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  5. ROCKFORD DERMATOLOGY, S.C.

ROCKFORD DERMATOLOGY, S.C.

Company Details

Entity Name: ROCKFORD DERMATOLOGY, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 16 Sep 2002
Company Number: CORP_62402466
File Number: 62402466
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
ROCKFORD DERMATOLOGY, S.C. 401(K) PLAN 2023 161627697 2024-10-08 ROCKFORD DERMATOLOGY, S.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8153996400
Plan sponsor’s address 4338 MORSAY DR, ROCKFORD, IL, 61107

Signature of
Role Plan administrator
Date 2024-10-08
Name of individual signing LAKIMERLY COATES
Valid signature Filed with authorized/valid electronic signature
ROCKFORD DERMATOLOGY, S.C. 401(K) PLAN 2022 161627697 2023-08-02 ROCKFORD DERMATOLOGY, S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8153996400
Plan sponsor’s address 345 EXECUTIVE PARKWAY SUITE L1, ROCKFORD, IL, 61107

Signature of
Role Plan administrator
Date 2023-08-02
Name of individual signing LAKIMERLY COATES
Valid signature Filed with authorized/valid electronic signature
ROCKFORD DERMATOLOGY, S.C. 401(K) PLAN 2021 161627697 2022-10-13 ROCKFORD DERMATOLOGY, S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8153996400
Plan sponsor’s address 4338 MORSAY DRIVE, ROCKFORD, IL, 61107

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing LAKIMERLY COATES
Valid signature Filed with authorized/valid electronic signature
ROCKFORD DERMATOLOGY, S.C. 401(K) PLAN 2020 161627697 2021-09-21 ROCKFORD DERMATOLOGY, S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8153996400
Plan sponsor’s address 4338 MORSAY DRIVE, ROCKFORD, IL, 61107
ROCKFORD DERMATOLOGY, S.C. 401(K) PLAN 2019 161627697 2020-09-14 ROCKFORD DERMATOLOGY, S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8153996400
Plan sponsor’s address 4338 MORSAY DRIVE, ROCKFORD, IL, 61107

Signature of
Role Plan administrator
Date 2020-09-14
Name of individual signing LAKIMERLY COATES
Valid signature Filed with authorized/valid electronic signature
ROCKFORD DERMATOLOGY, S.C. 401(K) PLAN 2018 161627697 2019-10-09 ROCKFORD DERMATOLOGY, S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8153996400
Plan sponsor’s address 4338 MORSAY DRIVE, ROCKFORD, IL, 61107
ROCKFORD DERMATOLOGY, S.C. 401(K) PLAN 2017 161627697 2018-07-18 ROCKFORD DERMATOLOGY, S.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8153996400
Plan sponsor’s address 4338 MORSAY DRIVE, ROCKFORD, IL, 61107
ROCKFORD DERMATOLOGY, S.C. 401(K) PLAN 2016 161627697 2017-07-12 ROCKFORD DERMATOLOGY, S.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8153996400
Plan sponsor’s address 345 EXECUTIVE PARKWAY SUITE L1, ROCKFORD, IL, 61107

Signature of
Role Plan administrator
Date 2017-07-12
Name of individual signing LAKIMERLY COATES
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
LAKIMERLY M COATES, 4338 MORSAY DR, ROCKFORD, 61107, WINNEBAGO Agent 2017-03-15

President

Name and Address Role
LAKIMERLY COATES 4338 MORSAY DRIVE ROCKFORD IL 61107 President

Secretary

Name and Address Role
MARSHA WOODS 4338 MORSAY DRIVEROCKFORD IL 61107 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 1

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 23 Jan 2025

Sources: Illinois Office of the Secretary of State

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