| Name: | GREAT NECK DERMATOLOGY, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Inactive |
| Date of registration: | 24 Jun 1971 (53 years ago) |
| Entity Number: | 310064 |
| County: | Nassau |
| Date of dissolution: | 06 Feb 2019 |
| Place of Formation: | New York |
| Address: | 233 EAST SHORE ROAD, GREAT NECK, NY, United States, 11023 |
| Address ZIP Code: | 11023 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GREAT NECK DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN | 2018 | 112234199 | 2019-06-20 | GREAT NECK DERMATOLOGY, P.C. | 10 | |||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||
| Active participants | 1 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 9 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 10 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2019-06-20 |
| Name of individual signing | LUDWIG BACH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5167734500 |
| Plan sponsor’s mailing address | 117 2ND ST APT D4, GARDEN CITY, NY, 115305917 |
| Plan sponsor’s address | 117 2ND ST APT D4, GARDEN CITY, NY, 115305917 |
Number of participants as of the end of the plan year
| Active participants | 1 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 9 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 10 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2018-08-27 |
| Name of individual signing | LUDWIG BACH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5167734500 |
| Plan sponsor’s mailing address | 233 E SHORE RD STE 102, GREAT NECK, NY, 110232433 |
| Plan sponsor’s address | 233 E SHORE RD STE 102, GREAT NECK, NY, 110232433 |
Number of participants as of the end of the plan year
| Active participants | 7 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 7 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 11 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2017-09-29 |
| Name of individual signing | LUDWIG BACH |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 233 EAST SHORE ROAD, GREAT NECK, NY, United States, 11023 |
| Name | Role | Address |
|---|---|---|
| JOHN GAROFALO | Chief Executive Officer | 233 EAST SHORE ROAD, GREAT NECK, NY, United States, 11023 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 1993-06-25 | 2014-02-11 | Name | DAVID E. MILLER, M.D. & JOHN A. GAROFALO, M.D., P.C. |
| 1976-11-24 | 1993-06-25 | Name | JOHN A. HEINLEIN, M.D. & DAVID E. MILLER, M.D., P.C. |
| 1971-06-24 | 1976-11-24 | Name | JOHN A. HEINLEIN, M. D., P. C. |
| 1971-06-24 | 2006-07-06 | Address | 179 COMMUNITY DRIVE, GREAT NECK, NY, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 190206000842 | 2019-02-06 | CERTIFICATE OF DISSOLUTION | 2019-02-06 |
| 161221002006 | 2016-12-21 | BIENNIAL STATEMENT | 2015-06-01 |
| 140211000811 | 2014-02-11 | CERTIFICATE OF AMENDMENT | 2014-02-11 |
| 060706000540 | 2006-07-06 | CERTIFICATE OF CHANGE | 2006-07-06 |
| 20050118020 | 2005-01-18 | ASSUMED NAME CORP INITIAL FILING | 2005-01-18 |
| 930625000377 | 1993-06-25 | CERTIFICATE OF AMENDMENT | 1993-06-25 |
| A358660-4 | 1976-11-24 | CERTIFICATE OF AMENDMENT | 1976-11-24 |
| 916816-5 | 1971-06-24 | CERTIFICATE OF INCORPORATION | 1971-06-24 |
Date of last update: 17 Nov 2024
Sources: New York Secretary of State
