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RADIANT SKIN DERMATOLOGY AND LASER, PLLC

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Company Details

Name: RADIANT SKIN DERMATOLOGY AND LASER, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 02 Nov 2012 (13 years ago)
Entity Number: 4315797
ZIP code: 10026
County: New York
Place of Formation: New York
Address: 207 W. 115TH STREET, NEW YORK, NY, United States, 10026

Agent

Name Role Address
ADEBOLA OLUFUNMI DELE-MICHAEL M.D. Agent 1775 YORK AVENUE, APT. 17F, NEW YORK, NY, 10128

DOS Process Agent

Name Role Address
RADIANT SKIN DERMATOLOGY AND LASER, PLLC DOS Process Agent 207 W. 115TH STREET, NEW YORK, NY, United States, 10026

National Provider Identifier

NPI Number:
1861738460
Certification Date:
2024-03-04

Authorized Person:

Name:
ADEBOLA OLUFUNMI DELE-MICHAEL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
2122026350
Fax:
3472748349

Form 5500 Series

Employer Identification Number (EIN):
461255974
Plan Year:
2023
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
13
Sponsors Telephone Number:

History

Start date End date Type Value
2018-11-01 2024-11-11 Address 116 CENTRAL PARK SOUTH, SUITE 7, NEW YORK, NY, 10019, USA (Type of address: Service of Process)
2013-06-18 2018-11-01 Address 1775 YORK AVENUE, APT. 17F, NEW YORK, NY, 10128, USA (Type of address: Service of Process)
2013-06-18 2024-11-11 Address 1775 YORK AVENUE, APT. 17F, NEW YORK, NY, 10128, USA (Type of address: Registered Agent)
2012-11-02 2013-06-18 Address 187 WOLF ROAD, SUITE 101, ALBANY, NY, 12205, USA (Type of address: Registered Agent)
2012-11-02 2013-06-18 Address 187 WOLF ROAD, SUITE 101, ALBANY, NY, 12205, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
241111000227 2024-11-11 BIENNIAL STATEMENT 2024-11-11
221128002932 2022-11-28 BIENNIAL STATEMENT 2022-11-01
181101006006 2018-11-01 BIENNIAL STATEMENT 2018-11-01
141112006809 2014-11-12 BIENNIAL STATEMENT 2014-11-01
130618001130 2013-06-18 CERTIFICATE OF CHANGE 2013-06-18

USAspending Awards / Financial Assistance

Date:
2021-02-18
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
63582.00
Total Face Value Of Loan:
63582.00
Date:
2020-09-01
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
2500000.00
Total Face Value Of Loan:
2500000.00
Date:
2020-06-17
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
8000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-06-06
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
500000.00
Date:
2020-04-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
115000.00
Total Face Value Of Loan:
115000.00

Paycheck Protection Program

Date Approved:
2021-02-17
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
63582
Current Approval Amount:
63582
Race:
Black or African American
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
64203.88
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
115000
Current Approval Amount:
115000
Race:
Black or African American
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
115894.44

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State