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MANHASSET DERMATOLOGY, P.C.

Company Details

Name: MANHASSET DERMATOLOGY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 Jun 1995 (29 years ago)
Entity Number: 1932899
County: Nassau
Place of Formation: New York
Address: 1165 NORTHERN BLVD, STE 405, MANHASSET, NY, United States, 11030
Address ZIP Code: 11030

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
MANHASSET DERMATOLOGY, P.C. PROFIT SHARING PLAN 2023 113271549 2024-04-08 MANHASSET DERMATOLOGY, P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 5163658030
Plan sponsor’s address 1165 NORTHERN BLVD., SUITE 405, MANHASSET, NY, 110303048

Signature of
Role Plan administrator
Date 2024-04-08
Name of individual signing JOHN WALCZYK
MANHASSET DERMATOLOGY, P.C. PROFIT SHARING PLAN 2022 113271549 2023-04-19 MANHASSET DERMATOLOGY, P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 5163658030
Plan sponsor’s address 1165 NORTHERN BLVD., SUITE 405, MANHASSET, NY, 110303048

Signature of
Role Plan administrator
Date 2023-04-19
Name of individual signing JOHN WALCZYK
Role Employer/plan sponsor
Date 2023-04-19
Name of individual signing JOHN WALCZYK
MANHASSET DERMATOLOGY, P.C. PROFIT SHARING PLAN 2021 113271549 2022-03-07 MANHASSET DERMATOLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 5163658030
Plan sponsor’s address 1165 NORTHERN BLVD., SUITE 405, MANHASSET, NY, 110303048

Signature of
Role Plan administrator
Date 2022-03-07
Name of individual signing JOHN WALCZYK
MANHASSET DERMATOLOGY, P.C. PROFIT SHARING PLAN 2020 113271549 2021-02-17 MANHASSET DERMATOLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 5163658030
Plan sponsor’s address 1165 NORTHERN BLVD., SUITE 405, MANHASSET, NY, 110303048

Signature of
Role Plan administrator
Date 2021-02-17
Name of individual signing JOHN WALCZYK
MANHASSET DERMATOLOGY, P.C. PROFIT SHARING PLAN 2019 113271549 2020-03-31 MANHASSET DERMATOLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 5163658030
Plan sponsor’s address 1165 NORTHERN BLVD., SUITE 405, MANHASSET, NY, 110303048

Signature of
Role Plan administrator
Date 2020-03-31
Name of individual signing JOHN WALCZYK
MANHASSET DERMATOLOGY, P.C. PROFIT SHARING PLAN 2018 113271549 2019-02-05 MANHASSET DERMATOLOGY, P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 5163658030
Plan sponsor’s address 1165 NORTHERN BLVD., SUITE 405, MANHASSET, NY, 110303048

Signature of
Role Plan administrator
Date 2019-02-05
Name of individual signing JOHN WALCZYK
Role Employer/plan sponsor
Date 2019-02-05
Name of individual signing JOHN WALCZYK
MANHASSET DERMATOLOGY, P.C. PROFIT SHARING PLAN 2017 113271549 2018-02-12 MANHASSET DERMATOLOGY, P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 5163658030
Plan sponsor’s address 1165 NORTHERN BLVD., SUITE 405, MANHASSET, NY, 110303048

Signature of
Role Plan administrator
Date 2018-02-12
Name of individual signing JOHN WALCZYK
MANHASSET DERMATOLOGY, P.C. PROFIT SHARING PLAN 2016 113271549 2017-03-09 MANHASSET DERMATOLOGY, P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 5163658030
Plan sponsor’s address 1165 NORTHERN BLVD., SUITE 405, MANHASSET, NY, 110303048

Signature of
Role Plan administrator
Date 2017-03-09
Name of individual signing JOHN WALCZYK
MANHASSET DERMATOLOGY, P.C. PROFIT SHARING PLAN 2015 113271549 2016-03-09 MANHASSET DERMATOLOGY, P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 5163658030
Plan sponsor’s address 1165 NORTHERN BLVD., SUITE 405, MANHASSET, NY, 110303048

Signature of
Role Plan administrator
Date 2016-03-09
Name of individual signing JOHN WALCZYK
MANHASSET DERMATOLOGY, P.C. PROFIT SHARING PLAN 2014 113271549 2015-10-01 MANHASSET DERMATOLOGY, P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 5163658030
Plan sponsor’s address 1165 NORTHERN BLVD., SUITE 405, MANHASSET, NY, 110303048

Signature of
Role Plan administrator
Date 2015-10-01
Name of individual signing JOHN WALCZYK

Chief Executive Officer

Name Role Address
JOHN WALCZYK MD Chief Executive Officer 1165 NORTHERN BLVD, STE 405, MANHASSET, NY, United States, 11030

DOS Process Agent

Name Role Address
MANHASSET DERMATOLOGY, P.C. DOS Process Agent 1165 NORTHERN BLVD, STE 405, MANHASSET, NY, United States, 11030

History

Start date End date Type Value
2007-07-25 2021-06-02 Address 1165 NORTHERN BLVD, STE 405, MANHASSET, NY, 11030, USA (Type of address: Service of Process)
1997-06-12 2007-07-25 Address 106 BRIXTON RD, GARDEN CITY, NY, 11530, USA (Type of address: Chief Executive Officer)
1997-06-12 2007-07-25 Address 106 BRIXTON RD, GARDEN CITY, NY, 11530, USA (Type of address: Principal Executive Office)
1997-06-12 2007-07-25 Address 106 BRIXTON RD, GARDEN CITY, NY, 11530, USA (Type of address: Service of Process)
1995-06-21 1997-06-12 Address 215 ELDERFIELDS ROAD, MANHASSET, NY, 11030, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210602060540 2021-06-02 BIENNIAL STATEMENT 2021-06-01
190603061777 2019-06-03 BIENNIAL STATEMENT 2019-06-01
170601006519 2017-06-01 BIENNIAL STATEMENT 2017-06-01
150601006385 2015-06-01 BIENNIAL STATEMENT 2015-06-01
130605006794 2013-06-05 BIENNIAL STATEMENT 2013-06-01
110615003000 2011-06-15 BIENNIAL STATEMENT 2011-06-01
090527002010 2009-05-27 BIENNIAL STATEMENT 2009-06-01
070725002785 2007-07-25 BIENNIAL STATEMENT 2007-06-01
050921000207 2005-09-21 CERTIFICATE OF AMENDMENT 2005-09-21
990706002621 1999-07-06 BIENNIAL STATEMENT 1999-06-01

Related by officers

No related officers

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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