| Entity Name: | ORSINI SURGICAL DERMATOLOGY, S.C. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 18 May 2016 |
| Company Number: | CORP_70648768 |
| File Number: | 70648768 |
| 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 | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ORSINI SURGICAL DERMATOLOGY, S.C. 401(K) PLAN | 2023 | 813167869 | 2024-05-22 | ORSINI SURGICAL DERMATOLOGY, S.C. | 0 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-22 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| AMY PRIESS ORSINI, 1519 LEGACY CIR, NAPERVILLE, 60563, DU PAGE | Agent | 2020-04-20 |
| Name and Address | Role |
|---|---|
| AMY PRIESS ORSINI, 1519 LEGACYCIRCLE, NAPERVILLE, IL 60563 | President |
| Name and Address | Role |
|---|---|
| NONE | Secretary |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 10000 | 1000000 | No data |
Date of last update: 16 Jan 2025
