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  5. DERMATOLOGY IN HAMDEN, LLC

DERMATOLOGY IN HAMDEN, LLC

Company Details

Entity Name: DERMATOLOGY IN HAMDEN, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 17 Jan 1997
Date of dissolution: 31 Dec 2019
Business ALEI: 0548509
Business address: 2880 OLD DIXWELL AVENUE, HAMDEN, CT, 06518
ZIP code: 06518
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: phsherline@sbcglobal.net

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DERMATOLOGY IN HAMDEN, LLC 401(K) PROFIT SHARING PLAN 2019 061468032 2020-06-05 DERMATOLOGY IN HAMDEN, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 2032885624
Plan sponsor’s address 495 DEERCLIFF RD, AVON, CT, 06001

Signature of
Role Plan administrator
Date 2020-06-05
Name of individual signing PETER SHERLINE, M.D.
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY IN HAMDEN, LLC 401(K) 2019 061468032 2020-11-19 DERMATOLOGY IN HAMDEN, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 2032885624
Plan sponsor’s address 495 DEERCLIFF RD, AVON, CT, 06001

Signature of
Role Plan administrator
Date 2020-11-19
Name of individual signing PETER SHERLINE, M.D.
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY IN HAMDEN, LLC 401(K) PROFIT SHARING PLAN 2018 061468032 2019-05-06 DERMATOLOGY IN HAMDEN, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 2032885624
Plan sponsor’s address 2880 OLD DIXWELL AVE., HAMDEN, CT, 06518

Signature of
Role Plan administrator
Date 2019-05-06
Name of individual signing PETER SHERLINE, M.D.
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY IN HAMDEN, LLC 401(K) PROFIT SHARING PLAN 2017 061468032 2018-05-31 DERMATOLOGY IN HAMDEN, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 2032885624
Plan sponsor’s address 2880 OLD DIXWELL AVE., HAMDEN, CT, 06518

Signature of
Role Plan administrator
Date 2018-05-31
Name of individual signing PETER SHERLINE, M.D.
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY IN HAMDEN, LLC 401(K) PROFIT SHARING PLAN 2016 061468032 2017-04-11 DERMATOLOGY IN HAMDEN, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 2032885624
Plan sponsor’s address 2880 OLD DIXWELL AVE., HAMDEN, CT, 06518

Signature of
Role Plan administrator
Date 2017-04-11
Name of individual signing PETER SHERLINE, M.D.
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY IN HAMDEN, LLC 401(K) PROFIT SHARING PLAN 2015 061468032 2016-05-11 DERMATOLOGY IN HAMDEN, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 2032885624
Plan sponsor’s address 2880 OLD DIXWELL AVE., HAMDEN, CT, 06518

Signature of
Role Plan administrator
Date 2016-05-11
Name of individual signing PETER SHERLINE, M.D.
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY IN HAMDEN, LLC 401(K) PROFIT SHARING PLAN 2014 061468032 2015-06-16 DERMATOLOGY IN HAMDEN, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 2032885624
Plan sponsor’s address 2880 OLD DIXWELL AVE., HAMDEN, CT, 06518

Signature of
Role Plan administrator
Date 2015-06-16
Name of individual signing PETER SHERLINE, M.D.
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY IN HAMDEN, LLC 401(K) PROFIT SHARING PLAN 2013 061468032 2014-05-23 DERMATOLOGY IN HAMDEN, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 2032885624
Plan sponsor’s address 2880 OLD DIXWELL AVE., HAMDEN, CT, 06518

Signature of
Role Plan administrator
Date 2014-05-23
Name of individual signing PETER SHERLINE, M.D.
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY IN HAMDEN, LLC 401(K) PROFIT SHARING PLAN 2012 061468032 2013-05-24 DERMATOLOGY IN HAMDEN, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 2032885624
Plan sponsor’s address 2880 OLD DIXWELL AVE., HAMDEN, CT, 06518

Signature of
Role Plan administrator
Date 2013-05-24
Name of individual signing PETER SHERLINE, M.D.
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY IN HAMDEN, LLC 401(K) PROFIT SHARING PLAN 2011 061468032 2012-09-14 DERMATOLOGY IN HAMDEN, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 2032885624
Plan sponsor’s address 2880 OLD DIXWELL AVE., HAMDEN, CT, 06518

Plan administrator’s name and address
Administrator’s EIN 061468032
Plan administrator’s name DERMATOLOGY IN HAMDEN, LLC
Plan administrator’s address 2880 OLD DIXWELL AVE., HAMDEN, CT, 06518
Administrator’s telephone number 2032885624

Signature of
Role Plan administrator
Date 2012-09-14
Name of individual signing PETER SHERLINE, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
HOWARD S. ROSENBERG Agent 920 FARMINGTON AVENUE, WEST HARTFORD, CT, 06107, United States 21 BLUE RIDGE DRIVE, SIMSBURY, CT, 06089, United States

Officer

Name Role Business address Residence address
PETER SHERLINE Officer 2880 OLD DIXWELL AVE, HAMDEN, CT, 06518, United States 495 DEERCLIFF RD, AVON, CT, 06001, United States
NADIA SHERLINE Officer 2880 OLD DIXWELL AVE, HAMDEN, CT, 06518, United States 495 DEERCLIFF RD, AVON, CT, 06001, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0006702700 2019-12-23 2019-12-31 Dissolution Certificate of Dissolution No data
0005782863 2017-03-06 No data Annual Report Annual Report 2017
0005739581 2017-01-13 No data Annual Report Annual Report 2015
0005739587 2017-01-13 No data Annual Report Annual Report 2016
0005253856 2015-01-12 No data Annual Report Annual Report 2014
0005020516 2014-01-15 No data Annual Report Annual Report 2013
0004487479 2011-12-20 No data Annual Report Annual Report 2012
0004403211 2011-02-07 No data Annual Report Annual Report 2011
0004123791 2010-01-29 No data Annual Report Annual Report 2010
0003901264 2009-03-02 No data Annual Report Annual Report 2008

Related by officers

HOWARD S. ROSENBERG

CROMWELL CONDOMINIUM ASSOCIATION, INC. MILESTONE COMMONS CONDOMINIUM ASSOCIATION NO. 3, INC. ROSENBERG & ROSENBERG, P.C. TOWNLEY STREET CONDOMINIUM ASSOCIATION, INC. WESTBURY CONDOMINIUMS ASSOCIATION, INC. TUMBLEBROOK ESTATES ASSOCIATION, INC. JOSEPH BORDIERI ELECTRIC, LLC HIGH GATE LIQUOR OF WATERTOWN, LLC LEISURE LIFE CONSTRUCTION, LLC ESBB, LLC

Related by address

2880 OLD DIXWELL AVENUE, HAMDEN, CT, 06518

Z. X. TWENTY-FIVE DONNA, L.L.C. Z. X. FORTY B-10 DONNA, L.L.C. Z. X. TWENTY-NINE OAKRIDGE, LLC 2874 OLD DIXWELL REALTY, LLC Z. X. SIXTY-FIVE DONNA, L.L.C. Z. X. FOURTEEN OAKRIDGE, L.L.C. Z. X. TWENTY DONNA, L.L.C. 2868 OLD DIXWELL, LLC Z.X. SIXTY DONNA, L.L.C.

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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