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LONG RIDGE DERMATOLOGY, LLC

Company Details

Entity Name: LONG RIDGE DERMATOLOGY, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 27 Mar 1997 (Companies founded in March 1997)
Business ALEI: 0559392
Annual report due: 31 Mar 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 1051 LONG RIDGE RD., STAMFORD, CT, 06903, United States
Mailing address: 1051 LONG RIDGE RD., STAMFORD, CT, United States, 06903
ZIP code: 06903 (Companies in Fairfield, 06903)
County: Fairfield
Place of Formation: CONNECTICUT
E-Mail: traci@mckennasachs.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LONG RIDGE DERMATOLOGY, LLC CASH BALANCE PLAN 2023 061478443 2024-10-11 LONG RIDGE DERMATOLOGY, LLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 2033297960
Plan sponsor’s address 1051 LONG RIDGE RD., STAMFORD, CT, 06903

Signature of
Role Plan administrator
Date 2024-10-11
Name of individual signing MARK FORTIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-11
Name of individual signing MARK FORTIER
Valid signature Filed with authorized/valid electronic signature
LONG RIDGE DERMATOLOGY LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 061478443 2024-06-07 LONG RIDGE DERMATOLOGY LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2033297960
Plan sponsor’s address 1051 LONG RIDGE RD STE 6, STAMFORD, CT, 069034436

Signature of
Role Plan administrator
Date 2024-06-07
Name of individual signing MARK FORTIER
Valid signature Filed with authorized/valid electronic signature
LONG RIDGE DERMATOLOGY, LLC CASH BALANCE PLAN 2022 061478443 2023-09-19 LONG RIDGE DERMATOLOGY, LLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 2033297960
Plan sponsor’s address 1051 LONG RIDGE RD., STAMFORD, CT, 06903

Signature of
Role Plan administrator
Date 2023-09-18
Name of individual signing MARK FORTIER
Valid signature Filed with authorized/valid electronic signature
LONG RIDGE DERMATOLOGY LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 061478443 2023-05-18 LONG RIDGE DERMATOLOGY LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2033297960
Plan sponsor’s address 1051 LONG RIDGE RD STE 6, STAMFORD, CT, 069034436

Signature of
Role Plan administrator
Date 2023-05-18
Name of individual signing MARK FORTIER
Valid signature Filed with authorized/valid electronic signature
LONG RIDGE DERMATOLOGY CASH BALANCE PENSION PLAN 2021 061478443 2022-09-26 LONG RIDGE DERMATOLOGY 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 2033297960
Plan sponsor’s address 1051 LONG RIDGE RD, STAMFORD, CT, 06903
LONG RIDGE DERMATOLOGY LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 061478443 2022-06-16 LONG RIDGE DERMATOLOGY LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2033297960
Plan sponsor’s address 1051 LONG RIDGE RD STE 6, STAMFORD, CT, 069034436

Signature of
Role Plan administrator
Date 2022-06-16
Name of individual signing MARK N FORTIER
Valid signature Filed with authorized/valid electronic signature
LONG RIDGE DERMATOLOGY LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 061478443 2022-05-10 LONG RIDGE DERMATOLOGY LLC 13
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2033297960
Plan sponsor’s address 1051 LONG RIDGE RD STE 6, STAMFORD, CT, 069034436

Signature of
Role Plan administrator
Date 2022-05-10
Name of individual signing MARK FORTIER
Valid signature Filed with authorized/valid electronic signature
LONG RIDGE DERMATOLOGY LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 061478443 2021-04-13 LONG RIDGE DERMATOLOGY LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2033297960
Plan sponsor’s address 1051 LONG RIDGE RD STE 6, STAMFORD, CT, 069034436

Signature of
Role Plan administrator
Date 2021-04-13
Name of individual signing MARK FORTIER
Valid signature Filed with authorized/valid electronic signature
LONG RIDGE DERMATOLOGY CASH BALANCE PENSION PLAN 2020 061478443 2021-08-26 LONG RIDGE DERMATOLOGY 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 2033297960
Plan sponsor’s address 1051 LONG RIDGE RD, STAMFORD, CT, 06903
LONG RIDGE DERMATOLOGY LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 061478443 2020-06-26 LONG RIDGE DERMATOLOGY LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2033297960
Plan sponsor’s address 1051 LONG RIDGE RD STE 6, STAMFORD, CT, 069034436

Signature of
Role Plan administrator
Date 2020-06-26
Name of individual signing MARK FORTIER
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
DONALD A. SAVITZ MD Officer 1051 LONG RIDGE ROAD, STAMFORD, CT, 06903, United States 97 DEEP VALLEY RD, STAMFORD, CT, 06903, United States
RENA C. FORTIER MD Officer 1051 LONG RIDGE ROAD, STAMFORD, CT, 06903, United States 1051 LONG RIDGE ROAD, STAMFORD, CT, 06903, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
DONALD A. SAVITZ Agent 1051 LONG RIDGE RD., STAMFORD, CT, 06903, United States 1051 LONG RIDGE RD., STAMFORD, CT, 06903, United States +1 203-515-9236 traci@mckennasachs.com 146 FOUR BROOKS RD., STAMFORD, CT, 06903, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
CLAB.0000934 Clinical Laboratory ACTIVE CURRENT 2010-07-12 2024-10-01 2026-09-30

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012160985 2024-02-15 No data Annual Report Annual Report No data
BF-0011267866 2023-03-03 No data Annual Report Annual Report No data
BF-0010794539 2022-08-08 No data Annual Report Annual Report No data
BF-0009264334 2022-06-22 No data Annual Report Annual Report 2018
BF-0009264330 2022-06-22 No data Annual Report Annual Report 2019
BF-0009264331 2022-06-22 No data Annual Report Annual Report 2020
BF-0009264326 2022-06-22 No data Annual Report Annual Report 2014
BF-0010015097 2022-06-22 No data Annual Report Annual Report No data
BF-0009264327 2022-06-22 No data Annual Report Annual Report 2013
BF-0009264328 2022-06-22 No data Annual Report Annual Report 2015

Related by officers

No related officers

Related by address

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Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website

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