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DERMATIQUE LASER & SKIN, INC.

Company Details

Entity Name: DERMATIQUE LASER & SKIN, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 07 Sep 2005
Company Number: CORP_64466291
File Number: 64466291
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DERMATIQUE LASER & SKIN INC 401(K) PROFIT SHARING PLAN & TRUST 2023 203472284 2024-05-03 DERMATIQUE LASER & SKIN INC 17
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Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621498
Sponsor’s telephone number 6302622515
Plan sponsor’s address 407 S 3RD STREET SUITE 240, GENEVA, IL, 60134

Plan administrator’s name and address

Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES, INC.
Plan administrator’s address 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788
Administrator’s telephone number 6312490500

Signature of

Role Plan administrator
Date 2024-05-03
Name of individual signing ERISA FIDUCIARY SERVICES
Valid signature Filed with authorized/valid electronic signature
DERMATIQUE LASER & SKIN INC 401(K) PROFIT SHARING PLAN & TRUST 2022 203472284 2023-04-07 DERMATIQUE LASER & SKIN INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621498
Sponsor’s telephone number 6302622515
Plan sponsor’s address 407 S 3RD STREET SUITE 240, GENEVA, IL, 60134

Plan administrator’s name and address

Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES, INC.
Plan administrator’s address 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788
Administrator’s telephone number 6312490500

Signature of

Role Plan administrator
Date 2023-04-07
Name of individual signing ERISA FIDUCIARY SERVICES
Valid signature Filed with authorized/valid electronic signature
DERMATIQUE LASER & SKIN INC 401(K) PROFIT SHARING PLAN & TRUST 2021 203472284 2022-06-11 DERMATIQUE LASER & SKIN INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621498
Sponsor’s telephone number 6302622515
Plan sponsor’s address 407 S 3RD STREET SUITE 240, GENEVA, IL, 60134

Plan administrator’s name and address

Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES, INC.
Plan administrator’s address 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788
Administrator’s telephone number 6312490500

Signature of

Role Plan administrator
Date 2022-06-11
Name of individual signing ERISA FIDUCIARY SERVICES
Valid signature Filed with authorized/valid electronic signature
DERMATIQUE LASER & SKIN INC 401(K) PROFIT SHARING PLAN & TRUST 2020 203472284 2021-04-02 DERMATIQUE LASER & SKIN INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621498
Sponsor’s telephone number 6302622515
Plan sponsor’s address 407 S 3RD STREET SUITE 240, GENEVA, IL, 60134

Signature of

Role Plan administrator
Date 2021-04-02
Name of individual signing ERISA FIDUCIARY SERVICES
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
GINA B LESNIK, 2022 RACHEL LN, AURORA, 60502, KANE Agent 2005-09-07

President

Name and Address Role
GINA B LESNIK 2022 RACHEL LN AURORA 60502 President

Secretary

Name and Address Role
RAY LESNIK Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 300 300000 No data

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State