| Entity Name: | GREENWICH POINT DERMATOLOGY, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 25 Jun 2015 |
| Business ALEI: | 1179479 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Business address: | 20 EAST ELM STREET, GREENWICH, CT, 06830, United States |
| Mailing address: | 20 EAST ELM STREET, GREENWICH, CT, United States, 06830 |
| ZIP code: | 06830 |
| County: | Fairfield |
| Place of Formation: | CONNECTICUT |
| E-Mail: | admin@greenwichpointderm.com |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GREENWICH POINT DERMATOLOGY 401(K) PLAN | 2023 | 474374950 | 2024-04-10 | GREENWICH POINT DERMATOLOGY | 15 | |||||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-04-10 |
| Name of individual signing | SARAH DOLDER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-04-10 |
| Name of individual signing | SARAH DOLDER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2037642230 |
| Plan sponsor’s address | 20 EAST ELM STREET, 2ND FLOOR, GREENWICH, CT, 06830 |
Signature of
| Role | Plan administrator |
| Date | 2023-04-13 |
| Name of individual signing | SARAH DOLDER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2037642230 |
| Plan sponsor’s address | 20 EAST ELM STREET, 2ND FLOOR, GREENWICH, CT, 06830 |
Signature of
| Role | Plan administrator |
| Date | 2022-05-20 |
| Name of individual signing | SARAH DOLDER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| SARAH DOLDER M.D. | Agent | 20 EAST ELM STREET, 2ND FLOOR, GREENWICH, CT, 06830, United States | 20 EAST ELM STREET, 2ND FLOOR, GREENWICH, CT, 06830, United States | +1 203-764-2230 | admin@greenwichpointderm.com | 407 ROUND HILL RD, GREENWICH, CT, 06831, United States |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| SARAH DOLDER M.D. | Officer | 20 EAST ELM STREET, GREENWICH, CT, 06830, United States | +1 203-764-2230 | admin@greenwichpointderm.com | 407 ROUND HILL RD, GREENWICH, CT, 06831, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| CLAB.0001014 | Clinical Laboratory | ACTIVE | CURRENT | 2020-05-26 | 2024-10-01 | 2026-09-30 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012415439 | 2024-01-22 | No data | Annual Report | Annual Report | No data |
| BF-0011218046 | 2023-02-02 | No data | Annual Report | Annual Report | No data |
| BF-0010238428 | 2022-03-03 | No data | Annual Report | Annual Report | 2022 |
| BF-0009777630 | 2021-06-29 | No data | Annual Report | Annual Report | No data |
| 0007119620 | 2021-02-03 | No data | Annual Report | Annual Report | 2020 |
| 0006676237 | 2019-11-11 | No data | Annual Report | Annual Report | 2018 |
| 0006676240 | 2019-11-11 | No data | Annual Report | Annual Report | 2019 |
| 0006035889 | 2018-01-25 | No data | Annual Report | Annual Report | 2017 |
| 0005886598 | 2017-07-12 | No data | Annual Report | Annual Report | 2016 |
| 0005355793 | 2015-06-25 | 2015-06-25 | Business Formation | Certificate of Organization | No data |
Date of last update: 13 Jan 2025
Sources: Connecticut's Official State Website
