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  5. GENESIS DERMATOLOGY INC.

GENESIS DERMATOLOGY INC.

Company Details

Entity Name: GENESIS DERMATOLOGY INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 05 May 1998 (27 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 15 Jan 2004 (21 years ago)
Document Number: P98000041588
FEI/EIN Number 650842039
Address: 600 HERITAGE DR, SUITE 101, JUPITER, FL, 33458, US
Mail Address: 600 HERITAGE DR, SUITE 101, JUPITER, FL, 33458, US
ZIP code: 33458
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801093661 2007-06-27 2012-02-21 600 HERITAGE DR, SUITE 100, JUPITER, FL, 334583000, US 600 HERITAGE DR, SUITE 100, JUPITER, FL, 334583000, US

Contacts
Phone +1 561-296-5222
Fax 5612965221

Authorized person
Name SHAWNA FLANAGAN
Role OWNER
Phone 5612965222

Taxonomy
Taxonomy Code 207N00000X - Dermatology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GENESIS DERMATOLOGY, INC. CASH BALANCE PLAN 2023 650842039 2024-07-01 GENESIS DERMATOLOGY, INC. 9
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 5617487770
Plan sponsor’s address 600 HERITAGE DRIVE, SUITE 101, JUPITER, FL, 33458

Signature of
Role Plan administrator
Date 2024-07-01
Name of individual signing SHAWNA A. FLANAGAN
Valid signature Filed with authorized/valid electronic signature
GENESIS DERMATOLOGY, INC. 401(K) PLAN 2023 650842039 2024-07-11 GENESIS DERMATOLOGY, INC. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5617487770
Plan sponsor’s address 600 HERITAGE DRIVE SUITE 101, JUPITER, FL, 33458
GENESIS DERMATOLOGY, INC. CASH BALANCE PLAN 2022 650842039 2023-09-28 GENESIS DERMATOLOGY, INC 9
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 5617487770
Plan sponsor’s address 600 HERITAGE DRIVE, SUITE 101, JUPITER, FL, 33458
GENESIS DERMATOLOGY, INC. 401(K) PLAN 2022 650842039 2023-07-21 GENESIS DERMATOLOGY, INC. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 5617487770
Plan sponsor’s address 600 HERITAGE DRIVE SUITE 101, JUPITER, FL, 33458
GENESIS DERMATOLOGY, INC. CASH BALANCE PLAN 2021 650842039 2023-07-31 GENESIS DERMATOLOGY, INC. 9
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 5617487770
Plan sponsor’s address 600 HERITAGE DRIVE, SUITE 101, JUPITER, FL, 33458
GENESIS DERMATOLOGY, INC. CASH BALANCE PLAN 2021 650842039 2022-10-17 GENESIS DERMATOLOGY, INC. 9
Three-digit plan number (PN) 004
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 5617487770
Plan sponsor’s address 600 HERITAGE DRIVE, SUITE 101, JUPITER, FL, 33458

Agent

Name Role Address
FLANAGAN SHAWNA Agent 600 Heritage Drive, JUPITER, FL, 33458

President

Name Role Address
FLANAGAN SHAWNA President 600 HERITAGE DR, JUPITER, FL, 33458

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2014-03-21 600 Heritage Drive, Suite 101, JUPITER, FL 33458 No data
CHANGE OF PRINCIPAL ADDRESS 2005-04-27 600 HERITAGE DR, SUITE 101, JUPITER, FL 33458 No data
CHANGE OF MAILING ADDRESS 2005-04-27 600 HERITAGE DR, SUITE 101, JUPITER, FL 33458 No data
NAME CHANGE AMENDMENT 2004-01-15 GENESIS DERMATOLOGY INC. No data

Documents

Name Date
ANNUAL REPORT 2024-02-14
ANNUAL REPORT 2023-04-04
ANNUAL REPORT 2022-02-20
ANNUAL REPORT 2021-04-15
ANNUAL REPORT 2020-06-25
ANNUAL REPORT 2019-04-09
ANNUAL REPORT 2018-03-29
ANNUAL REPORT 2017-04-19
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-03-05

Related by officers

FLANAGAN SHAWNA

EQUILINK PARTNERS, LLC GENESIS DERMATOLOGY HOLDINGS, LLC JABS FAMILY INVESTMENTS, LLC JABS, LLC PHYSICIANS CHOICE LASER CENTER, LLC GENESIS CREATIVE SOLUTIONS LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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