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DERMATOLOGY EXPERTISE, S.C.

Company Details

Entity Name: DERMATOLOGY EXPERTISE, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 15 Apr 1987
Date of Dissolution: 13 Sep 2019
Company Number: CORP_54627726
File Number: 54627726
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 13 Sep 2019
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELK GROVE DERMATOLOGY, S.C. SAFE-HARBOR 401-K PROFIT SHARING PLAN 2018 391586744 2019-05-23 ELK GROVE DERMATOLOGY, S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Plan sponsor’s address 901 BIESTERFIELD RD STE 209, ELK GROVE VILLAGE, IL, 600077300

Signature of

Role Plan administrator
Date 2019-05-23
Name of individual signing ROBERT POLISKY
Valid signature Filed with authorized/valid electronic signature
ELK GROVE DERMATOLOGY, S.C. SAFE-HARBOR 401-K PROFIT SHARING PLAN 2017 391586744 2018-03-30 ELK GROVE DERMATOLOGY, S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Plan sponsor’s address 901 BIESTERFIELD RD STE 209, ELK GROVE VILLAGE, IL, 600077300

Signature of

Role Plan administrator
Date 2018-03-30
Name of individual signing ROBERT POLISKY
Valid signature Filed with authorized/valid electronic signature
ELK GROVE DERMATOLOGY, S.C. SAFE-HARBOR 401-K PROFIT SHARING PLAN 2016 391586744 2017-06-05 ELK GROVE DERMATOLOGY, S.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Plan sponsor’s address 901 BIESTERFIELD RD STE 209, ELK GROVE VILLAGE, IL, 600077300

Signature of

Role Plan administrator
Date 2017-06-05
Name of individual signing ROBERT POLISKY
Valid signature Filed with authorized/valid electronic signature
ELK GROVE DERMATOLOGY, S.C. SAFE-HARBOR 401-K PROFIT SHARING PLAN 2015 391586744 2016-04-19 ELK GROVE DERMATOLOGY, S.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Plan sponsor’s address 901 BIESTERFIELD RD STE 209, ELK GROVE VILLAGE, IL, 600077300

Signature of

Role Plan administrator
Date 2016-04-19
Name of individual signing ROBERT POLISKY
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ROBERT B POLISKY, 901 BIESTERFIELD RD STE209, ELK GROVE VILLAGE, 60007, COOK-NOT IN CITY OF CHICAGO Agent 2003-06-19

President

Name and Address Role
ROBERT B POLISKY, 901 BIESTERFIELD ELK GROVE VILLAGE 60007 President

Historical Names

Name Change Date
ELK GROVE DERMATOLOGY, S.C. 2018-10-29

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100000 1000000 No data

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State