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  5. KAMINSKA DERMATOLOGY PLLC

KAMINSKA DERMATOLOGY PLLC

Company Details

Entity Name: KAMINSKA DERMATOLOGY PLLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 01 Jan 2019
Company Number: LLC_07134185
File Number: 07134185
Type of Management: Manager Managed
Date Status Change: 18 Dec 2024
Address 3808 N LINCOLN AVENUE, STE 101, CHICAGO, 60613, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KAMINSKA DERMATOLOGY PLLC CASH BALANCE PLAN & TRUST 2023 832957699 2024-10-02 KAMINSKA DERMATOLOGY PLLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621399
Sponsor’s telephone number 7736774300
Plan sponsor’s address 3808 NORTH LINCOLN AVENUE, STE. 101, CHICAGO, IL, 60613

Signature of
Role Plan administrator
Date 2024-10-02
Name of individual signing EDIDIONG KAMINSKA
Valid signature Filed with authorized/valid electronic signature
KAMINSKA DERMATOLOGY PLLC 401(K) PROFIT SHARING PLAN & TRUST 2023 832957699 2024-10-04 KAMINSKA DERMATOLOGY PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621399
Sponsor’s telephone number 7736774300
Plan sponsor’s address 3808 NORTH LINCOLN AVENUE, STE. 101, CHICAGO, IL, 60613

Signature of
Role Plan administrator
Date 2024-10-04
Name of individual signing EDIDIONG KAMINSKA
Valid signature Filed with authorized/valid electronic signature
KAMINSKA DERMATOLOGY PLLC CASH BALANCE PLAN & TRUST 2022 832957699 2023-04-18 KAMINSKA DERMATOLOGY PLLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621399
Sponsor’s telephone number 7736774300
Plan sponsor’s address 3808 NORTH LINCOLN AVENUE, SUITE 10, CHICAGO, IL, 60613

Signature of
Role Plan administrator
Date 2023-04-18
Name of individual signing EDIDIONG KAMINSKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-18
Name of individual signing EDIDIONG KAMINSKA
Valid signature Filed with authorized/valid electronic signature
KAMINSKA DERMATOLOGY PLLC 401(K) PROFIT SHARING PLAN & TRUST 2022 832957699 2023-04-18 KAMINSKA DERMATOLOGY PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621399
Sponsor’s telephone number 7736774300
Plan sponsor’s address 3808 NORTH LINCOLN AVENUE, SUITE 10, CHICAGO, IL, 60613

Signature of
Role Plan administrator
Date 2023-04-18
Name of individual signing EDIDIONG KAMINSKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-18
Name of individual signing EDIDIONG KAMINSKA
Valid signature Filed with authorized/valid electronic signature
KAMINSKA DERMATOLOGY PLLC 401(K) PROFIT SHARING PLAN & TRUST 2021 832957699 2022-10-04 KAMINSKA DERMATOLOGY PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621399
Sponsor’s telephone number 7736774300
Plan sponsor’s address 3808 NORTH LINCOLN AVENUE, SUITE 101, CHICAGO, IL, 60613

Signature of
Role Plan administrator
Date 2022-10-04
Name of individual signing EDIDIONG KAMINSKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-04
Name of individual signing EDIDIONG KAMINSKA
Valid signature Filed with authorized/valid electronic signature
KAMINSKA DERMATOLOGY PLLC CASH BALANCE PLAN & TRUST 2021 832957699 2022-10-04 KAMINSKA DERMATOLOGY PLLC 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621399
Sponsor’s telephone number 7736774300
Plan sponsor’s address 3808 NORTH LINCOLN AVENUE, SUITE 101, CHICAGO, IL, 60613

Signature of
Role Plan administrator
Date 2022-10-04
Name of individual signing EDIDIONG KAMINSKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-04
Name of individual signing EDIDIONG KAMINSKA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JAN P. KAMINSKI, 900 W NELSON AVE FIST FLOOR, CHICAGO, 60657 Agent 2019-01-01

Manager

Name and Address Role Appointment Date
EDIDIONG KAMINSKA, 3808 N LINCOLN AVE SUITE 101, CHICAGO, IL, 60613 Manager 2024-12-18

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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