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NORTHSHORE DERMATOLOGY CENTER, S.C.

Company Details

Entity Name: NORTHSHORE DERMATOLOGY CENTER, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 01 Apr 1997
Company Number: CORP_59342924
File Number: 59342924
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
NORTHSHORE DERMATOLOGY, SC PROFIT SHARING PLAN 2019 364147565 2020-10-08 NORTHSHORE DERMATOLOGY CENTER, S.C. 10
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8472341177
Plan sponsor’s address 925 SHERWOOD DRIVE, LAKE BLUFF, IL, 60044
NORTHSHORE DERMATOLOGY, SC PROFIT SHARING PLAN 2019 364147565 2020-10-08 NORTHSHORE DERMATOLOGY CENTER, S.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8472341177
Plan sponsor’s address 925 SHERWOOD DRIVE, LAKE BLUFF, IL, 60044
NORTHSHORE DERMATOLOGY, SC PROFIT SHARING PLAN 2018 364147565 2019-08-06 NORTHSHORE DERMATOLOGY CENTER, S.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8472341177
Plan sponsor’s address 925 SHERWOOD DRIVE, LAKE BLUFF, IL, 60044
NORTHSHORE DERMATOLOGY, SC PROFIT SHARING PLAN 2017 364147565 2018-09-24 NORTHSHORE DERMATOLOGY CENTER, S.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8472341177
Plan sponsor’s address 925 SHERWOOD DRIVE, LAKE BLUFF, IL, 60044
NORTHSHORE DERMATOLOGY, SC PROFIT SHARING PLAN 2016 364147565 2017-10-09 NORTHSHORE DERMATOLOGY CENTER, S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8472341177
Plan sponsor’s address 925 SHERWOOD DRIVE, LAKE BLUFF, IL, 60044
NORTHSHORE DERMATOLOGY, SC PROFIT SHARING PLAN 2015 364147565 2016-09-21 NORTHSHORE DERMATOLOGY CENTER, S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8472341177
Plan sponsor’s address 925 SHERWOOD DRIVE, LAKE BLUFF, IL, 60044

Signature of

Role Plan administrator
Date 2016-09-21
Name of individual signing MARK H SCHWECHTER
Valid signature Filed with authorized/valid electronic signature
NORTHSHORE DERMATOLOGY, SC PROFIT SHARING PLAN 2015 364147565 2016-09-21 NORTHSHORE DERMATOLOGY CENTER, S.C. 5
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8472341177
Plan sponsor’s address 925 SHERWOOD DRIVE, LAKE BLUFF, IL, 60044

Signature of

Role Plan administrator
Date 2016-09-21
Name of individual signing MARK H SCHWECHTER
Valid signature Filed with authorized/valid electronic signature
NORTHSHORE DERMATOLOGY, SC PROFIT SHARING PLAN 2014 364147565 2015-10-01 NORTHSHORE DERMATOLOGY CENTER, S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8472341177
Plan sponsor’s address 925 SHERWOOD DRIVE, LAKE BLUFF, IL, 60044

Signature of

Role Plan administrator
Date 2015-10-01
Name of individual signing TINA VENETOS, MD
Valid signature Filed with authorized/valid electronic signature
NORTHSHORE DERMATOLOGY, SC PROFIT SHARING PLAN 2013 364147565 2014-07-09 NORTHSHORE DERMATOLOGY CENTER, S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8472341177
Plan sponsor’s address 800 NORTH WESTMINSTER RD SUITE 100C, LAKE FOREST, IL, 60045

Signature of

Role Plan administrator
Date 2014-07-09
Name of individual signing TINA VENETOS, MD
Valid signature Filed with authorized/valid electronic signature
NORTHSHORE DERMATOLOGY, SC 2012 364147565 2013-10-03 NORTHSHORE DERMATOLOGY CENTER, S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8472341177
Plan sponsor’s address 800 NORTH WESTMINSTER RD SUITE 100C, LAKE FOREST, IL, 60045

Signature of

Role Plan administrator
Date 2013-10-03
Name of individual signing TINA VENETOS, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
KIMBERLY A PALMISANO, 3201 OLD GLENVIEW RD, STE 325, WILMETTE, 60091, COOK-NOT IN CITY OF CHICAGO Agent 2023-01-19

President

Name and Address Role
TINA C VENETOS, 925 SHERWOOD DR LK BLUFF IL 60044 President

Secretary

Name and Address Role
AS ABOVE Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
NORTHSHORE LASER CENTER Assume Name 1998-04-21 No data No data No data

Shares

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

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State