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NORTH BRANCH DERMATOLOGY, LLC

Company Details

Entity Name: NORTH BRANCH DERMATOLOGY, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 24 Jul 2014
Company Number: LLC_04893344
File Number: 04893344
Type of Management: Member Managed
Date Status Change: 17 Jun 2024
Address 7411 N MILWAUKEE AVE, NILES, 60714, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH BRANCH DERMATOLOGY, LLC PROFIT SHARING 401(K) PLAN 2023 471423039 2024-10-14 NORTH BRANCH DERMATOLOGY, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7737636000
Plan sponsor’s address 7411 N MILWAUKEE AVE, NILES, IL, 60714
NORTH BRANCH DERMATOLOGY, LLC PROFIT SHARING 401(K) PLAN 2022 471423039 2023-10-16 NORTH BRANCH DERMATOLOGY, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7737636000
Plan sponsor’s address 7411 N MILWAUKEE AVE, NILES, IL, 60714
NORTH BRANCH DERMATOLOGY, LLC PROFIT SHARING 401(K) PLAN 2021 471423039 2022-09-08 NORTH BRANCH DERMATOLOGY, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7737636000
Plan sponsor’s address 7411 N MILWAUKEE AVE, NILES, IL, 60714

Signature of

Role Plan administrator
Date 2022-09-08
Name of individual signing ELIZABETH FAHRENBACH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-08
Name of individual signing ELIZABETH FAHRENBACH
Valid signature Filed with authorized/valid electronic signature
NORTH BRANCH DERMATOLOGY, LLC PROFIT SHARING 401(K) PLAN 2020 471423039 2021-10-15 NORTH BRANCH DERMATOLOGY, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7737636000
Plan sponsor’s address 7447 W. TALCOTT AVE. SUITE 425, CHICAGO, IL, 60631
NORTH BRANCH DERMATOLOGY, LLC PROFIT SHARING 401(K) PLAN 2019 471423039 2020-10-15 NORTH BRANCH DERMATOLOGY, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7737636000
Plan sponsor’s address 7447 W. TALCOTT AVE. SUITE 425, CHICAGO, IL, 60631
NORTH BRANCH DERMATOLOGY, LLC PROFIT SHARING 401(K) PLAN 2018 471423039 2019-10-14 NORTH BRANCH DERMATOLOGY, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7737636000
Plan sponsor’s address 7447 W. TALCOTT AVE. SUITE 425, CHICAGO, IL, 60631
NORTH BRANCH DERMATOLOGY, LLC PROFIT SHARING 401(K) PLAN 2017 471423039 2018-10-15 NORTH BRANCH DERMATOLOGY, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7737636000
Plan sponsor’s address 7447 W. TALCOTT AVE. SUITE 425, CHICAGO, IL, 60631
NORTH BRANCH DERMATOLOGY, LLC PROFIT SHARING 401(K) PLAN 2016 471423039 2017-10-12 NORTH BRANCH DERMATOLOGY, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7737636000
Plan sponsor’s address 7447 W. TALCOTT AVE. SUITE 425, CHICAGO, IL, 60631

Agent

Name and Address Role Appointment Date
ELIZABETH N FAHRENBACH MD, 7411 N MILWAUKEE AVE, NILES, 60714 Agent 2022-07-06

Member

Name and Address Role Appointment Date
FAHRENBACH, ELIZABETH N., 7411 N MILWAUKEE AVE, NILES, IL, 60714 Member 2014-07-24

Manager

Name and Address Role Appointment Date
DUNN, CHRISTINA (PRACTICE MANAGER), 7411 N MILWAUKEE AVE, NILES, IL, 60714 Manager 2020-05-29

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State