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  5. CAPITAL DISTRICT DERMATOLOGY ASSOCIATES, P.C.

CAPITAL DISTRICT DERMATOLOGY ASSOCIATES, P.C.

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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

DOS Process Agent

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

National Provider Identifier

NPI Number:
1932281524
Link:
View on NPI website

Authorized Person:

Name:
JEROME C HILL
Role:
MD
Phone:
5184558708

Taxonomy:

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

Contacts:

Phone:
+1 518-434-8121
Fax:
5184260620

Form 5500 Series

Employer Identification Number (EIN):
141620481
Plan Year:
2023
Number Of Participants:
11
Sponsors Telephone Number:
5184348121
File:
View File
Plan Year:
2022
Number Of Participants:
10
Sponsors Telephone Number:
5184348121
File:
View File
Plan Year:
2021
Number Of Participants:
8
Sponsors Telephone Number:
5184348121
File:
View File
Plan Year:
2020
Number Of Participants:
8
Sponsors Telephone Number:
5184348121
File:
View File
Plan Year:
2019
Number Of Participants:
8
Sponsors Telephone Number:
5184348121
File:
View File

Filings

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

USAspending Awards / Financial Assistance

Date:
2021-02-09
Link:
View on USAspending
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:
116189.00
Total Face Value Of Loan:
116189.00
Date:
2020-04-11
Link:
View on USAspending
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

Jobs Reported:
10
Initial Approval Amount:
$116,189
Date Approved:
2021-02-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$116,189
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$117,134.43
Servicing Lender:
KeyBank National Association
Use of Proceeds:
Payroll: $116,188
Jobs Reported:
12
Initial Approval Amount:
$115,000
Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$115,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$116,294.93
Servicing Lender:
KeyBank National Association
Use of Proceeds:
Payroll: $115,000

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Related by address

747 MADISON AVE., ALBANY, NY, United States, 12208

C. MAYNARD GUEST, M. D. P. C. WASHINGTON PARK YOGA LLC MADISON HEARING CENTER INC. BUENAU'S OPTICIANS OF MADISON AVENUE, INC. CAPITAL DISTRICT EYE PHYSICIANS & SURGEONS, P.C. RICHARD BOEHLER, M.D., P.C. C.R. WIRTH, LLC

Date of last update: 17 Mar 2025

Sources: New York Secretary of State

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