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ADVANCED DERMATOLOGY & LASER CENTER, LLC

Company Details

Entity Name: ADVANCED DERMATOLOGY & LASER CENTER, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 09 Feb 2000
Business ALEI: 0642803
Annual report due: 31 Mar 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 325 RIVERSIDE AVENUE, WESTPORT, CT, 06880, United States
Mailing address: 325 RIVERSIDE AVENUE, WESTPORT, CT, United States, 06880
ZIP code: 06880
County: Fairfield
Place of Formation: CONNECTICUT
E-Mail: info@westportderm.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADVANCED DERMATOLOGY & LASER CENTER LLC CASH BALANCE PLAN 2023 061460644 2024-10-11 ADVANCED DERMATOLOGY & LASER CENTER LLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 2032263600
Plan sponsor’s address 325 RIVERSIDE AVENUE, WESTPORT, CT, 06880
ADVANCED DERMATOLOGY & LASER CENTER 401(K) RETIREMENT PLAN 2023 061460644 2024-10-09 ADVANCED DERMATOLOGY & LASER CENTER LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2032263600
Plan sponsor’s address 325 RIVERSIDE AVENUE, WESTPORT, CT, 06880
ADVANCED DERMATOLOGY & LASER CENTER 401(K) RETIREMENT PLAN 2022 061460644 2023-10-11 ADVANCED DERMATOLOGY & LASER CENTER LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2032263600
Plan sponsor’s address 325 RIVERSIDE AVENUE, WESTPORT, CT, 06880
ADVANCED DERMATOLOGY LASER CENTER 401(K) RETIREMENT PLAN 2021 061460644 2022-10-05 ADVANCED DERMATOLOGY & LASER CENTER LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2032263600
Plan sponsor’s address 340 COMPO ROAD SOUTH, WESTPORT, CT, 06880

Signature of

Role Plan administrator
Date 2022-10-05
Name of individual signing TANYA FUTORYAN, MD, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-05
Name of individual signing TANYA FUTORYAN
Valid signature Filed with authorized/valid electronic signature
ADVANCED DERMATOLOGY LASER CENTER 401(K) RETIREMENT PLAN 2020 061460644 2021-09-25 ADVANCED DERMATOLOGY & LASER CENTER LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2032263600
Plan sponsor’s address 325 RIVERSIDE AVENUE, WESTPORT, CT, 06880

Signature of

Role Plan administrator
Date 2021-09-25
Name of individual signing TANYA FUTORYAN, MD, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-25
Name of individual signing TANYA FUTORYAN
Valid signature Filed with authorized/valid electronic signature
ADVANCED DERMATOLOGY LASER CENTER 401(K) RETIREMENT PLAN 2019 061460644 2020-10-10 ADVANCED DERMATOLOGY & LASER CENTER LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2032263600
Plan sponsor’s address 325 RIVERSIDE AVENUE, WESTPORT, CT, 06880

Signature of

Role Plan administrator
Date 2020-10-10
Name of individual signing TANYA FUTORYAN, MD, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-10
Name of individual signing TANYA FUTORYAN
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
TANYA FUTORYAN MD Officer 325 RIVERSIDE AVE., WESTPORT, CT, 06880, United States 340 Compo Rd S, Westport, CT, 06880-6517, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
MARK A. KIRSCH ESQ. Agent 1115 BROAD ST, BRIDGEPORT, CT, 06604, United States 1115 BROAD ST, BRIDGEPORT, CT, 06604, United States +1 203-337-4254 mkirsch@cohenandwolf.com 110 SHELTER ROCK RD., FAIRFIELD, CT, 06432, United States

History

Type Old value New value Date of change
Name change ADVANCED DERMATOLOGY & DERMATOLOGIC SURGERY, LLC ADVANCED DERMATOLOGY & LASER CENTER, LLC 2001-02-26

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012474456 2024-03-05 No data Annual Report Annual Report No data
BF-0012352616 2024-03-05 No data Annual Report Annual Report No data
BF-0010707169 2023-03-27 No data Annual Report Annual Report No data
BF-0009773131 2022-11-18 No data Annual Report Annual Report No data
0006820313 2020-03-07 No data Annual Report Annual Report 2018
0006820324 2020-03-07 No data Annual Report Annual Report 2020
0006820320 2020-03-07 No data Annual Report Annual Report 2019
0005855072 2017-05-18 2017-05-18 Change of Agent Agent Change No data
0005843778 2017-05-15 No data Annual Report Annual Report 2017
0005843777 2017-05-15 No data Annual Report Annual Report 2016

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website