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A. C. DERMATOLOGY, LTD.

Company Details

Entity Name: A. C. DERMATOLOGY, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 17 Aug 1994
Date of Dissolution: 10 Jan 2015
Company Number: CORP_57946687
File Number: 57946687
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 10 Jan 2015
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
A.C. DERMATOLOGY, LTD. PROFIT SHARING PLAN 2013 363971886 2014-10-27 A.C. DERMATOLOGY, LTD. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621399
Sponsor’s telephone number 6306543376
Plan sponsor’s address 40 S. CLAY STREET #130 E, HINSDALE, IL, 60521

Signature of

Role Plan administrator
Date 2014-10-27
Name of individual signing ROSEMARY CHEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-27
Name of individual signing ROSEMARY CHEN
Valid signature Filed with authorized/valid electronic signature
A.C. DERMATOLOGY, LTD. PROFIT SHARING PLAN 2013 363971886 2014-10-02 A.C. DERMATOLOGY, LTD. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621399
Sponsor’s telephone number 6306543376
Plan sponsor’s address 40 S. CLAY STREET #130 E, HINSDALE, IL, 60521

Signature of

Role Plan administrator
Date 2014-10-02
Name of individual signing ROSEMARY CHEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-02
Name of individual signing ROSEMARY CHEN
Valid signature Filed with authorized/valid electronic signature
A.C. DERMATOLOGY, LTD. PROFIT SHARING PLAN 2012 363971886 2013-06-27 A.C. DERMATOLOGY, LTD. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621399
Sponsor’s telephone number 6306543376
Plan sponsor’s address 40 S. CLAY STREET #130 E, HINSDALE, IL, 60521

Signature of

Role Plan administrator
Date 2013-06-27
Name of individual signing ROSEMARY CHEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-27
Name of individual signing ROSEMARY CHEN
Valid signature Filed with authorized/valid electronic signature
A.C. DERMATOLOGY, LTD. PROFIT SHARING PLAN 2011 363971886 2012-07-13 A.C. DERMATOLOGY, LTD. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621399
Sponsor’s telephone number 6306543376
Plan sponsor’s address 40 S. CLAY #130 E, HINSDALE, IL, 60525

Plan administrator’s name and address

Administrator’s EIN 363971886
Plan administrator’s name A.C. DERMATOLOGY, LTD.
Plan administrator’s address 40 S. CLAY #130 E, HINSDALE, IL, 60525
Administrator’s telephone number 6306543376

Signature of

Role Plan administrator
Date 2012-07-13
Name of individual signing ROSEMARY CHEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-13
Name of individual signing ROSEMARY CHEN
Valid signature Filed with authorized/valid electronic signature
A.C. DERMATOLOGY, LTD. PROFIT SHARING PLAN 2010 363971886 2011-06-20 A.C. DERMATOLOGY, LTD. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621399
Sponsor’s telephone number 6306543376
Plan sponsor’s address 40 S. CLAY #130 E, HINSDALE, IL, 60525

Plan administrator’s name and address

Administrator’s EIN 363971886
Plan administrator’s name A.C. DERMATOLOGY, LTD.
Plan administrator’s address 40 S. CLAY #130 E, HINSDALE, IL, 60525
Administrator’s telephone number 6306543376

Signature of

Role Plan administrator
Date 2011-06-20
Name of individual signing ROSEMARY CHEN
Valid signature Filed with authorized/valid electronic signature
A.C. DERMATOLOGY, LTD. PROFIT SHARING PLAN 2009 363971886 2010-09-22 A.C. DERMATOLOGY, LTD. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621399
Sponsor’s telephone number 6306543376
Plan sponsor’s address 40 S. CLAY #130 E, HINSDALE, IL, 60525

Plan administrator’s name and address

Administrator’s EIN 363971886
Plan administrator’s name A.C. DERMATOLOGY, LTD.
Plan administrator’s address 40 S. CLAY #130 E, HINSDALE, IL, 60525
Administrator’s telephone number 6306543376

Signature of

Role Plan administrator
Date 2010-09-22
Name of individual signing ROSEMARY CHEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
VINCENT F GIULIANO, 7222 W CERMAK RD STE 701, RIVERSIDE, 60546, COOK-NOT IN CITY OF CHICAGO Agent 2011-08-29

President

Name and Address Role
ROSEMARY CHEN 40 S CLAY ST STE130 EAST HINSDALE 60521 President

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042007470 No data No data REGISTERED MEDICAL CORPORATION No data 1994-11-05 2009-10-16 2011-01-01

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 1000000 No data

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State