322308
Plan administrator’s name WINSTON DERMATOLOGY ASSOCIATES, P.C
Plan administrator’s address 2 MEDICAL DRIVE, PORT JEFFERSON STATION, NY, 11776
Administrator’s telephone number 6319281570

Signature of
Role Plan administrator
Date 2016-08-18
Name of individual signing MICHAEL WINSTON
MARVIN I. WINSTON, M.D., P.C. RETIREMENT TRUST 2014 112322308 2015-10-07 WINSTON DERMATOLOGY ASSOCIATES, P.C 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-04-01
Business code 621111
Sponsor’s telephone number 6319281570
Plan sponsor’s address 2 MEDICAL DRIVE, PORT JEFFERSON STATION, NY, 11776

Plan administrator’s name and address
Administrator’s EIN 112322308
Plan administrator’s name WINSTON DERMATOLOGY ASSOCIATES, P.C
Plan administrator’s address 2 MEDICAL DRIVE, PORT JEFFERSON STATION, NY, 11776
Administrator’s telephone number 6319281570

Signature of
Role Plan administrator
Date 2015-10-07
Name of individual signing MICHAEL WINSTON

Chief Executive Officer

Name Role Address
MICHAEL H WINSTON Chief Executive Officer 2 MEDICAL DRIVE, PT JEFFERSON STATION, NY, United States, 11776

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2 MEDICAL DRIVE, PT JEFFERSON STATION, NY, United States, 11776

History

Start date End date Type Value
1995-08-02 2012-04-26 Address 2 MEDICAL DRIVE, PT JEFFERSON STATION, NY, 11776, USA (Type of address: Chief Executive Officer)
1974-03-18 1995-08-02 Address 635 BELLE TERRE RD., PORT JEFFERSON, NY, 11777, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200304060128 2020-03-04 BIENNIAL STATEMENT 2020-03-01
180302006420 2018-03-02 BIENNIAL STATEMENT 2018-03-01
160303006577 2016-03-03 BIENNIAL STATEMENT 2016-03-01
140306006554 2014-03-06 BIENNIAL STATEMENT 2014-03-01
120426003023 2012-04-26 BIENNIAL STATEMENT 2012-03-01
100402003060 2010-04-02 BIENNIAL STATEMENT 2010-03-01
080306002850 2008-03-06 BIENNIAL STATEMENT 2008-03-01
20070122015 2007-01-22 ASSUMED NAME CORP INITIAL FILING 2007-01-22
060329002166 2006-03-29 BIENNIAL STATEMENT 2006-03-01
040316002055 2004-03-16 BIENNIAL STATEMENT 2004-03-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7207647803 2020-06-03 0235 PPP 2 Medical Drive, Port Jefferson Station, NY, 11776-1598
Loan Status Date 2022-02-02
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 95300
Loan Approval Amount (current) 95300
Undisbursed Amount 0
Franchise Name -
Lender Location ID 224780
Servicing Lender Name New York Business Development Corporation
Servicing Lender Address 50 Beaver Street, Albany, NY, 12207-1538
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Port Jefferson Station, SUFFOLK, NY, 11776-1598
Project Congressional District NY-01
Number of Employees 9
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 224780
Originating Lender Name New York Business Development Corporation
Originating Lender Address Albany, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 96284.33
Forgiveness Paid Date 2021-06-24

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Date of last update: 01 Mar 2025

Sources: New York Secretary of State

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