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  5. LAKESIDE DERMATOLOGY, LLC

LAKESIDE DERMATOLOGY, LLC

Company Details

Entity Name: LAKESIDE DERMATOLOGY, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 27 Sep 2012
Company Number: LLC_04068521
File Number: 04068521
Type of Management: Member Managed
Date Status Change: 01 Aug 2024
Address 1240 N. MILWAUKEE AVE., LIBERTYVILLE, 60048, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKESIDE DERMATOLOGY CASH BALANCE PLAN & TRUST 2023 461447971 2024-07-01 LAKESIDE DERMATOLOGY 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8473675575
Plan sponsor’s address 1240 N. MILWAUKEE AVE, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2024-06-28
Name of individual signing MARTHA ARROYO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-28
Name of individual signing MARTHA ARROYO
Valid signature Filed with authorized/valid electronic signature
LAKESIDE DERMATOLOGY 401(K) PROFIT SHARING PLAN & TRUST 2023 461447971 2024-07-01 LAKESIDE DERMATOLOGY 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8473675575
Plan sponsor’s address 1240 N. MILWAUKEE AVE, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2024-06-28
Name of individual signing MARTHA ARROYO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-28
Name of individual signing MARTHA ARROYO
Valid signature Filed with authorized/valid electronic signature
LAKESIDE DERMATOLOGY 401(K) PROFIT SHARING PLAN & TRUST 2022 461447971 2023-06-29 LAKESIDE DERMATOLOGY 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8473675575
Plan sponsor’s address 1240 N. MILWAUKEE AVE, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2023-06-29
Name of individual signing JOSEPH INGINO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-29
Name of individual signing JOSEPH INGINO
Valid signature Filed with authorized/valid electronic signature
LAKESIDE DERMATOLOGY CASH BALANCE PLAN & TRUST 2022 461447971 2023-06-29 LAKESIDE DERMATOLOGY 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8473675575
Plan sponsor’s address 1240 N. MILWAUKEE AVE, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2023-06-29
Name of individual signing JOSEPH INGINO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-29
Name of individual signing JOSEPH INGINO
Valid signature Filed with authorized/valid electronic signature
LAKESIDE DERMATOLOGY CASH BALANCE PLAN & TRUST 2021 461447971 2022-09-30 LAKESIDE DERMATOLOGY 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8473675575
Plan sponsor’s address 1240 N. MILWAUKEE AVE, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2022-09-30
Name of individual signing MARTHA ARROYO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-30
Name of individual signing MARTHA ARROYO
Valid signature Filed with authorized/valid electronic signature
LAKESIDE DERMATOLOGY 401(K) PROFIT SHARING PLAN & TRUST 2021 461447971 2022-07-15 LAKESIDE DERMATOLOGY 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8473675575
Plan sponsor’s address 1240 N. MILWAUKEE AVE, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2022-07-15
Name of individual signing MARTHA ARROYO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-15
Name of individual signing MARTHA ARROYO
Valid signature Filed with authorized/valid electronic signature
LAKESIDE DERMATOLOGY 401(K) PROFIT SHARING PLAN & TRUST 2020 461447971 2021-10-12 LAKESIDE DERMATOLOGY 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8473675575
Plan sponsor’s address 1240 N. MILWAUKEE AVE, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing MARTHA ARROYO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-12
Name of individual signing MARTHA ARROYO
Valid signature Filed with authorized/valid electronic signature
LAKESIDE DERMATOLOGY CASH BALANCE PLAN & TRUST 2020 461447971 2021-10-12 LAKESIDE DERMATOLOGY 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8473675575
Plan sponsor’s address 1240 N. MILWAUKEE AVE, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing MARTHA ARROYO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-12
Name of individual signing MARTHA ARROYO
Valid signature Filed with authorized/valid electronic signature
LAKESIDE DERMATOLOGY 401(K) PROFIT SHARING PLAN & TRUST 2019 461447971 2020-10-15 LAKESIDE DERMATOLOGY 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8473675575
Plan sponsor’s address 1240 N. MILWAUKEE AVE, LIBERTYVILLE, IL, 60048
LAKESIDE DERMATOLOGY CASH BALANCE PLAN & TRUST 2019 461447971 2020-10-15 LAKESIDE DERMATOLOGY 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8473675575
Plan sponsor’s address 1240 N. MILWAUKEE AVE, LIBERTYVILLE, IL, 60048

Agent

Name and Address Role Appointment Date
MITCHELL D WEINSTEIN, 120 S RIVERSIDE PLZ STE 1700, CHICAGO, 60606 Agent 2022-05-03

Manager

Name and Address Role Appointment Date
ARROYO, MARTHA, 1240 N. MILWAUKEE AVE, LIBERTYVILLE, IL, 60048 Manager 2024-08-01

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
LIMITED LIABILITY CO 248001458 No data No data PROFESSIONAL LIMITED LIABILITY COMPANY No data 2016-08-02 2016-12-06 2018-01-01
LIMITED LIABILITY CO 248001457 No data No data PROFESSIONAL LIMITED LIABILITY COMPANY No data 2016-08-02 2022-05-31 2025-01-01

Related by officers

MITCHELL D WEINSTEIN, 120 S RIVERSIDE PLZ STE 1700, CHICAGO, 60606

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Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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