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CAPITAL DISTRICT DERMATOLOGY ASSOCIATES, P.C.

Company Details

Name: CAPITAL DISTRICT DERMATOLOGY ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 Oct 1980 (45 years ago)
Entity Number: 653856
ZIP code: 12208
County: Albany
Place of Formation: New York
Address: 747 MADISON AVE., ALBANY, NY, United States, 12208

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
CAPITAL DISTRICT DERMATOLOGY ASSOC., PC PROFIT SHARING/401(K) PLAN 2009 141620481 2011-01-06 CAPITAL DISTRICT DERMATOLOGY ASSOCIATES, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-10-01
Business code 621111
Sponsor’s telephone number 5184348121
Plan sponsor’s address 450 ROUTE 9W, GLENMONT, NY, 12077

Plan administrator’s name and address

Administrator’s EIN 141620481
Plan administrator’s name CAPITAL DISTRICT DERMATOLOGY ASSOCIATES, P.C.
Plan administrator’s address 450 ROUTE 9W, GLENMONT, NY, 12077
Administrator’s telephone number 5184348121

Signature of

Role Plan administrator
Date 2011-01-06
Name of individual signing JEROME HILL, M.D.
CAPITAL DISTRICT DERMATOLOGY ASSOC., PC PROFIT SHARING/401(K) PLAN 2009 141620481 2011-01-06 CAPITAL DISTRICT DERMATOLOGY ASSOCIATES, P.C. 7
Three-digit plan number (PN) 001
Effective date of plan 1980-10-01
Business code 621111
Sponsor’s telephone number 5184348121
Plan sponsor’s address 450 ROUTE 9W, GLENMONT, NY, 12077

Plan administrator’s name and address

Administrator’s EIN 141620481
Plan administrator’s name CAPITAL DISTRICT DERMATOLOGY ASSOCIATES, P.C.
Plan administrator’s address 450 ROUTE 9W, GLENMONT, NY, 12077
Administrator’s telephone number 5184348121

Signature of

Role Plan administrator
Date 2011-01-06
Name of individual signing JEROME HILL, M.D.
CAPITAL DISTRICT DERMATOLOGY ASSOC., PC PROFIT SHARING/401(K) PLAN 2009 141620481 2011-01-06 CAPITAL DISTRICT DERMATOLOGY ASSOCIATES, P.C. 7
Three-digit plan number (PN) 001
Effective date of plan 1980-10-01
Business code 621111
Sponsor’s telephone number 5184348121
Plan sponsor’s address 450 ROUTE 9W, GLENMONT, NY, 12077

Plan administrator’s name and address

Administrator’s EIN 141620481
Plan administrator’s name CAPITAL DISTRICT DERMATOLOGY ASSOCIATES, P.C.
Plan administrator’s address 450 ROUTE 9W, GLENMONT, NY, 12077
Administrator’s telephone number 5184348121

Signature of

Role Plan administrator
Date 2011-01-06
Name of individual signing JEROME HILL, M.D.

DOS Process Agent

Name Role Address
CAPITAL DISTRICT DERMATOLOGY ASSOCIATES, P.C. DOS Process Agent 747 MADISON AVE., ALBANY, NY, United States, 12208

Filings

Filing Number Date Filed Type Effective Date
A702545-5 1980-10-01 CERTIFICATE OF INCORPORATION 1980-10-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5776318403 2021-02-09 0248 PPS 450 Route 9W, Glenmont, NY, 12077-3327
Loan Status Date 2022-01-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 116189
Loan Approval Amount (current) 116189
Undisbursed Amount 0
Franchise Name -
Lender Location ID 56102
Servicing Lender Name KeyBank National Association
Servicing Lender Address 127 Public Sq, CLEVELAND, OH, 44114-1217
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Glenmont, ALBANY, NY, 12077-3327
Project Congressional District NY-20
Number of Employees 10
NAICS code 541990
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 56102
Originating Lender Name KeyBank National Association
Originating Lender Address CLEVELAND, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 117134.43
Forgiveness Paid Date 2021-12-14
1190067104 2020-04-10 0248 PPP 450 Route 9W, GLENMONT, NY, 12077
Loan Status Date 2021-07-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 115000
Loan Approval Amount (current) 115000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 56102
Servicing Lender Name KeyBank National Association
Servicing Lender Address 127 Public Sq, CLEVELAND, OH, 44114-1217
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address GLENMONT, ALBANY, NY, 12077-0001
Project Congressional District NY-20
Number of Employees 12
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 56102
Originating Lender Name KeyBank National Association
Originating Lender Address CLEVELAND, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 116294.93
Forgiveness Paid Date 2021-06-09

Date of last update: 17 Mar 2025

Sources: New York Secretary of State