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  5. SHETH DERMATOLOGY, P.C.

SHETH DERMATOLOGY, P.C.

Company Details

Entity Name: SHETH DERMATOLOGY, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 18 Apr 2011
Company Number: CORP_67748905
File Number: 67748905
Type of Business: Incorporated under the Professional Service Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHETH DERMATOLOGY P.C. 401(K) PROFIT SHARING PLAN 2023 451809009 2024-09-17 SHETH DERMATOLOGY P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-03-01
Business code 621111
Sponsor’s telephone number 7733681456
Plan sponsor’s address 9131 W. 151ST ST, ORLAND PARK, IL, 60462
SHETH DERMATOLOGY P.C. 401(K) PROFIT SHARING PLAN 2022 451809009 2023-09-26 SHETH DERMATOLOGY P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-03-01
Business code 621111
Sponsor’s telephone number 7733681456
Plan sponsor’s address 9131 W. 151ST ST, ORLAND PARK, IL, 60462

Signature of
Role Plan administrator
Date 2023-09-26
Name of individual signing ANIS SHETH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-26
Name of individual signing ANIS SHETH
Valid signature Filed with authorized/valid electronic signature
SHETH DERMATOLOGY P.C. 401(K) PROFIT SHARING PLAN 2021 451809009 2022-09-08 SHETH DERMATOLOGY P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-03-01
Business code 621111
Sponsor’s telephone number 7733681456
Plan sponsor’s address 9131 W. 151ST ST, ORLAND PARK, IL, 60462

Signature of
Role Plan administrator
Date 2022-09-08
Name of individual signing SEEMA SHETH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-08
Name of individual signing SEEMA SHETH
Valid signature Filed with authorized/valid electronic signature
SHETH DERMATOLOGY P.C. 401(K) PROFIT SHARING PLAN 2020 451809009 2021-06-28 SHETH DERMATOLOGY P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-03-01
Business code 621111
Sponsor’s telephone number 7733681456
Plan sponsor’s address 9131 W. 151ST ST, ORLAND PARK, IL, 60462

Signature of
Role Plan administrator
Date 2021-06-28
Name of individual signing SEEMA SHETH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-28
Name of individual signing SEEMA SHETH
Valid signature Filed with authorized/valid electronic signature
SHETH DERMATOLOGY P.C. 401(K) PROFIT SHARING PLAN 2019 451809009 2020-09-16 SHETH DERMATOLOGY P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-03-01
Business code 621111
Sponsor’s telephone number 7733681456
Plan sponsor’s address 9131 W. 151ST ST, ORLAND PARK, IL, 60462
SHETH DERMATOLOGY P.C. 401(K) PROFIT SHARING PLAN 2018 451809009 2019-10-01 SHETH DERMATOLOGY P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-03-01
Business code 621111
Sponsor’s telephone number 7733681456
Plan sponsor’s address 9131 W. 151ST ST, ORLAND PARK, IL, 60462
SHETH DERMATOLOGY P.C. 401(K) PROFIT SHARING PLAN 2017 451809009 2018-08-15 SHETH DERMATOLOGY P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-03-01
Business code 621111
Sponsor’s telephone number 7733681456
Plan sponsor’s address 9131 W. 151ST ST, ORLAND PARK, IL, 60462
SHETH DERMATOLOGY P.C. 401(K) PROFIT SHARING PLAN 2016 451809009 2017-07-20 SHETH DERMATOLOGY P.C. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-03-01
Business code 621111
Sponsor’s telephone number 7733681456
Plan sponsor’s address 8691 CREST CT, BURR RIDGE, IL, 60527

Agent

Name and Address Role Appointment Date
SEEMA SHETH, 8691 CREST CT, BURR RIDGE, 60527, COOK-NOT IN CITY OF CHICAGO Agent 2012-03-06

President

Name and Address Role
SEEMA SHETH 20 WASHINGTON CIRCLE HINSDALE IL 60521 President

Secretary

Name and Address Role
NONE Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 100000 No data

Related by officers

NONE

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Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State

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