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DERMATOLOGY ASSOCIATES, P.C.

Company Details

Entity Name: DERMATOLOGY ASSOCIATES, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Date Formed: 31 Dec 1985 (Companies founded in December 1985)
Date of dissolution: 02 Dec 2020
Business ALEI: 0178294
Annual report due: 29 Dec 2020
Business address: ONE LONG WHARF DR, NEW HAVEN, CT, 06511, United States
Mailing address: ONE LONG WHARF DR, NEW HAVEN, CT, United States, 06511
ZIP code: 06511 (Companies in New Haven, 06511)
County: New Haven
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: mgoldst@optonline.net

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DERMATOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2018 061157621 2019-07-10 DERMATOLOGY ASSOCIATES, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 2037874171
Plan sponsor’s address ONE LONG WHARF DRIVE, NEW HAVEN, CT, 065115991

Signature of
Role Plan administrator
Date 2019-07-09
Name of individual signing MARK GOLDSTEIN
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2018 061157621 2019-07-10 DERMATOLOGY ASSOCIATES, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 2037874171
Plan sponsor’s address ONE LONG WHARF DRIVE, NEW HAVEN, CT, 065115991

Signature of
Role Plan administrator
Date 2019-07-09
Name of individual signing MARK GOLDSTEIN
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2017 061157621 2018-05-09 DERMATOLOGY ASSOCIATES, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 2037874171
Plan sponsor’s address ONE LONG WHARF DRIVE, NEW HAVEN, CT, 065115991

Signature of
Role Plan administrator
Date 2018-05-07
Name of individual signing MARK GOLDSTEIN
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2016 061157621 2017-03-28 DERMATOLOGY ASSOCIATES, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 2037874171
Plan sponsor’s address ONE LONG WHARF DRIVE, NEW HAVEN, CT, 065115991

Signature of
Role Plan administrator
Date 2017-03-27
Name of individual signing MARK GOLDSTEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-03-27
Name of individual signing MARK GOLDSTEIN
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2015 061157621 2016-09-24 DERMATOLOGY ASSOCIATES, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 2037874171
Plan sponsor’s address ONE LONG WHARF DRIVE, NEW HAVEN, CT, 065115991

Signature of
Role Plan administrator
Date 2016-09-24
Name of individual signing MARK GOLDSTEIN
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2014 061157621 2015-08-27 DERMATOLOGY ASSOCIATES, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 2037874171
Plan sponsor’s address ONE LONG WHARF DRIVE, NEW HAVEN, CT, 065115991

Signature of
Role Plan administrator
Date 2015-08-26
Name of individual signing MARK GOLDSTEIN
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2013 061157621 2014-06-06 DERMATOLOGY ASSOCIATES, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 2037874171
Plan sponsor’s address ONE LONG WHARF DRIVE #30, NEW HAVEN, CT, 065115991

Signature of
Role Plan administrator
Date 2014-06-06
Name of individual signing MARK GOLDSTEIN
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2012 061157621 2013-06-03 DERMATOLOGY ASSOCIATES, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 2037874171
Plan sponsor’s address ONE LONG WHARF DRIVE #30, NEW HAVEN, CT, 065115991

Signature of
Role Plan administrator
Date 2013-06-02
Name of individual signing MARK GOLDSTEIN
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2011 061157621 2012-07-16 DERMATOLOGY ASSOCIATES, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 2037874171
Plan sponsor’s address ONE LONG WHARF DRIVE #30, NEW HAVEN, CT, 065115991

Plan administrator’s name and address
Administrator’s EIN 061157621
Plan administrator’s name DERMATOLOGY ASSOCIATES, P.C.
Plan administrator’s address ONE LONG WHARF DRIVE #30, NEW HAVEN, CT, 065115991
Administrator’s telephone number 2037874171

Signature of
Role Plan administrator
Date 2012-07-15
Name of individual signing MARK GOLDSTEIN
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2010 061157621 2011-07-25 DERMATOLOGY ASSOCIATES, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 2037874171
Plan sponsor’s address ONE LONG WHARF DRIVE #30, NEW HAVEN, CT, 065115991

Plan administrator’s name and address
Administrator’s EIN 061157621
Plan administrator’s name DERMATOLOGY ASSOCIATES, P.C.
Plan administrator’s address ONE LONG WHARF DRIVE #30, NEW HAVEN, CT, 065115991
Administrator’s telephone number 2037874171

Signature of
Role Plan administrator
Date 2011-07-24
Name of individual signing MARK GOLDSTEIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address E-Mail Residence address
MARK J GOLDSTEIN Agent 2 CHURCH STREET SOUTH, NEW HAVEN, CT, 06519, United States mgoldst@optonline.net 12 NORWOOD LANE, WESTPORT, CT, 06880, United States

Officer

Name Role Business address Residence address
MARK J. GOLDSTEIN Officer ONE LONG WHARF DR, NEW HAVEN, CT, 06511, United States 57 OLD HILL RD., WESTPORT, CT, 06880, United States
VICKI VOLPER Officer ONE LONG WHARF DR, NEW HAVEN, CT, 06511, United States 57 OLD HILL RD., WESTPORT, CT, 06880, United States

History

Type Old value New value Date of change
Name change MARK GOLDSTEIN, M.D., P.C. DERMATOLOGY ASSOCIATES, P.C. 1986-01-28

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0007030068 2020-12-02 2020-12-02 Dissolution Certificate of Dissolution No data
0006700815 2019-12-23 No data Annual Report Annual Report 2019
0006277917 2018-11-15 No data Annual Report Annual Report 2018
0006177181 2018-05-04 No data Annual Report Annual Report 2016
0006177190 2018-05-04 No data Annual Report Annual Report 2017
0005527865 2016-03-21 No data Annual Report Annual Report 2015
0005527863 2016-03-21 No data Annual Report Annual Report 2014
0005084708 2014-04-07 No data Annual Report Annual Report 2013
0004793449 2013-01-02 No data Annual Report Annual Report 2012
0004657775 2011-12-05 No data Annual Report Annual Report 2011

Related by officers

No related officers

Related by address

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Date of last update: 04 Nov 2024

Sources: Connecticut's Official State Website

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