| Entity Name: | DERMATOLOGY AND PLASTIC SURGERY ASSOCIATES S.C. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 09 Dec 2003 |
| Company Number: | CORP_63229458 |
| File Number: | 63229458 |
| Type of Business: | Incorporated under the Medical Corporation Act |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DERMATOLOGY AND PLASTIC SURGERY ASSOCIATES, S.C. 401K PLAN | 2011 | 432036896 | 2012-07-23 | DERMATOLOGY AND PLASTIC SURGERY ASSOCIATES, S.C. | 11 | |||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 432036896 |
| Plan administrator’s name | DERMATOLOGY AND PLASTIC SURGERY ASSOCIATES, S.C. |
| Plan administrator’s address | 1124 ESSINGTON ROAD, JOLIET, IL, 60435 |
| Administrator’s telephone number | 8157448554 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-23 |
| Name of individual signing | JOSE RIOS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-07-23 |
| Name of individual signing | PAULA LAPINSKI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2005-09-08 |
| Business code | 621111 |
| Sponsor’s telephone number | 8157448554 |
| Plan sponsor’s address | 1124 ESSINGTON ROAD, JOLIET, IL, 60435 |
Plan administrator’s name and address
| Administrator’s EIN | 432036896 |
| Plan administrator’s name | DERMATOLOGY AND PLASTIC SURGERY ASSOCIATES, S.C. |
| Plan administrator’s address | 1124 ESSINGTON ROAD, JOLIET, IL, 60435 |
| Administrator’s telephone number | 8157448554 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-26 |
| Name of individual signing | JOSE RIOS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-07-26 |
| Name of individual signing | PAULA LAPINSKI |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| REGISTERED AGENT SOLUTIONS, INC., 901 S 2ND ST STE 201, SPRINGFIELD, 62704, SANGAMON | Agent | 2024-01-04 |
| Name and Address | Role |
|---|---|
| PAULA K LAPINSKI 5141 VIRGINIAWAY # 350, BRENTWOOD TN 37027 | President |
| Name and Address | Role |
|---|---|
| PAULA K LAPINSKI 5141 VIRGINIAWAY #350, BRENTWOOD TN 37027 | Secretary |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| A VOTING COMMON | No data | Voting Rights | 100 | 100000 | 1 |
| B NON-VOTING COMMON | No data | Voting Rights | 9900 | 9900000 | 1 |
Date of last update: 20 Jan 2025
