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SOUTHERN WESTCHESTER DERMATOLOGY, P.C.

Company Details

Name: SOUTHERN WESTCHESTER DERMATOLOGY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 23 Feb 1994 (31 years ago)
Entity Number: 1797531
County: Westchester
Date of dissolution: 19 May 2022
Place of Formation: New York
Address: 1 ELM ST, STE 2B, TUCKAHOE, NY, United States, 10707
Address ZIP Code: 10707
Principal Address: 1 ELM STREET, STE 2B, TUCKAHOE, NY, United States, 10707
Principal Address ZIP Code: 10707

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
SOUTHERN WESTCHESTER DERMATOLOGY, P.C. RETIREMENT PLAN 2021 133745265 2022-09-19 SOUTHERN WESTCHESTER DERMATOLOGY, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 9143379100
Plan sponsor’s address 1 ELM ST.,PARKWAY MED. PLAZA ST 2B, TUCKAHOE, NY, 107073925
SOUTHERN WESTCHESTER DERMATOLOGY, P.C. RETIREMENT PLAN 2020 133745265 2021-07-20 SOUTHERN WESTCHESTER DERMATOLOGY, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 9143379100
Plan sponsor’s address 1 ELM ST.,PARKWAY MED. PLAZA ST 2B, TUCKAHOE, NY, 107073925
SOUTHERN WESTCHESTER DERMATOLOGY, P.C. RETIREMENT PLAN 2019 133745265 2020-06-17 SOUTHERN WESTCHESTER DERMATOLOGY, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 9143379100
Plan sponsor’s address 1 ELM ST.,PARKWAY MED. PLAZA ST 2B, TUCKAHOE, NY, 107073925
SOUTHERN WESTCHESTER DERMATOLOGY, P.C. RETIREMENT PLAN 2018 133745265 2019-08-07 SOUTHERN WESTCHESTER DERMATOLOGY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 9143379100
Plan sponsor’s address 1 ELM ST.,PARKWAY MED. PLAZA ST 2B, TUCKAHOE, NY, 107073925

Signature of

Role Plan administrator
Date 2019-08-07
Name of individual signing ELLEN TEPLITZ, M.D.
SOUTHERN WESTCHESTER DERMATOLOGY, P.C. RETIREMENT PLAN 2017 133745265 2018-03-14 SOUTHERN WESTCHESTER DERMATOLOGY, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 9143379100
Plan sponsor’s address 1 ELM ST.,PARKWAY MED. PLAZA ST 2B, TUCKAHOE, NY, 107073925

Signature of

Role Plan administrator
Date 2018-03-14
Name of individual signing ELLEN TEPLITZ, M.D.
Role Employer/plan sponsor
Date 2018-03-14
Name of individual signing ELLEN TEPLITZ, M.D.
SOUTHERN WESTCHESTER DERMATOLOGY, P.C. RETIREMENT PLAN 2016 133745265 2017-03-29 SOUTHERN WESTCHESTER DERMATOLOGY, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 9143379100
Plan sponsor’s address 1 ELM ST.,PARKWAY MED. PLAZA ST 2B, TUCKAHOE, NY, 107073925

Signature of

Role Plan administrator
Date 2017-03-29
Name of individual signing ELLEN TEPLITZ, M.D.
Role Employer/plan sponsor
Date 2017-03-29
Name of individual signing ELLEN TEPLITZ, M.D.
SOUTHERN WESTCHESTER DERMATOLOGY, P.C. RETIREMENT PLAN 2015 133745265 2016-05-18 SOUTHERN WESTCHESTER DERMATOLOGY, P.C. 7
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 9143379100
Plan sponsor’s address 1 ELM ST.,PARKWAY MED. PLAZA ST 2B, TUCKAHOE, NY, 107073925

Signature of

Role Plan administrator
Date 2016-05-18
Name of individual signing ELLEN TEPLITZ, M.D.
Role Employer/plan sponsor
Date 2016-05-18
Name of individual signing ELLEN TEPLITZ, M.D.
SOUTHERN WESTCHESTER DERMATOLOGY, P.C. RETIREMENT PLAN 2015 133745265 2016-05-24 SOUTHERN WESTCHESTER DERMATOLOGY, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 9143379100
Plan sponsor’s address 1 ELM ST.,PARKWAY MED. PLAZA ST 2B, TUCKAHOE, NY, 107073925

Signature of

Role Plan administrator
Date 2016-05-24
Name of individual signing ELLEN TEPLITZ, M.D.
Role Employer/plan sponsor
Date 2016-05-24
Name of individual signing ELLEN TEPLITZ, M.D.
SOUTHERN WESTCHESTER DERMATOLOGY, P.C. RETIREMENT PLAN 2015 133745265 2016-05-18 SOUTHERN WESTCHESTER DERMATOLOGY, P.C. 7
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 9143379100
Plan sponsor’s address 1 ELM ST.,PARKWAY MED. PLAZA ST 2B, TUCKAHOE, NY, 107073925

Signature of

Role Plan administrator
Date 2016-05-18
Name of individual signing ELLEN TEPLITZ, M.D.
Role Employer/plan sponsor
Date 2016-05-18
Name of individual signing ELLEN TEPLITZ, M.D.
SOUTHERN WESTCHESTER DERMATOLOGY, P.C. RETIREMENT PLAN 2014 133745265 2015-06-19 SOUTHERN WESTCHESTER DERMATOLOGY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 9143379100
Plan sponsor’s address 1 ELM ST.,PARKWAY MED. PLAZA ST 2B, TUCKAHOE, NY, 107073925

Signature of

Role Plan administrator
Date 2015-06-19
Name of individual signing ELLEN TEPLITZ, M.D.
Role Employer/plan sponsor
Date 2015-06-19
Name of individual signing ELLEN TEPLITZ, M.D.

Chief Executive Officer

Name Role Address
ELLEN D TEPLITZ M.D. Chief Executive Officer 1 ELM STREET, STE 2B, TUCKAHOE, NY, United States, 10707

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1 ELM ST, STE 2B, TUCKAHOE, NY, United States, 10707

History

Start date End date Type Value
2014-04-09 2022-06-01 Address 1 ELM STREET, STE 2B, TUCKAHOE, NY, 10707, USA (Type of address: Chief Executive Officer)
2014-04-09 2022-06-01 Address 1 ELM ST, STE 2B, TUCKAHOE, NY, 10707, USA (Type of address: Service of Process)
2010-03-16 2014-04-09 Address 1 ELM STREET SUITE 2B, TUCKAHOE, NY, 10707, USA (Type of address: Principal Executive Office)
2010-03-16 2014-04-09 Address 1 ELM ST SUITE 2B, TUCKAHOE, NY, 10707, USA (Type of address: Service of Process)
2010-03-16 2014-04-09 Address 1 ELM STREET SUITE 2B, TUCKAHOE, NY, 10707, USA (Type of address: Chief Executive Officer)
2000-03-08 2010-03-16 Address ONE ELM STREET SUITE 2B, TUCKAHOE, NY, 10707, USA (Type of address: Chief Executive Officer)
1996-02-28 2010-03-16 Address ONE ELM STREET SUITE 2B, TUCKAHOE, NY, 10707, USA (Type of address: Principal Executive Office)
1996-02-28 2000-03-08 Address ONE ELM ST SUITE 2B, TUCKAHOE, NY, 10707, USA (Type of address: Chief Executive Officer)
1996-02-28 2010-03-16 Address ONE ELM ST SUITE 2B, TUCKAHOE, NY, 10707, USA (Type of address: Service of Process)
1994-02-23 1996-02-28 Address 140 SOUTH MORRIS LANE, SCARSDALE, NY, 10583, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
220601002822 2022-05-19 CERTIFICATE OF DISSOLUTION-CANCELLATION 2022-05-19
140409002184 2014-04-09 BIENNIAL STATEMENT 2014-02-01
120330002472 2012-03-30 BIENNIAL STATEMENT 2012-02-01
100316002328 2010-03-16 BIENNIAL STATEMENT 2010-02-01
090727000037 2009-07-27 ANNULMENT OF DISSOLUTION 2009-07-27
DP-1741075 2004-12-29 DISSOLUTION BY PROCLAMATION 2004-12-29
040303002509 2004-03-03 BIENNIAL STATEMENT 2004-02-01
020201002101 2002-02-01 BIENNIAL STATEMENT 2002-02-01
000308002619 2000-03-08 BIENNIAL STATEMENT 2000-02-01
980310002557 1998-03-10 BIENNIAL STATEMENT 1998-02-01

Date of last update: 13 Nov 2024

Sources: New York Secretary of State