| Entity Name: | ASSOCIATES IN DERMATOLOGY, S.C. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 20 May 1981 |
| Company Number: | CORP_52394007 |
| File Number: | 52394007 |
| Type of Business: | Incorporated under the Medical Corporation Act |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ASSOCIATES IN DERMATOLOGY 401(K) PLAN | 2023 | 371098199 | 2024-11-27 | ASSOCIATES IN DERMATOLOGY, S.C. | 21 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-11-27 |
| Name of individual signing | THOMAS R BRANDER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1982-06-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3093109844 |
| Plan sponsor’s address | 1404 EASTLAND DRIVE, SUITE 204, BLOOMINGTON, IL, 61701 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-27 |
| Name of individual signing | THOMAS BRANDER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1982-06-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3093109844 |
| Plan sponsor’s address | 1404 EASTLAND DRIVE, SUITE 204, BLOOMINGTON, IL, 61701 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-21 |
| Name of individual signing | THOMAS BRANDER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-10-25 |
| Name of individual signing | LUCY N WISDOM |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| THOMAS RICHARD BRANDER, 1404 EASTLAND DR #204, BLOOMINGTON, 61701, MC LEAN | Agent | 2017-07-07 |
| Name and Address | Role |
|---|---|
| THOMAS R BRANDER MD 1404 EASTLAND DR BLOOMINGTON IL 61701 | President |
| Name and Address | Role |
|---|---|
| LUCY WISDOM MD | Secretary |
| Name | Change Date |
|---|---|
| JAMES R. SEEHAFER, M.D., S.C. | 1992-01-13 |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM | No data | Voting Rights | 1000 | 100000 | No data |
Date of last update: 13 Jan 2025
