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  5. EIDELMAN DERMATOLOGY, PLLC

EIDELMAN DERMATOLOGY, PLLC

Company Details

Name: EIDELMAN DERMATOLOGY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 Apr 2009 (16 years ago)
Entity Number: 3802181
ZIP code: 10011
County: New York
Place of Formation: New York
Address: 245 WEST 19TH STREET, CHELSEA SKIN & LASER, NEW YORK, NY, United States, 10011

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EIDELMAN DERMATOLOGY, PLLC 401(K) PSP & TRUST 2023 264736602 2024-10-14 EIDELMAN DERMATOLOGY, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 2126750549
Plan sponsor’s address 181 7TH AVENUE, APT 2A, NEW YORK, NY, 100111855

Signature of
Role Plan administrator
Date 2024-10-11
Name of individual signing DOMINIQUE PIACENTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-11
Name of individual signing DOMINIQUE PIACENTE
Valid signature Filed with authorized/valid electronic signature
EIDELMAN DERMATOLOGY, PLLC 401(K) PSP & TRUST 2022 264736602 2023-09-07 EIDELMAN DERMATOLOGY, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 2126750549
Plan sponsor’s address 181 7TH AVENUE, APT 2A, NEW YORK, NY, 100111855

Signature of
Role Plan administrator
Date 2023-09-07
Name of individual signing AJ VINCENT
Role Employer/plan sponsor
Date 2023-09-07
Name of individual signing AJ VINCENT
EIDELMAN DERMATOLOGY, PLLC 401(K) PSP & TRUST 2021 264736602 2022-09-09 EIDELMAN DERMATOLOGY, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 2126750549
Plan sponsor’s address 181 7TH AVENUE, APT 2A, NEW YORK, NY, 100111855

Signature of
Role Plan administrator
Date 2022-09-09
Name of individual signing JAMES CANTEY
Role Employer/plan sponsor
Date 2022-09-09
Name of individual signing JAMES CANTEY
EIDELMAN DERMATOLOGY, PLLC 401(K) PSP & TRUST 2020 264736602 2021-05-18 EIDELMAN DERMATOLOGY, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 2126750549
Plan sponsor’s address 181 7TH AVENUE, APT 2A, NEW YORK, NY, 100111855

Signature of
Role Plan administrator
Date 2021-05-18
Name of individual signing JAMES CANTEY
Role Employer/plan sponsor
Date 2021-05-18
Name of individual signing JAMES CANTEY
EIDELMAN DERMATOLOGY, PLLC 401(K) PSP & TRUST 2019 264736602 2020-08-18 EIDELMAN DERMATOLOGY, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 2126750549
Plan sponsor’s address 181 7TH AVENUE, APT 2A, NEW YORK, NY, 100111855

Signature of
Role Plan administrator
Date 2020-08-16
Name of individual signing MICHAEL EIDELMAN
Role Employer/plan sponsor
Date 2020-08-16
Name of individual signing MICHAEL EIDELMAN
EIDELMAN DERMATOLOGY, PLLC 401(K) PSP & TRUST 2018 264736602 2019-10-04 EIDELMAN DERMATOLOGY, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 2126750549
Plan sponsor’s address 181 7TH AVENUE, APT 2A, NEW YORK, NY, 100111855

Signature of
Role Plan administrator
Date 2019-10-04
Name of individual signing AJ VINCENT
Role Employer/plan sponsor
Date 2019-10-04
Name of individual signing AJ VINCENT
EIDELMAN DERMATOLOGY, PLLC 401(K) PSP & TRUST 2017 264736602 2018-07-17 EIDELMAN DERMATOLOGY, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 2126750549
Plan sponsor’s address 181 7TH AVENUE, APT 2A, NEW YORK, NY, 100111855

Signature of
Role Plan administrator
Date 2018-07-17
Name of individual signing AJ VINCENT
Role Employer/plan sponsor
Date 2018-07-17
Name of individual signing AJ VINCENT
EIDELMAN DERMATOLOGY PLLC 401 K PROFIT SHARING PLAN TRUST 2016 264736602 2017-05-18 EIDELMAN DERMATOLOGY PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2122425917
Plan sponsor’s address 181 7TH AVE APT 2A, NEW YORK, NY, 100111855

Signature of
Role Plan administrator
Date 2017-05-18
Name of individual signing AJ VINCENT
EIDELMAN DERMATOLOGY PLLC 401 K PROFIT SHARING PLAN TRUST 2015 264736602 2016-05-20 EIDELMAN DERMATOLOGY PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2126750549
Plan sponsor’s address 181 7TH AVE APT 2A, NEW YORK, NY, 100111855

Signature of
Role Plan administrator
Date 2016-05-20
Name of individual signing MICHAEL EIDELMAN
EIDELMAN DERMATOLOGY PLLC 401 K PROFIT SHARING PLAN TRUST 2014 264736602 2015-06-02 EIDELMAN DERMATOLOGY PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2122425917
Plan sponsor’s address 181 7TH AVE APT 2A, NEW YORK, NY, 100111855

Signature of
Role Plan administrator
Date 2015-06-02
Name of individual signing MICHAEL EIDELMAN

DOS Process Agent

Name Role Address
EIDELMAN DERMATOLOGY, PLLC DOS Process Agent 245 WEST 19TH STREET, CHELSEA SKIN & LASER, NEW YORK, NY, United States, 10011

History

Start date End date Type Value
2011-04-22 2013-04-11 Address 245 WEST 19TH STREET, NEW YORK, NY, 10011, USA (Type of address: Service of Process)
2009-04-23 2011-04-22 Address 36 7TH AVENUE SUITE 423, NEW YORK, NY, 10011, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130411006276 2013-04-11 BIENNIAL STATEMENT 2013-04-01
110422002337 2011-04-22 BIENNIAL STATEMENT 2011-04-01
091001000642 2009-10-01 CERTIFICATE OF PUBLICATION 2009-10-01
090423000655 2009-04-23 ARTICLES OF ORGANIZATION 2009-04-23

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5432538406 2021-02-08 0202 PPS 245 W 19th St, New York, NY, 10011-4072
Loan Status Date 2021-12-14
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 176992.5
Loan Approval Amount (current) 176992.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 529471
Servicing Lender Name Itria Ventures LLC
Servicing Lender Address One Penn Plaza, Suite 4530, New York, NY, 10119
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address New York, NEW YORK, NY, 10011-4072
Project Congressional District NY-12
Number of Employees 12
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 529471
Originating Lender Name Itria Ventures LLC
Originating Lender Address New York, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 178162.62
Forgiveness Paid Date 2021-11-03
9118517110 2020-04-15 0202 PPP 181 7th Ave APT 2A, New York, NY, 10011
Loan Status Date 2021-02-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 170200
Loan Approval Amount (current) 170200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 49274
Servicing Lender Name Citibank, N.A.
Servicing Lender Address 5800 S. Corporate Place, Sioux Falls, SD, 57108
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address New York, NEW YORK, NY, 10011-0001
Project Congressional District NY-12
Number of Employees 13
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 49274
Originating Lender Name Citibank, N.A.
Originating Lender Address Sioux Falls, SD
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 171348.85
Forgiveness Paid Date 2020-12-28

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State

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