Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Peoria
    4. ›
  4. 61602
    5. ›
  5. CENTRAL ILLINOIS DERMATOLOGY, S.C.

CENTRAL ILLINOIS DERMATOLOGY, S.C.

Company Details

Entity Name: CENTRAL ILLINOIS DERMATOLOGY, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 27 Jun 1980
Company Number: CORP_52090563
File Number: 52090563
Type of Business: Incorporated under the Medical Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CENTRAL ILLINOIS DERMATOLOGY, S.C. PROFIT SHARING PLAN 2014 371086127 2015-05-06 CENTRAL ILLINOIS DERMATOLOGY,S.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-07-01
Business code 621111
Sponsor’s telephone number 3096912903
Plan sponsor’s address 5401 N KNOXVILLE AVE., SUITE 115, PEORIA, IL, 61614
CENTRAL ILLINOIS DERMATOLOGY, S.C. PROFIT SHARING PLAN 2013 371086127 2014-09-29 CENTRAL ILLINOIS DERMATOLOGY,S.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-07-01
Business code 621111
Sponsor’s telephone number 3096912903
Plan sponsor’s address 5401 N KNOXVILLE AVE., SUITE 115, PEORIA, IL, 61614
CENTRAL ILLINOIS DERMATOLOGY, S.C. PROFIT SHARING PLAN 2012 371086127 2013-10-13 CENTRAL ILLINOIS DERMATOLOGY,S.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-07-01
Business code 621111
Sponsor’s telephone number 3096912903
Plan sponsor’s address 5401 N KNOXVILLE AVE., SUITE 115, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2013-09-17
Name of individual signing CHRISTOPHER T. KROODSMA, M.D.
Valid signature Filed with authorized/valid electronic signature
CENTRAL ILLINOIS DERMATOLOGY, S.C. PROFIT SHARING PLAN 2011 371086127 2012-09-14 CENTRAL ILLINOIS DERMATOLOGY,S.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-07-01
Business code 621111
Sponsor’s telephone number 3096912903
Plan sponsor’s address 5401 N KNOXVILLE AVE., SUITE 115, PEORIA, IL, 61614

Plan administrator’s name and address
Administrator’s EIN 371086127
Plan administrator’s name CENTRAL ILLINOIS DERMATOLOGY,S.C.
Plan administrator’s address 5401 N KNOXVILLE AVE., SUITE 115, PEORIA, IL, 61614
Administrator’s telephone number 3096912903

Signature of
Role Plan administrator
Date 2012-08-23
Name of individual signing CHRISTOPHER T. KROODSMA, M.D.
Valid signature Filed with authorized/valid electronic signature
CENTRAL ILLINOIS DERMATOLOGY, S.C. PROFIT SHARING PLAN 2010 371086127 2011-11-03 CENTRAL ILLINOIS DERMATOLOGY,S.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-07-01
Business code 621111
Sponsor’s telephone number 3096912903
Plan sponsor’s address 5401 N KNOXVILLE AVE., SUITE 115, PEORIA, IL, 61614

Plan administrator’s name and address
Administrator’s EIN 371086127
Plan administrator’s name CENTRAL ILLINOIS DERMATOLOGY,S.C.
Plan administrator’s address 5401 N KNOXVILLE AVE., SUITE 115, PEORIA, IL, 61614
Administrator’s telephone number 3096912903

Signature of
Role Plan administrator
Date 2011-09-29
Name of individual signing CHRISTOPHER T. KROODSMA, M.D.
Valid signature Filed with authorized/valid electronic signature
CENTRAL ILLINOIS DERMATOLOGY, S.C. PROFIT SHARING PLAN 2009 371086127 2010-09-28 CENTRAL ILLINOIS DERMATOLOGY, S.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-07-01
Business code 621111
Sponsor’s telephone number 3096912903
Plan sponsor’s address 5401 N KNOXVILLE AVE., SUITE 115, PEORIA, IL, 61614

Plan administrator’s name and address
Administrator’s EIN 371086127
Plan administrator’s name CENTRAL ILLINOIS DERMATOLOGY, S.C.
Plan administrator’s address 5401 N KNOXVILLE AVE., SUITE 115, PEORIA, IL, 61614
Administrator’s telephone number 3096912903

Signature of
Role Plan administrator
Date 2010-09-28
Name of individual signing CHRISTOPHER KROODSMA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-28
Name of individual signing CHRISTOPHER KROODSMA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
KENNETH R EATHINGTON, 227 NE JEFFERSON AVE, PEORIA, 61602, PEORIA Agent 2018-05-18

President

Name and Address Role
CHRISTOPHER T KROODSMA, 5401 N KNOXVILLE #115, PEORIA 61614 President

Secretary

Name and Address Role
JAMIE FREY, 5401 N KNOXVILLE #115, PEORIA 61614 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 21000 No data

Related by officers

KENNETH R EATHINGTON, 227 NE JEFFERSON AVE, PEORIA, 61602, PEORIA

ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS OF PEORIA, LTD. VANBUSKIRK CONSTRUCTION COMPANY LISTON ENTERPRISES, INC. MIDWEST EAR, NOSE & THROAT ASSOCIATES, S.C. DICARO ENTERPRISES, INC. SAB07, LLC MIDWEST HEARING CENTER, INC. MROP, INC. JANICE TAKATA-ROSSI, M.D., S.C. UNIVERSAL PROCUREMENTS CORPORATION

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 ilorg.com, Part of Big Data Integrated