Search icon

UNIVERSAL DERMATOLOGY, PLLC

Company Details

Name: UNIVERSAL DERMATOLOGY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 22 Jul 2015 (9 years ago)
Entity Number: 4793096
ZIP code: 14450
County: Monroe
Place of Formation: New York
Address: 6800 PITTSFORD PALMYRA ROAD, SUITE 150, FAIRPORT, NY, United States, 14450

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNIVERSAL DERMATOLOGY 401(K) PROFIT SHARING PLAN 2023 473745662 2024-10-07 UNIVERSAL DERMATOLOGY, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 5853641177
Plan sponsor’s address 6800 PITTSFORD PALMYRA ROAD, SUITE 150, FAIRPORT, NY, 14450

Signature of

Role Plan administrator
Date 2024-10-07
Name of individual signing BRIAN POLIGONE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-07
Name of individual signing BRIAN POLIGONE
Valid signature Filed with authorized/valid electronic signature
UNIVERSAL DERMATOLOGY CASH BALANCE PLAN 2023 473745662 2024-10-07 UNIVERSAL DERMATOLOGY, PLLC 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Plan sponsor’s address 6800 PITTSFORD PALMYRA ROAD, SUITE 150, FAIRPORT, NY, 14450

Signature of

Role Plan administrator
Date 2024-10-07
Name of individual signing BRIAN POLIGONE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-07
Name of individual signing BRIAN POLIGONE
Valid signature Filed with authorized/valid electronic signature
UNIVERSAL DERMATOLOGY 401(K) PROFIT SHARING PLAN 2022 473745662 2023-09-22 UNIVERSAL DERMATOLOGY, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 5853641177
Plan sponsor’s address 6800 PITTSFORD PALMYRA ROAD, SUITE 150, FAIRPORT, NY, 14450

Signature of

Role Plan administrator
Date 2023-09-22
Name of individual signing BRIAN POLIGONE
Role Employer/plan sponsor
Date 2023-09-22
Name of individual signing BRIAN POLIGONE
UNIVERSAL DERMATOLOGY CASH BALANCE PLAN 2022 473745662 2023-09-22 UNIVERSAL DERMATOLOGY, PLLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 5853641177
Plan sponsor’s address 6800 PITTSFORD PALMYRA ROAD, SUITE 150, FAIRPORT, NY, 14450

Signature of

Role Plan administrator
Date 2023-09-22
Name of individual signing BRIAN POLIGONE
Role Employer/plan sponsor
Date 2023-09-22
Name of individual signing BRIAN POLIGONE
UNIVERSAL DERMATOLOGY CASH BALANCE PLAN 2021 473745662 2022-10-07 UNIVERSAL DERMATOLOGY, PLLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 5853641177
Plan sponsor’s address 6800 PITTSFORD PALMYRA ROAD, SUITE 150, FAIRPORT, NY, 14450
UNIVERSAL DERMATOLOGY 401(K) PROFIT SHARING PLAN 2021 473745662 2022-10-04 UNIVERSAL DERMATOLOGY, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 5853641177
Plan sponsor’s address 6800 PITTSFORD PALMYRA ROAD, SUITE 150, FAIRPORT, NY, 14450
UNIVERSAL DERMATOLOGY CASH BALANCE PLAN 2020 473745662 2021-10-12 UNIVERSAL DERMATOLOGY, PLLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Plan sponsor’s address 6800 PITTSFORD PALMYRA ROAD, SUITE 150, FAIRPORT, NY, 14450

Signature of

Role Plan administrator
Date 2021-10-12
Name of individual signing BRIAN POLIGONE
Role Employer/plan sponsor
Date 2021-10-12
Name of individual signing BRIAN POLIGONE
UNIVERSAL DERMATOLOGY 401(K) PROFIT SHARING PLAN 2020 473745662 2021-10-12 UNIVERSAL DERMATOLOGY, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 5853641177
Plan sponsor’s address 6800 PITTSFORD PALMYRA ROAD, SUITE 150, FAIRPORT, NY, 14450

Signature of

Role Plan administrator
Date 2021-10-12
Name of individual signing BRIAN POLIGONE
Role Employer/plan sponsor
Date 2021-10-12
Name of individual signing BRIAN POLIGONE

DOS Process Agent

Name Role Address
UNIVERSAL DERMATOLOGY, PLLC DOS Process Agent 6800 PITTSFORD PALMYRA ROAD, SUITE 150, FAIRPORT, NY, United States, 14450

History

Start date End date Type Value
2015-07-22 2023-08-02 Address 6800 PITTSFORD PALMYRA ROAD, SUITE 150, FAIRPORT, NY, 14450, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230802001690 2023-08-02 BIENNIAL STATEMENT 2023-07-01
160114000866 2016-01-14 CERTIFICATE OF PUBLICATION 2016-01-14
151023000580 2015-10-23 CERTIFICATE OF CORRECTION 2015-10-23
150722000345 2015-07-22 ARTICLES OF ORGANIZATION 2015-07-22

Date of last update: 28 Dec 2024

Sources: New York Secretary of State