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  5. PENROSE DERMATOLOGY PLLC

PENROSE DERMATOLOGY PLLC

Company Details

Name: PENROSE DERMATOLOGY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 07 Aug 2015 (10 years ago)
Entity Number: 4801401
ZIP code: 10304
County: Richmond
Place of Formation: New York
Address: 49 WARD AVENUE, STATEN ISLAND, NY, United States, 10304

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PENROSE DERMATOLOGY PLLC PROFIT SHARING PLAN 2023 474914953 2024-07-25 PENROSE DERMATOLOGY PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 9178301415
Plan sponsor’s address 1110 SOUTH AVE.- SUITE 400, STATEN ISLAND, NY, 10314

Signature of
Role Plan administrator
Date 2024-07-25
Name of individual signing CAROLIN PENROSE
PENROSE DERMATOLOGY PLLC PROFIT SHARING PLAN 2022 474914953 2023-02-27 PENROSE DERMATOLOGY PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 9178301415
Plan sponsor’s address 1110 SOUTH AVE.- SUITE 400, STATEN ISLAND, NY, 10314

Signature of
Role Plan administrator
Date 2023-02-26
Name of individual signing CAROLIN PENROSE
PENROSE DERMATOLOGY PLLC PROFIT SHARING PLAN 2021 474914953 2022-08-10 PENROSE DERMATOLOGY PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 9178301415
Plan sponsor’s address 1110 SOUTH AVE.- SUITE 400, STATEN ISLAND, NY, 10314

Signature of
Role Plan administrator
Date 2022-08-10
Name of individual signing CAROLIN PENROSE
PENROSE DERMATOLOGY PLLC PROFIT SHARING PLAN 2020 474914953 2021-07-12 PENROSE DERMATOLOGY PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 9178301415
Plan sponsor’s address 1110 SOUTH AVE.- SUITE 400, STATEN ISLAND, NY, 10314

Signature of
Role Plan administrator
Date 2021-07-12
Name of individual signing CAROLIN PENROSE
PENROSE DERMATOLOGY PLLC PROFIT SHARING PLAN 2019 474914953 2020-05-09 PENROSE DERMATOLOGY PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 9178301415
Plan sponsor’s address 1110 SOUTH AVE.- SUITE 400, STATEN ISLAND, NY, 10314

Signature of
Role Plan administrator
Date 2020-05-08
Name of individual signing CAROLIN PENROSE
PENROSE DERMATOLOGY PLLC PROFIT SHARING PLAN 2018 474914953 2019-07-26 PENROSE DERMATOLOGY PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 9178301415
Plan sponsor’s address 1110 SOUTH AVE.- SUITE 400, STATEN ISLAND, NY, 10314

Signature of
Role Plan administrator
Date 2019-07-26
Name of individual signing CAROLIN PENROSE
PENROSE DERMATOLOGY PLLC PROFIT SHARING PLAN 2017 474914953 2018-03-08 PENROSE DERMATOLOGY PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 9178301415
Plan sponsor’s address 1110 SOUTH AVE.- SUITE 400, STATEN ISLAND, NY, 10314

Signature of
Role Plan administrator
Date 2018-03-08
Name of individual signing CAROLIN PENROSE

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 49 WARD AVENUE, STATEN ISLAND, NY, United States, 10304

Filings

Filing Number Date Filed Type Effective Date
151203000735 2015-12-03 CERTIFICATE OF PUBLICATION 2015-12-03
150807000165 2015-08-07 ARTICLES OF ORGANIZATION 2015-08-07

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2900567210 2020-04-16 0202 PPP 1110 SOUTH AVE SUITE 400, STATEN ISLAND, NY, 10304
Loan Status Date 2021-03-23
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 21062
Loan Approval Amount (current) 21062
Undisbursed Amount 0
Franchise Name -
Lender Location ID 29805
Servicing Lender Name TD Bank, National Association
Servicing Lender Address 2035 Limestone Rd, WILMINGTON, DE, 19808-5529
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address STATEN ISLAND, RICHMOND, NY, 10304-0001
Project Congressional District NY-11
Number of Employees 7
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 29805
Originating Lender Name TD Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 21241.03
Forgiveness Paid Date 2021-02-24

Related by officers

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Related by address

No related companies by address

Date of last update: 25 Mar 2025

Sources: New York Secretary of State

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