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  5. DERMATOLOGY AND SKIN SURGERY ASSOCIATES, S.C.

DERMATOLOGY AND SKIN SURGERY ASSOCIATES, S.C.

Company Details

Entity Name: DERMATOLOGY AND SKIN SURGERY ASSOCIATES, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 15 Dec 1992
Company Number: CORP_57104074
File Number: 57104074
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
ALL-STAR INC. 401K PLAN 2012 363651606 2013-07-29 ALL-STAR INC. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 541990
Sponsor’s telephone number 8159299726
Plan sponsor’s address 389 WILLIAM LATHAM DRIVE, SUITE 2, BOURBONNAIS, IL, 60914

Signature of
Role Plan administrator
Date 2013-07-29
Name of individual signing CONNIE ZYCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-29
Name of individual signing CONNIE ZYCH
Valid signature Filed with authorized/valid electronic signature
ALL-STAR INC. 401K PLAN 2011 363651606 2012-03-09 ALL-STAR INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 541990
Sponsor’s telephone number 8159299726
Plan sponsor’s address 389 WILLIAM LATHAM DRIVE, SUITE 2, BOURBONNAIS, IL, 60914

Plan administrator’s name and address
Administrator’s EIN 363651606
Plan administrator’s name ALL-STAR INC.
Plan administrator’s address 389 WILLIAM LATHAM DRIVE, SUITE 2, BOURBONNAIS, IL, 60914
Administrator’s telephone number 8159299726

Signature of
Role Plan administrator
Date 2012-03-09
Name of individual signing CONNIE ZYCH
Valid signature Filed with authorized/valid electronic signature
ALL-STAR INC. 401K PLAN 2010 363651606 2011-07-20 ALL-STAR INC. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 541990
Sponsor’s telephone number 8159299726
Plan sponsor’s address 389 WILLIAM LATHAM DRIVE, SUITE 2, BOURBONNAIS, IL, 60914

Plan administrator’s name and address
Administrator’s EIN 363651606
Plan administrator’s name ALL-STAR INC.
Plan administrator’s address 389 WILLIAM LATHAM DRIVE, SUITE 2, BOURBONNAIS, IL, 60914
Administrator’s telephone number 8159299726

Signature of
Role Plan administrator
Date 2011-07-20
Name of individual signing CONNIE ZYCH
Valid signature Filed with authorized/valid electronic signature
ALL-STAR INC. 401K PLAN 2009 363651606 2010-07-27 ALL-STAR INC. 34
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 541990
Sponsor’s telephone number 8159299726
Plan sponsor’s address 389 WILLIAM LATHAM DRIVE, SUITE 2, BOURBONNAIS, IL, 60914

Plan administrator’s name and address
Administrator’s EIN 363651606
Plan administrator’s name ALL-STAR INC.
Plan administrator’s address 389 WILLIAM LATHAM DRIVE, SUITE 2, BOURBONNAIS, IL, 60914
Administrator’s telephone number 8159299726

Signature of
Role Plan administrator
Date 2010-07-19
Name of individual signing MARIO ALLEGRO
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-07-27
Name of individual signing MARIO ALLEGRO
Valid signature Filed with incorrect/unrecognized electronic signature
ALL-STAR INC. 401K PLAN 2009 363651606 2010-07-27 ALL-STAR INC. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 541990
Sponsor’s telephone number 8159299726
Plan sponsor’s address 389 WILLIAM LATHAM DRIVE, SUITE 2, BOURBONNAIS, IL, 60914

Plan administrator’s name and address
Administrator’s EIN 363651606
Plan administrator’s name ALL-STAR INC.
Plan administrator’s address 389 WILLIAM LATHAM DRIVE, SUITE 2, BOURBONNAIS, IL, 60914
Administrator’s telephone number 8159299726

Signature of
Role Plan administrator
Date 2010-07-27
Name of individual signing MARIO ALLEGRO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-27
Name of individual signing MARIO ALLEGRO
Valid signature Filed with authorized/valid electronic signature
ALL-STAR INC. 401K PLAN 2009 363651606 2010-07-20 ALL-STAR INC. 34
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 541990
Sponsor’s telephone number 8159299726
Plan sponsor’s address 389 WILLIAM LATHAM DRIVE, SUITE 2, BOURBONNAIS, IL, 60914

Plan administrator’s name and address
Administrator’s EIN 363651606
Plan administrator’s name ALL-STAR INC.
Plan administrator’s address 389 WILLIAM LATHAM DRIVE, SUITE 2, BOURBONNAIS, IL, 60914
Administrator’s telephone number 8159299726

Signature of
Role Plan administrator
Date 2010-07-19
Name of individual signing MARIO ALLEGRO
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name and Address Role Appointment Date
DANIEL J MCCARTHY III, 835 MCCLINTOCK DR 2ND FLR, BURR RIDGE, 60527, COOK-NOT IN CITY OF CHICAGO Agent 2013-02-19

President

Name and Address Role
DONNA L STOCKTON 10100 WEST 191ST ST MOKENA IL 60448 President

Secretary

Name and Address Role
DONNA L STOCKTON Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
DSSA Assume Name 2003-09-18 No data No data No data
DERMATOLOGY AND SKIN SURGERY ASSOCIATES, S.C. No data 1995-03-09 2000-11-28 Expired No data

Historical Names

Name Change Date
DONNA L. STOCKTON, M.D., S.C. 2000-11-28

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 10000 No data

Related by officers

DANIEL J MCCARTHY III, 835 MCCLINTOCK DR 2ND FLR, BURR RIDGE, 60527, COOK-NOT IN CITY OF CHICAGO

TWC INVESTMENTS LTD.

Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State

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