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  5. COASTAL DERMATOLOGY, P.C.

COASTAL DERMATOLOGY, P.C.

Company Details

Entity Name: COASTAL DERMATOLOGY, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Date Formed: 01 Jun 1999
Date of dissolution: 06 Sep 2019
Business ALEI: 0622323
Annual report due: 29 Jun 2018
Business address: 55 WILLOW STREET, MYSTIC, CT, 06355
ZIP code: 06355
County: New London
Place of Formation: CONNECTICUT
Total authorized shares: 20000
E-Mail: dd@coastaldermatology.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COASTAL DERMATOLOGY, P.C. DEFINED BENEFIT PENSION PLAN 2019 061548740 2020-01-31 COASTAL DERMATOLOGY, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8602450000
Plan sponsor’s address 22 MONEY POINT ROAD, MYSTIC, CT, 06355

Signature of
Role Plan administrator
Date 2020-01-30
Name of individual signing DANIELLA DUKE
Valid signature Filed with authorized/valid electronic signature
COASTAL DERMATOLOGY, P.C. 401(K) SAVINGS PLAN 2019 061548740 2020-01-31 COASTAL DERMATOLOGY, P.C. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8602450000
Plan sponsor’s address 22 MONEY POINT ROAD, MYSTIC, CT, 06355

Signature of
Role Plan administrator
Date 2020-01-30
Name of individual signing DANIELLA DUKE
Valid signature Filed with authorized/valid electronic signature
COASTAL DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2019 061548740 2020-01-31 COASTAL DERMATOLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8602450000
Plan sponsor’s address 22 MONEY POINT ROAD, MYSTIC, CT, 06355

Signature of
Role Plan administrator
Date 2020-01-30
Name of individual signing DANIELLA DUKE
Valid signature Filed with authorized/valid electronic signature
COASTAL DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2018 061548740 2019-03-22 COASTAL DERMATOLOGY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8602450000
Plan sponsor’s address 22 MONEY POINT ROAD, MYSTIC, CT, 06355

Signature of
Role Plan administrator
Date 2019-03-21
Name of individual signing DANIELLA DUKE
Valid signature Filed with authorized/valid electronic signature
COASTAL DERMATOLOGY, P.C. 401(K) SAVINGS PLAN 2018 061548740 2019-03-22 COASTAL DERMATOLOGY, P.C. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8602450000
Plan sponsor’s address 22 MONEY POINT ROAD, MYSTIC, CT, 06355

Signature of
Role Plan administrator
Date 2019-03-21
Name of individual signing DANIELLA DUKE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-21
Name of individual signing DANIELLA DUKE
Valid signature Filed with authorized/valid electronic signature
COASTAL DERMATOLOGY, P.C. DEFINED BENEFIT PENSION PLAN 2018 061548740 2019-03-26 COASTAL DERMATOLOGY, P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8602450000
Plan sponsor’s address 22 MONEY POINT ROAD, MYSTIC, CT, 06355

Signature of
Role Plan administrator
Date 2019-03-25
Name of individual signing DANIELLA DUKE
Valid signature Filed with authorized/valid electronic signature
COASTAL DERMATOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2017 061548740 2018-09-19 COASTAL DERMATOLOGY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8602450000
Plan sponsor’s address 55 WILLOW STREET, MYSTIC, CT, 06355

Signature of
Role Plan administrator
Date 2018-09-19
Name of individual signing DANIELLA DUKE
Valid signature Filed with authorized/valid electronic signature
COASTAL DERMATOLOGY, P.C. DEFINED BENEFIT PENSION PLAN 2017 061548740 2018-09-18 COASTAL DERMATOLOGY, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8602450000
Plan sponsor’s address 55 WILLOW STREET, MYSTIC, CT, 06355

Signature of
Role Plan administrator
Date 2018-09-17
Name of individual signing DANIELLA DUKE
Valid signature Filed with authorized/valid electronic signature
COASTAL DERMATOLOGY, P.C. 401(K) SAVINGS PLAN 2017 061548740 2018-09-19 COASTAL DERMATOLOGY, P.C. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8602450000
Plan sponsor’s address 55 WILLOW STREET, MYSTIC, CT, 06355

Signature of
Role Plan administrator
Date 2018-09-19
Name of individual signing DANIELLA DUKE
Valid signature Filed with authorized/valid electronic signature
COASTAL DERMATOLOGY, P.C. 401(K) SAVINGS PLAN 2016 061548740 2017-08-23 COASTAL DERMATOLOGY, P.C. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8602450000
Plan sponsor’s address 55 WILLOW STREET, MYSTIC, CT, 06355

Signature of
Role Plan administrator
Date 2017-08-23
Name of individual signing DANIELLA DUKE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
M. DANIELLA DUKE Agent 9 MASON'S ISLAND ROAD, MYSTIC, CT, 06355, United States 120 HIGH MEADOW LANE, MYSTIC, CT, 06355, United States

Officer

Name Role Business address Residence address
M. DANIELLA DUKE Officer 55 WILLOW STREET, MYSTIC, CT, 06355, United States 120 HIGH MEADOW LANE, MYSTIC, CT, 06355, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0006638248 2019-09-06 2019-09-06 Dissolution Certificate of Dissolution No data
0005877860 2017-06-30 No data Annual Report Annual Report 2017
0005772321 2017-02-22 No data Annual Report Annual Report 2013
0005772324 2017-02-22 No data Annual Report Annual Report 2014
0005772330 2017-02-22 No data Annual Report Annual Report 2016
0005772328 2017-02-22 No data Annual Report Annual Report 2015
0004630959 2012-05-17 No data Annual Report Annual Report 2012
0004579816 2011-06-14 No data Annual Report Annual Report 2011
0004210199 2010-05-28 No data Annual Report Annual Report 2010
0004032233 2009-09-18 No data Annual Report Annual Report 2009

Related by officers

M. DANIELLA DUKE

WILLOW STREET MEDICAL, LLC

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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