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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
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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

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

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

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: 20 Jan 2025

Sources: Connecticut's Official State Website