| Entity Name: | ASSOCIATED DERMATOLOGISTS, LTD. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 17 Sep 1974 |
| Date of Dissolution: | 12 Feb 2016 |
| Company Number: | CORP_50516601 |
| File Number: | 50516601 |
| Type of Business: | Incorporated under the Professional Service Corporation Act |
| Date Status Change: | 12 Feb 2016 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ASSOCIATED DERMATOLOGISTS PROFIT SHARING | 2013 | 370985073 | 2014-08-06 | ASSOCIATED DERMATOLOGISTS, LTD | 5 | |||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2014-08-05 |
| Name of individual signing | LARRY NEWELL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1974-10-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2177266429 |
| Plan sponsor’s address | 2951 MONTVALE DRIVE SUITE B, SPRINGFIELD, IL, 62704 |
Plan administrator’s name and address
| Administrator’s EIN | 370985073 |
| Plan administrator’s name | ASSOCIATED DERMATOLOGISTS, LTD |
| Plan administrator’s address | 2951 MONTVALE SUITE B, SPRINGFIELD, IL, 62704 |
| Administrator’s telephone number | 2177266429 |
Signature of
| Role | Plan administrator |
| Date | 2013-09-26 |
| Name of individual signing | LARRY NEWELL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| LARRY M NEWELL, 2951 MONTVALE DR, STE B, SPRINGFIELD, 62704, SANGAMON | Agent | 2007-12-20 |
| Name and Address | Role |
|---|---|
| LARRY M NEWELL, 901 WILLIAMS BLVD SPRINGFIELD 62704 | President |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| PROF SERVICE CORP | 060001150 | No data | No data | REGISTERED PROFESSIONAL SERVICE CORPORATION | No data | 1974-10-01 | 2013-12-11 | 2015-01-01 |
| Name | Change Date |
|---|---|
| RALPH W. E. WISE, M. D., LTD. | 1984-01-11 |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Rights Unknown | 100 | 9000 | No data |
Date of last update: 13 Jan 2025
