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  5. DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD.

DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD.

Company Details

Entity Name: DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 13 May 2014
Company Number: CORP_69423507
File Number: 69423507
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
DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD. CASH BALANCE PLAN 2023 465696020 2024-10-14 DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 8474587546
Plan sponsor’s address 2430 ESPLANADE DRIVE, SUITE B, ALGONQUIN, IL, 60102

Signature of
Role Plan administrator
Date 2024-10-14
Name of individual signing VIKRAM KHANNA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-14
Name of individual signing VIKRAM KHANNA
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD. 401(K)/RETIREMENT PLAN 2023 465696020 2024-06-28 DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8474587546
Plan sponsor’s address 2430 ESPLANADE DRIVE, SUITE B, ALGONQUIN, IL, 60102

Signature of
Role Plan administrator
Date 2024-06-28
Name of individual signing VIKRAM KHANNA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-28
Name of individual signing VIKRAM KHANNA
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD. CASH BALANCE PLAN 2022 465696020 2023-10-09 DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 8474587546
Plan sponsor’s address 2430 ESPLANADE DRIVE, SUITE B, ALGONQUIN, IL, 60102
DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD. 401(K)/RETIREMENT PLAN 2022 465696020 2023-09-21 DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8474587546
Plan sponsor’s address 2430 ESPLANADE DRIVE, SUITE B, ALGONQUIN, IL, 60102
DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD. 401(K)/RETIREMENT PLAN 2021 465696020 2022-06-20 DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8474587546
Plan sponsor’s address 2430 ESPLANADE DRIVE, SUITE B, ALGONQUIN, IL, 60102

Signature of
Role Plan administrator
Date 2022-06-20
Name of individual signing VIKRAM KHANNA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-20
Name of individual signing VIKRAM KHANNA
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD. CASH BALANCE PLAN 2021 465696020 2022-10-13 DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 8474587546
Plan sponsor’s address 2430 ESPLANADE DRIVE, SUITE B, ALGONQUIN, IL, 60102
DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD. CASH BALANCE PLAN 2020 465696020 2021-10-06 DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 8474587546
Plan sponsor’s address 2430 ESPLANADE DRIVE, SUITE B, ALGONQUIN, IL, 60102
DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD. 401(K)/RETIREMENT PLAN 2020 465696020 2021-08-19 DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8474587546
Plan sponsor’s address 2430 ESPLANADE DRIVE, SUITE B, ALGONQUIN, IL, 60102

Signature of
Role Plan administrator
Date 2021-08-19
Name of individual signing VIKRAM KHANNA
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD. 401(K)/RETIREMENT PLAN 2019 465696020 2020-09-30 DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8474587546
Plan sponsor’s address 2430 ESPLANADE DRIVE, SUITE B, ALGONQUIN, IL, 60102

Signature of
Role Plan administrator
Date 2020-09-30
Name of individual signing VIKRAM KHANNA
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD. CASH BALANCE PLAN 2019 465696020 2020-10-01 DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD. 17
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 8474587546
Plan sponsor’s address 2430 ESPLANADE DRIVE, SUITE B, ALGONQUIN, IL, 60102

Signature of
Role Plan administrator
Date 2020-09-30
Name of individual signing VIKRAM KHANNA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DONALD A HITZEL JR, 1700 PEACH LN, SCHAUMBURG, 60194, COOK-NOT IN CITY OF CHICAGO Agent 2014-05-13

President

Name and Address Role
VIKRAM J. KHANNA, M. D. 2430 ESPLANDE DR STE B ALGONQUIN IL President

Secretary

Name and Address Role
VIKRAM J. KHANNA, M. D. 2430 ESPLANDE DR STE B ALGONQUIN IL Secretary

Shares

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

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DONALD A HITZEL JR, 1700 PEACH LN, SCHAUMBURG, 60194, COOK-NOT IN CITY OF CHICAGO

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Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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