| Name: | CLOUDLAKE DERMATOLOGY PLLC |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY |
| Status: | Active |
| Date of registration: | 05 Aug 2016 (8 years ago) (Companies founded in August 2016) |
| Entity Number: | 4989152 |
| ZIP code: | 11753 (Companies in Nassau, 11753) |
| County: | Nassau |
| Place of Formation: | New York |
| Address: | 400 NORTH BROADWAY, JERICHO, NY, United States, 11753 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CLOUDLAKE DERMATOLOGY PLLC 401(K) PLAN | 2023 | 823860712 | 2024-07-25 | CLOUDLAKE DERMATOLOGY PLLC | 3 | |||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-25 |
| Name of individual signing | SARIKA BANKER |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 5169926350 |
| Plan sponsor’s address | 400 NORTH BROADWAY, JERICHO, NY, 11753 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-10 |
| Name of individual signing | SARIKA BANKER |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 5169926350 |
| Plan sponsor’s address | 400 NORTH BROADWAY, JERICHO, NY, 11753 |
Signature of
| Role | Plan administrator |
| Date | 2022-08-16 |
| Name of individual signing | SARIKA BANKER |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 5169926350 |
| Plan sponsor’s address | 400 NORTH BROADWAY, JERICHO, NY, 11753 |
Signature of
| Role | Plan administrator |
| Date | 2021-04-13 |
| Name of individual signing | SARIKA BANKER |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 5169926350 |
| Plan sponsor’s address | 400 NORTH BROADWAY, JERICHO, NY, 11753 |
Signature of
| Role | Plan administrator |
| Date | 2020-06-11 |
| Name of individual signing | SARIKA BANKER |
| Name | Role | Address |
|---|---|---|
| THE LLC | DOS Process Agent | 400 NORTH BROADWAY, JERICHO, NY, United States, 11753 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 161007000205 | 2016-10-07 | CERTIFICATE OF PUBLICATION | 2016-10-07 |
| 160805000668 | 2016-08-05 | ARTICLES OF ORGANIZATION | 2016-08-05 |
Date of last update: 05 Nov 2024
Sources: New York Secretary of State
