| Entity Name: | OAK DERMATOLOGY, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 14 Aug 2017 |
| Company Number: | LLC_06433111 |
| File Number: | 06433111 |
| Type of Management: | Manager Managed |
| Date Status Change: | 14 Aug 2024 |
| Address | 550 E. DEVON, SUITE 200, ITASCA, 60143, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OAK DERMATOLOGY LLC 401(K) PLAN | 2020 | 823541643 | 2021-11-22 | OAK DERMATOLOGY LLC | 34 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2021-11-22 |
| Name of individual signing | ASHISH BHATIA |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2021-11-22 |
| Name of individual signing | ASHISH BHATIA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 8646253376 |
| Plan sponsor’s address | 550 E DEVON AVENUE, ITASCA, IL, 60143 |
Signature of
| Role | Plan administrator |
| Date | 2021-07-27 |
| Name of individual signing | ASHISH BHATIA |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2021-07-27 |
| Name of individual signing | ASHISH BHATIA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| TE-SHAO HSU, 550 E DEVON AVE STE 200, ITASCA, 60143 | Agent | 2024-08-21 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ASHISH BHATIA, 550 E. DEVON SUITE 200, ITASCA, IL, 60143 | Manager | 2024-08-14 |
| JEFFREY HSU, 550 E. DEVON SUITE 200, ITASCA, IL, 60143 | Manager | 2024-08-14 |
Date of last update: 27 Jan 2025
