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  5. NEW YORK DERMATOLOGY, P.C.

NEW YORK DERMATOLOGY, P.C.

Company Details

Name: NEW YORK DERMATOLOGY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 Feb 1994 (31 years ago)
Entity Number: 1796207
ZIP code: 11360
County: Queens
Place of Formation: New York
Address: 23-83 BELL BLVD, BAYSIDE, NY, United States, 11360

Contact Details

Phone +1 718-423-0200

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
NEW YORK DERMATOLOGY, P.C. PROFIT SHARING PLAN AND TRUST 2023 113212960 2024-05-08 NEW YORK DERMATOLOGY, P.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7184230200
Plan sponsor’s address 23-83 BELL BLVD, BAYSIDE, NY, 11360

Signature of
Role Plan administrator
Date 2024-05-08
Name of individual signing JORDAN ZUCKERMAN
NEW YORK DERMATOLOGY, P.C. PROFIT SHARING PLAN AND TRUST 2022 113212960 2023-07-06 NEW YORK DERMATOLOGY, P.C. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7184230200
Plan sponsor’s address 23-83 BELL BLVD, BAYSIDE, NY, 11360

Signature of
Role Plan administrator
Date 2023-07-06
Name of individual signing JORDAN ZUCKERMAN
NEW YORK DERMATOLOGY, P.C. PROFIT SHARING PLAN AND TRUST 2021 113212960 2022-06-27 NEW YORK DERMATOLOGY, P.C. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7184230200
Plan sponsor’s address 23-83 BELL BLVD, BAYSIDE, NY, 11360

Signature of
Role Plan administrator
Date 2022-06-27
Name of individual signing JORDAN ZUCKERMAN
NEW YORK DERMATOLOGY, P.C. PROFIT SHARING PLAN AND TRUST 2020 113212960 2021-09-09 NEW YORK DERMATOLOGY, P.C. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7184230200
Plan sponsor’s address 23-83 BELL BLVD, BAYSIDE, NY, 11360

Signature of
Role Plan administrator
Date 2021-09-09
Name of individual signing JORDAN ZUCKERMAN
NEW YORK DERMATOLOGY, P.C. PROFIT SHARING PLAN AND TRUST 2019 113212960 2020-10-10 NEW YORK DERMATOLOGY, P.C. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7184230200
Plan sponsor’s address 23-83 BELL BLVD., BAYSIDE, NY, 11360

Plan administrator’s name and address
Administrator’s EIN 113212960
Plan administrator’s name NEW YORK DERMATOLOGY, P.C.
Plan administrator’s address 23-83 BELL BLVD., BAYSIDE, NY, 11360
Administrator’s telephone number 7184230200

Signature of
Role Plan administrator
Date 2020-10-10
Name of individual signing JORDAN ZUCKERMAN
NEW YORK DERMATOLOGY, P.C. PROFIT SHARING PLAN AND TRUST 2018 113212960 2019-09-05 NEW YORK DERMATOLOGY, P.C. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7184230200
Plan sponsor’s address 23-83 BELL BLVD., BAYSIDE, NY, 11360

Plan administrator’s name and address
Administrator’s EIN 113212960
Plan administrator’s name NEW YORK DERMATOLOGY, P.C.
Plan administrator’s address 23-83 BELL BLVD., BAYSIDE, NY, 11360
Administrator’s telephone number 7184230200

Signature of
Role Plan administrator
Date 2019-09-05
Name of individual signing JORDAN ZUCKERMAN
NEW YORK DERMATOLOGY, P.C. PROFIT SHARING PLAN AND TRUST 2017 113212960 2018-06-20 NEW YORK DERMATOLOGY, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7184230200
Plan sponsor’s address 23-83 BELL BLVD., BAYSIDE, NY, 11360

Plan administrator’s name and address
Administrator’s EIN 113212960
Plan administrator’s name NEW YORK DERMATOLOGY, P.C.
Plan administrator’s address 23-83 BELL BLVD., BAYSIDE, NY, 11360
Administrator’s telephone number 7184230200

Signature of
Role Plan administrator
Date 2018-06-20
Name of individual signing JORDAN ZUCKERMAN
NEW YORK DERMATOLOGY, P.C. PROFIT SHARING PLAN AND TRUST 2016 113212960 2017-10-16 NEW YORK DERMATOLOGY, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7184230200
Plan sponsor’s address 23-83 BELL BLVD., BAYSIDE, NY, 11360

Plan administrator’s name and address
Administrator’s EIN 113212960
Plan administrator’s name NEW YORK DERMATOLOGY, P.C.
Plan administrator’s address 23-83 BELL BLVD., BAYSIDE, NY, 11360
Administrator’s telephone number 7184230200

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing JORDAN ZUCKERMAN
NEW YORK DERMATOLOGY, P.C. PROFIT SHARING PLAN AND TRUST 2015 113212960 2016-09-08 NEW YORK DERMATOLOGY, P.C. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7184230200
Plan sponsor’s address 23-83 BELL BLVD., BAYSIDE, NY, 11360

Plan administrator’s name and address
Administrator’s EIN 113212960
Plan administrator’s name NEW YORK DERMATOLOGY, P.C.
Plan administrator’s address 23-83 BELL BLVD., BAYSIDE, NY, 11360
Administrator’s telephone number 7184230200

Signature of
Role Plan administrator
Date 2016-09-08
Name of individual signing JORDAN ZUCKERMAN
NEW YORK DERMATOLOGY, P.C. PROFIT SHARING PLAN AND TRUST 2014 113212960 2015-09-01 NEW YORK DERMATOLOGY, P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 7184230200
Plan sponsor’s address 23-83 BELL BLVD., BAYSIDE, NY, 11360

Plan administrator’s name and address
Administrator’s EIN 113212960
Plan administrator’s name NEW YORK DERMATOLOGY, P.C.
Plan administrator’s address 23-83 BELL BLVD., BAYSIDE, NY, 11360
Administrator’s telephone number 7184230200

Signature of
Role Plan administrator
Date 2015-09-01
Name of individual signing JORDAN ZUCKERMAN

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 23-83 BELL BLVD, BAYSIDE, NY, United States, 11360

Chief Executive Officer

Name Role Address
JORDAN ZUCKERMAN MD Chief Executive Officer 23-83 BELL BLVD, BAYSIDE, NY, United States, 11360

History

Start date End date Type Value
2004-02-02 2006-03-02 Address 23-83 BELL BLVD, UPPER LEVEL, BAYSIDE, NY, 11360, USA (Type of address: Service of Process)
2004-02-02 2006-03-02 Address 23-83 BELL BLVD, UPPER LEVEL, BAYSIDE, NY, 11360, USA (Type of address: Principal Executive Office)
2004-02-02 2006-03-02 Address 23-83 BELL BLVD, UPPER LEVEL, BAYSIDE, NY, 11360, USA (Type of address: Chief Executive Officer)
1998-02-03 2004-02-02 Address C/O JORDAN ZUCKERMAN, 23-91 BELL BLVD, SUITE 204, BAYSIDE, NY, 11364, USA (Type of address: Principal Executive Office)
1998-02-03 2004-02-02 Address 23-91 BELL BLVD., SUITE 204, BAYSIDE, NY, 11364, USA (Type of address: Chief Executive Officer)
1998-02-03 2004-02-02 Address 23-91 BELL BOULEVARD, SUITE 204, BAYSIDE, NY, 11360, USA (Type of address: Service of Process)
1996-04-16 1998-02-03 Address 23-91 BELL BLVD, 204, BAYSIDE, NY, 11360, USA (Type of address: Principal Executive Office)
1996-04-16 1998-02-03 Address 14-21 BELL BLVD, BAYSIDE, NY, 11360, USA (Type of address: Chief Executive Officer)
1994-02-16 1998-02-03 Address 23-91 BELL BOULEVARD, SUITE 204, BAYSIDE, NY, 11360, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140404002066 2014-04-04 BIENNIAL STATEMENT 2014-02-01
120321002703 2012-03-21 BIENNIAL STATEMENT 2012-02-01
100315002551 2010-03-15 BIENNIAL STATEMENT 2010-02-01
080205002616 2008-02-05 BIENNIAL STATEMENT 2008-02-01
060302002365 2006-03-02 BIENNIAL STATEMENT 2006-02-01
040202002708 2004-02-02 BIENNIAL STATEMENT 2004-02-01
020204002717 2002-02-04 BIENNIAL STATEMENT 2002-02-01
000302002006 2000-03-02 BIENNIAL STATEMENT 2000-02-01
980203002508 1998-02-03 BIENNIAL STATEMENT 1998-02-01
960416002122 1996-04-16 BIENNIAL STATEMENT 1996-02-01

Related by officers

THE CORPORATION

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Related by address

No related companies by address

Date of last update: 13 Nov 2024

Sources: New York Secretary of State

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