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  5. CAYUGA DERMATOLOGY, PLLC

CAYUGA DERMATOLOGY, PLLC

Company Details

Name: CAYUGA DERMATOLOGY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 03 Mar 2017 (8 years ago)
Entity Number: 5095763
ZIP code: 14850
County: Tompkins
Place of Formation: New York
Address: 821 CLIFF STREET, SUITE 2, ITHACA, NY, United States, 14850

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAYUGA DERMATOLOGY, PLLC 401(K) PLAN 2023 814761740 2024-02-01 CAYUGA DERMATOLOGY, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541990
Sponsor’s telephone number 6073796229
Plan sponsor’s address 821 CLIFF STREET, SUITE 2, ITHACA, NY, 148502097

Signature of
Role Plan administrator
Date 2024-02-01
Name of individual signing ADAM KRANTWEISS
Role Employer/plan sponsor
Date 2024-02-01
Name of individual signing ADAM KRANTWEISS
CAYUGA DERMATOLOGY, PLLC 401(K) PLAN 2022 814761740 2023-05-01 CAYUGA DERMATOLOGY, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541990
Sponsor’s telephone number 6073796229
Plan sponsor’s address 821 CLIFF STREET, SUITE 2, ITHACA, NY, 148502097

Signature of
Role Plan administrator
Date 2023-04-29
Name of individual signing RACHEL GARNER
Role Employer/plan sponsor
Date 2023-04-29
Name of individual signing RACHEL GARNER
CAYUGA DERMATOLOGY, PLLC 401(K) PLAN 2021 814761740 2022-04-18 CAYUGA DERMATOLOGY, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541990
Sponsor’s telephone number 6073796229
Plan sponsor’s address 821 CLIFF STREET, SUITE 2, ITHACA, NY, 148502097

Signature of
Role Plan administrator
Date 2022-04-18
Name of individual signing RACHEL GARNER
Role Employer/plan sponsor
Date 2022-04-18
Name of individual signing RACHEL GARNER
CAYUGA DERMATOLOGY, PLLC 401(K) PLAN 2020 814761740 2021-06-25 CAYUGA DERMATOLOGY, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541990
Sponsor’s telephone number 6073796229
Plan sponsor’s address 821 CLIFF STREET, SUITE 2, ITHACA, NY, 148502097

Signature of
Role Plan administrator
Date 2021-06-24
Name of individual signing ADAM KRANTWEISS
Role Employer/plan sponsor
Date 2021-06-24
Name of individual signing ADAM KRANTWEISS
CAYUGA DERMATOLOGY PLLC 401(K) PLAN 2019 814761740 2020-07-17 CAYUGA DERMATOLOGY PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541990
Sponsor’s telephone number 6073796229
Plan sponsor’s address 821 CLIFF ST STE 2, ITHACA, NY, 148502097

Signature of
Role Plan administrator
Date 2020-07-17
Name of individual signing RACHEL GARNER
CAYUGA DERMATOLOGY PLLC 401(K) PLAN 2018 814761740 2019-07-08 CAYUGA DERMATOLOGY PLLC 5
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 111100
Sponsor’s telephone number 6073796229
Plan sponsor’s address 821 CLIFF STREET, SUITE 2, ITHACA, NY, 14850

Signature of
Role Plan administrator
Date 2019-07-08
Name of individual signing RACHEL GARNER
CAYUGA DERMATOLOGY PLLC 401(K) PLAN 2018 814761740 2019-07-15 CAYUGA DERMATOLOGY PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 111100
Sponsor’s telephone number 6073796229
Plan sponsor’s address 821 CLIFF STREET, SUITE 2, ITHACA, NY, 14850

Signature of
Role Plan administrator
Date 2019-07-15
Name of individual signing RACHEL GARNER

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 821 CLIFF STREET, SUITE 2, ITHACA, NY, United States, 14850

History

Start date End date Type Value
2017-03-03 2017-04-06 Address 10 PEMBROKE LANE, ITHACA, NY, 14850, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
170505000787 2017-05-05 CERTIFICATE OF PUBLICATION 2017-05-05
170406000414 2017-04-06 CERTIFICATE OF CHANGE 2017-04-06
170303000381 2017-03-03 ARTICLES OF ORGANIZATION 2017-03-03

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Date of last update: 23 Nov 2024

Sources: New York Secretary of State

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