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CARY ANN JENKINS, M.D., LLC

Company Details

Entity Name: CARY ANN JENKINS, M.D., LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 30 Sep 2009
Company Number: LLC_02873249
File Number: 02873249
Type of Management: Manager Managed
Date Status Change: 23 Aug 2024
Address 313 WESTRIDGE RD, JOLIET, 60431, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MORRIS DERMATOLOGY 401(K) PLAN 2023 271038610 2024-09-24 MORRIS DERMATOLOGY 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8159415160
Plan sponsor’s address 1499 LAKEWOOD DRIVE, SUITE A, MORRIS, IL, 60450

Signature of

Role Plan administrator
Date 2024-09-24
Name of individual signing CARY JENKINS, M.D.
Valid signature Filed with authorized/valid electronic signature
MORRIS DERMATOLOGY 401(K) PLAN 2022 271038610 2023-06-28 MORRIS DERMATOLOGY 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8159415160
Plan sponsor’s address 1499 LAKEWOOD DRIVE, SUITE A, MORRIS, IL, 60450

Signature of

Role Plan administrator
Date 2023-06-28
Name of individual signing CARY JENKINS, M.D.
Valid signature Filed with authorized/valid electronic signature
MORRIS DERMATOLOGY 401(K) PLAN 2021 271038610 2022-07-26 MORRIS DERMATOLOGY 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8159415160
Plan sponsor’s address 1499 LAKEWOOD DRIVE, SUITE A, MORRIS, IL, 60450

Signature of

Role Plan administrator
Date 2022-07-26
Name of individual signing CARY JENKINS, M.D.
Valid signature Filed with authorized/valid electronic signature
MORRIS DERMATOLOGY 401(K) PLAN 2020 271038610 2021-08-28 MORRIS DERMATOLOGY 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8159415160
Plan sponsor’s address 1499 LAKEWOOD DRIVE, SUITE A, MORRIS, IL, 60450

Signature of

Role Plan administrator
Date 2021-08-28
Name of individual signing CARY JENKINS, M.D.
Valid signature Filed with authorized/valid electronic signature
MORRIS DERMATOLOGY 401(K) PLAN 2019 271038610 2020-10-11 MORRIS DERMATOLOGY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8159415160
Plan sponsor’s address 1499 LAKEWOOD DRIVE, SUITE A, MORRIS, IL, 60450

Signature of

Role Plan administrator
Date 2020-10-11
Name of individual signing CARY JENKINS, M.D.
Valid signature Filed with authorized/valid electronic signature
MORRIS DERMATOLOGY 401(K) PLAN 2018 271038610 2019-07-18 MORRIS DERMATOLOGY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8159415160
Plan sponsor’s address 1499 LAKEWOOD DRIVE, SUITE A, MORRIS, IL, 60450
MORRIS DERMATOLOGY 401(K) PLAN 2017 271038610 2018-07-16 MORRIS DERMATOLOGY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8159415160
Plan sponsor’s address 1499 LAKEWOOD DRIVE, SUITE A, MORRIS, IL, 60450
MORRIS DERMATOLOGY 401(K) PLAN 2016 271038610 2017-06-29 MORRIS DERMATOLOGY 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8159415160
Plan sponsor’s address 1499 LAKEWOOD DRIVE, SUITE A, MORRIS, IL, 60450
MORRIS DERMATOLOGY 401(K) PLAN 2015 271038610 2016-07-16 MORRIS DERMATOLOGY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8159415160
Plan sponsor’s address 1499 LAKEWOOD DRIVE, SUITE A, MORRIS, IL, 60450
MORRIS DERMATOLOGY 401(K) PLAN 2014 271038610 2015-05-27 MORRIS DERMATOLOGY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 8159415160
Plan sponsor’s address 1499 LAKEWOOD DRIVE, SUITE A, MORRIS, IL, 60450

Signature of

Role Plan administrator
Date 2015-05-27
Name of individual signing CARY JENKINS, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
H,T,J,B & W, INC, 2801 BLACK RD 2ND FL, JOLIET, 60435, WILL Agent 2009-09-30

Manager

Name and Address Role Appointment Date
JENKINS, CARY ANN, 313 WESTRIDGE RD, JOLIET, IL, 60431 Manager 2009-09-30

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
MORRIS DERMATOLOGY Assumed name 2009-10-08 No data No data 2020-08-11
JOLIET DERMATOLOGY Assumed name 2009-10-08 No data No data 2020-08-11

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State