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  5. SHORELINE DERMATOLOGY, P.C.

SHORELINE DERMATOLOGY, P.C.

Company Details

Entity Name: SHORELINE DERMATOLOGY, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 27 Jan 1994
Business ALEI: 0294463
Annual report due: 27 Jan 2026
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 5 DURHAM ROAD, GUILFORD, CT, 06437, United States
Mailing address: 5 DURHAM ROAD, GUILFORD, CT, United States, 06437
ZIP code: 06437
County: New Haven
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: rlangdon1@mac.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHORELINE DERMATOLOGY, PC 401(K) P/S PLAN 2023 061387043 2024-07-17 SHORELINE DERMATOLOGY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2034538625
Plan sponsor’s address 5 DURHAM RD, GUILFORD, CT, 06437

Signature of
Role Plan administrator
Date 2024-07-17
Name of individual signing ROBERT LANGDON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-17
Name of individual signing ROBERT LANGDON
Valid signature Filed with authorized/valid electronic signature
SHORELINE DERMATOLOGY, PC 401(K) P/S PLAN 2022 061387043 2023-05-03 SHORELINE DERMATOLOGY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2034538625
Plan sponsor’s address 5 DURHAM ROAD, GUILFORD, CT, 06437

Plan administrator’s name and address
Administrator’s EIN 061387043
Plan administrator’s name SHORELINE DERMATOLOGY
Plan administrator’s address 5 DURHAM ROAD, GUILFORD, CT, 06437
Administrator’s telephone number 2034538625

Signature of
Role Plan administrator
Date 2023-05-03
Name of individual signing JACKIE CATANIA
Valid signature Filed with authorized/valid electronic signature
SHORELINE DERMATOLOGY, PC 401(K) P/S PLAN 2021 061387043 2022-05-09 SHORELINE DERMATOLOGY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2034538625
Plan sponsor’s address 5 DURHAM ROAD, GUILFORD, CT, 06437

Plan administrator’s name and address
Administrator’s EIN 061387043
Plan administrator’s name SHORELINE DERMATOLOGY
Plan administrator’s address 5 DURHAM ROAD, GUILFORD, CT, 06437
Administrator’s telephone number 2034538625

Signature of
Role Plan administrator
Date 2022-05-09
Name of individual signing JACKIE CATANIA
Valid signature Filed with authorized/valid electronic signature
SHORELINE DERMATOLOGY, PC 401(K) P/S PLAN 2020 061387043 2021-03-09 SHORELINE DERMATOLOGY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2034538625
Plan sponsor’s address 5 DURHAM ROAD, GUILFORD, CT, 06437

Plan administrator’s name and address
Administrator’s EIN 061387043
Plan administrator’s name SHORELINE DERMATOLOGY
Plan administrator’s address 5 DURHAM ROAD, GUILFORD, CT, 06437
Administrator’s telephone number 2034538625

Signature of
Role Plan administrator
Date 2021-03-09
Name of individual signing JACKIE CATANIA
Valid signature Filed with authorized/valid electronic signature
SHORELINE DERMATOLOGY, PC 401(K) P/S PLAN 2019 061387043 2020-03-17 SHORELINE DERMATOLOGY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2034538625
Plan sponsor’s address 5 DURHAM ROAD, GUILFORD, CT, 06437

Plan administrator’s name and address
Administrator’s EIN 061387043
Plan administrator’s name SHORELINE DERMATOLOGY
Plan administrator’s address 5 DURHAM ROAD, GUILFORD, CT, 06437
Administrator’s telephone number 2034538625

Signature of
Role Plan administrator
Date 2020-03-17
Name of individual signing JACKIE CATANIA
Valid signature Filed with authorized/valid electronic signature
SHORELINE DERMATOLOGY, PC 401(K) P/S PLAN 2018 061387043 2019-06-26 SHORELINE DERMATOLOGY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2034538625
Plan sponsor’s address 5 DURHAM ROAD, GUILFORD, CT, 06437

Plan administrator’s name and address
Administrator’s EIN 061387043
Plan administrator’s name SHORELINE DERMATOLOGY
Plan administrator’s address 5 DURHAM ROAD, GUILFORD, CT, 06437
Administrator’s telephone number 2034538625

Signature of
Role Plan administrator
Date 2019-06-26
Name of individual signing JACKIE CATANIA
Valid signature Filed with authorized/valid electronic signature
SHORELINE DERMATOLOGY, PC 401(K) P/S PLAN 2017 061387043 2018-02-16 SHORELINE DERMATOLOGY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2034538625
Plan sponsor’s address 5 DURHAM ROAD, GUILFORD, CT, 06437

Plan administrator’s name and address
Administrator’s EIN 061387043
Plan administrator’s name SHORELINE DERMATOLOGY
Plan administrator’s address 5 DURHAM ROAD, GUILFORD, CT, 06437
Administrator’s telephone number 2034538625

Signature of
Role Plan administrator
Date 2018-02-16
Name of individual signing JACKIE CATANIA
Valid signature Filed with authorized/valid electronic signature
SHORELINE DERMATOLOGY, PC 401(K) P/S PLAN 2016 061387043 2017-05-16 SHORELINE DERMATOLOGY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2034538625
Plan sponsor’s address 5 DURHAM ROAD, GUILFORD, CT, 06437

Plan administrator’s name and address
Administrator’s EIN 061387043
Plan administrator’s name SHORELINE DERMATOLOGY
Plan administrator’s address 5 DURHAM ROAD, GUILFORD, CT, 06437
Administrator’s telephone number 2034538625

Signature of
Role Plan administrator
Date 2017-05-16
Name of individual signing JACKIE CATANIA
Valid signature Filed with authorized/valid electronic signature
SHORELINE DERMATOLOGY, PC 401(K) P/S PLAN 2015 061387043 2016-03-31 SHORELINE DERMATOLOGY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2034538625
Plan sponsor’s address 5 DURHAM ROAD, GUILFORD, CT, 06437

Plan administrator’s name and address
Administrator’s EIN 061387043
Plan administrator’s name SHORELINE DERMATOLOGY
Plan administrator’s address 5 DURHAM ROAD, GUILFORD, CT, 06437
Administrator’s telephone number 2034538625

Signature of
Role Plan administrator
Date 2016-03-31
Name of individual signing ROBERT LANGDON
Valid signature Filed with authorized/valid electronic signature
SHORELINE DERMATOLOGY, PC 401(K) P/S PLAN 2014 061387043 2015-04-27 SHORELINE DERMATOLOGY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2034538625
Plan sponsor’s address 5 DURHAM ROAD, GUILFORD, CT, 06437

Plan administrator’s name and address
Administrator’s EIN 061387043
Plan administrator’s name SHORELINE DERMATOLOGY
Plan administrator’s address 5 DURHAM ROAD, GUILFORD, CT, 06437
Administrator’s telephone number 2034538625

Signature of
Role Plan administrator
Date 2015-04-27
Name of individual signing ROBERT LANGDON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
Robert Langdon Agent 5 Durham Road, Guilford, CT, 06437, United States 5 Durham Road, Guilford, CT, 06437, United States +1 203-915-4819 rlangdon1@mac.com 5 Durham Rd, Guilford, CT, 06437-2076, United States

Officer

Name Role Business address Residence address
BEVA LANGDON Officer 5 DURHAM ROAD, GUILFORD, CT, 06437, United States 324 BLAKE CIRCLE, HAMDEN, CT, 06517, United States
ROBERT COLIN LANGDON MD Officer 5 DURHAM ROAD, GUILFORD, CT, 06437, United States 324 BLAKE CIRCLE, HAMDEN, CT, 06517, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012922097 2024-12-28 No data Annual Report Annual Report No data
BF-0012361121 2023-12-28 No data Annual Report Annual Report No data
BF-0011254093 2022-12-28 No data Annual Report Annual Report No data
BF-0010011191 2022-12-20 No data Annual Report Annual Report No data
BF-0009325049 2022-12-20 No data Annual Report Annual Report 2020
BF-0009325045 2022-12-20 No data Annual Report Annual Report 2016
BF-0009325047 2022-12-20 No data Annual Report Annual Report 2015
BF-0010787177 2022-12-20 No data Annual Report Annual Report No data
BF-0009325046 2022-12-20 No data Annual Report Annual Report 2019
BF-0009325050 2022-12-20 No data Annual Report Annual Report 2018

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website

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