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DERMATOLOGY SURGICAL ASSOCIATES, LLC

Company Details

Entity Name: DERMATOLOGY SURGICAL ASSOCIATES, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 13 Aug 2004 (Companies founded in August 2004)
Date of dissolution: 01 Apr 2019
Business ALEI: 0793573
Business address: 5200 BRITTANY DRIVE SOUTH APT. 407, ST. PETERSBURG, FL, 33715
Place of Formation: FLORIDA
E-Mail: cbadi4900@aol.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DERMATOLOGY SURGICAL ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2017 201561668 2018-06-27 DERMATOLOGY SURGICAL ASSOCIATES, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8606761900
Plan sponsor’s address 499 FARMINGTON AVENUE, SUITE 230, FARMINGTON, CT, 06032
DERMATOLOGY SURGICAL ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2017 201561668 2018-09-25 DERMATOLOGY SURGICAL ASSOCIATES, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8606761900
Plan sponsor’s address 499 FARMINGTON AVENUE, SUITE 230, FARMINGTON, CT, 06032
DERMATOLOGY SURGICAL ASSOCIATES, LLC CASH BALANCE PLAN 2017 201561668 2018-07-12 DERMATOLOGY SURGICAL ASSOCIATES, LLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8606761900
Plan sponsor’s address 499 FARMINGTON AVENUE, SUITE 230, FARMINGTON, CT, 06032
DERMATOLOGY SURGICAL ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2016 201561668 2017-10-13 DERMATOLOGY SURGICAL ASSOCIATES, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Plan sponsor’s address 499 FARMINGTON AVENUE, SUITE 230, FARMINGTON, CT, 06032
DERMATOLOGY SURGICAL ASSOCIATES, LLC CASH BALANCE PLAN 2016 201561668 2017-10-13 DERMATOLOGY SURGICAL ASSOCIATES, LLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8606761900
Plan sponsor’s address 499 FARMINGTON AVENUE, SUITE 230, FARMINGTON, CT, 06032
DERMATOLOGY SURGICAL ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2015 201561668 2016-08-17 DERMATOLOGY SURGICAL ASSOCIATES, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8606761900
Plan sponsor’s address 499 FARMINGTON AVE, SUITE 230, FARMINGTON, CT, 06032

Signature of
Role Plan administrator
Date 2016-08-17
Name of individual signing TIMOTHY CHARTIER
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY SURGICAL ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2014 201561668 2015-07-15 DERMATOLOGY SURGICAL ASSOCIATES, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8606761900
Plan sponsor’s address 499 FARMINGTON AVE, SUITE 230, FARMINGTON, CT, 06032

Signature of
Role Plan administrator
Date 2015-07-15
Name of individual signing TIMOTHY CHARTIER
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY SURGICAL ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2013 201561668 2014-07-20 DERMATOLOGY SURGICAL ASSOCIATES, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8606761900
Plan sponsor’s address 499 FARMINGTON AVE, SUITE 230, FARMINGTON, CT, 06032

Signature of
Role Plan administrator
Date 2014-07-20
Name of individual signing TIMOTHY CHARTIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-20
Name of individual signing TIMOTHY CHARTIER
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY SURGICAL ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2012 201561668 2013-06-21 DERMATOLOGY SURGICAL ASSOCIATES, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8606761900
Plan sponsor’s address 499 FARMINGTON AVE, SUITE 230, FARMINGTON, CT, 06032

Signature of
Role Plan administrator
Date 2013-06-21
Name of individual signing TIMOTHY CHARTIER
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY SURGICAL ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2011 201561668 2012-07-26 DERMATOLOGY SURGICAL ASSOCIATES, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8606761900
Plan sponsor’s address 499 FARMINGTON AVE, SUITE 230, FARMINGTON, CT, 06032

Plan administrator’s name and address
Administrator’s EIN 201561668
Plan administrator’s name DERMATOLOGY SURGICAL ASSOCIATES, LLC
Plan administrator’s address 499 FARMINGTON AVE, SUITE 230, FARMINGTON, CT, 06032
Administrator’s telephone number 8606761900

Signature of
Role Plan administrator
Date 2012-07-26
Name of individual signing TIMOTHY CHARTIER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
SCOTT B. FRANKLIN Agent 68 SOUTH MAIN ST, WEST HARTFORD, CT, 06107, United States 31 MIDDLEFIELD DR., WEST HARTFORD, CT, 06107, United States

Officer

Name Role Business address Residence address
CARLOS BADIOLA EXECUTOR Officer C/O ROBERT FAWBER, CUMMINGS & LOCKWOOD, 75 ISHAM RD, SUITE 400, WEST HARTFORD, CT, 06107, United States C/O ROBERT FAWBER, CUMMINGS & LOCKWOOD, 75 ISHAM RD, SUITE 400, WEST HARTFORD, CT, 06107, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0006375543 2019-02-11 2019-04-01 Dissolution Certificate of Dissolution No data
0006244769 2018-09-11 No data Annual Report Annual Report 2018
0005935582 2017-09-26 No data Annual Report Annual Report 2017
0005624729 2016-08-08 No data Annual Report Annual Report 2016
0005380826 2015-08-14 No data Annual Report Annual Report 2015
0005151883 2014-07-25 No data Annual Report Annual Report 2014
0004947497 2013-09-23 No data Annual Report Annual Report 2013
0004778770 2013-01-11 No data Annual Report Annual Report 2012
0004416045 2011-07-21 No data Annual Report Annual Report 2011
0004214889 2010-08-10 No data Annual Report Annual Report 2010

Related by officers

SCOTT B. FRANKLIN

BB LIQUIDATION INC. COORDINATED SYSTEMS, INC. ORTHODONTIC ASSOCIATES OF SOUTHEASTERN CONNECTICUT, P.C. TAYLOR & MODEEN REALTY COMPANY NIANTIC DENTAL ASSOCIATES, P.C. SAMUEL M. SILVERMAN, M.D., P.C. K.G. KEENA MEMORIALS, INC. PERFORMANCE ELECTRICAL & MECHANICAL CONTRACTING, INC. WETHERSFIELD CONTRACTING, INC. DDH REALTY ASSOCIATES LLC

Related by address

No related companies by address

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website

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