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KIRACOFE M.D. MEDICAL, PLLC

Company Details

Entity Name: KIRACOFE M.D. MEDICAL, PLLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 09 Jul 2019
Company Number: LLC_07918054
File Number: 07918054
Type of Management: Manager Managed
Date Status Change: 07 Jun 2024
Address 618 W FULTON ST, CHICAGO, 60661, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AIRIA COMPREHENSIVE DERMATOLOGY 401(K) PLAN 2023 842346966 2024-10-02 AIRIA COMPREHENSIVE DERMATOLOGY 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 8477660829
Plan sponsor’s address 618 W FULTON ST, CHICAGO, IL, 60661

Signature of

Role Plan administrator
Date 2024-10-02
Name of individual signing ALLISON BRECHER
Valid signature Filed with authorized/valid electronic signature
AIRIA COMPREHENSIVE DERMATOLOGY 401(K) PLAN 2022 842346966 2023-09-28 AIRIA COMPREHENSIVE DERMATOLOGY 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 8477660829
Plan sponsor’s address 618 W FULTON ST, CHICAGO, IL, 60661

Signature of

Role Plan administrator
Date 2023-09-28
Name of individual signing ALLISON BRECHER
Valid signature Filed with authorized/valid electronic signature
AIRIA COMPREHENSIVE DERMATOLOGY 401(K) PLAN 2021 842346966 2022-10-11 AIRIA COMPREHENSIVE DERMATOLOGY 0
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 8477660829
Plan sponsor’s address 618 W FULTON ST, CHICAGO, IL, 60661

Signature of

Role Plan administrator
Date 2022-10-11
Name of individual signing ALLISON BRECHER
Valid signature Filed with authorized/valid electronic signature
AIRIA COMPREHENSIVE DERMATOLOGY 401(K) PLAN 2021 842346966 2022-10-11 AIRIA COMPREHENSIVE DERMATOLOGY 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 8477660829
Plan sponsor’s address 618 W FULTON ST, CHICAGO, IL, 60661

Signature of

Role Plan administrator
Date 2022-10-11
Name of individual signing ALLISON BRECHER
Valid signature Filed with authorized/valid electronic signature
AIRIA COMPREHENSIVE DERMATOLOGY 401(K) PLAN 2021 842346966 2022-10-11 AIRIA COMPREHENSIVE DERMATOLOGY 0
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 8477660829
Plan sponsor’s address 618 W FULTON ST, CHICAGO, IL, 60661

Signature of

Role Plan administrator
Date 2022-10-11
Name of individual signing ALLISON BRECHER
Valid signature Filed with authorized/valid electronic signature
AIRIA COMPREHENSIVE DERMATOLOGY 401(K) PLAN 2021 842346966 2022-10-11 AIRIA COMPREHENSIVE DERMATOLOGY 0
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 8477660829
Plan sponsor’s address 618 W FULTON ST, CHICAGO, IL, 60661

Signature of

Role Plan administrator
Date 2022-10-11
Name of individual signing ALLISON BRECHER
Valid signature Filed with authorized/valid electronic signature
AIRIA COMPREHENSIVE DERMATOLOGY 401(K) PLAN 2021 842346966 2022-10-11 AIRIA COMPREHENSIVE DERMATOLOGY 0
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 8477660829
Plan sponsor’s address 618 W FULTON ST, CHICAGO, IL, 60661

Signature of

Role Plan administrator
Date 2022-10-11
Name of individual signing ALLISON BRECHER
Valid signature Filed with authorized/valid electronic signature
AIRIA COMPREHENSIVE DERMATOLOGY 401(K) PLAN 2021 842346966 2022-10-11 AIRIA COMPREHENSIVE DERMATOLOGY 0
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 8477660829
Plan sponsor’s address 618 W FULTON ST, CHICAGO, IL, 60661

Signature of

Role Plan administrator
Date 2022-10-11
Name of individual signing ALLISON BRECHER
Valid signature Filed with authorized/valid electronic signature
AIRIA COMPREHENSIVE DERMATOLOGY 401(K) PLAN 2021 842346966 2022-10-11 AIRIA COMPREHENSIVE DERMATOLOGY 0
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 8477660829
Plan sponsor’s address 618 W FULTON ST, CHICAGO, IL, 60661

Signature of

Role Plan administrator
Date 2022-10-11
Name of individual signing ALLISON BRECHER
Valid signature Filed with authorized/valid electronic signature
AIRIA COMPREHENSIVE DERMATOLOGY 401(K) PLAN 2021 842346966 2022-10-11 AIRIA COMPREHENSIVE DERMATOLOGY 0
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 8477660829
Plan sponsor’s address 618 W FULTON ST, CHICAGO, IL, 60661

Signature of

Role Plan administrator
Date 2022-10-11
Name of individual signing ALLISON BRECHER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ELIZABETH KIRACOFE, 618 W FULTON ST, CHICAGO, 60661 Agent 2021-01-14

Manager

Name and Address Role Appointment Date
KIRACOFE, ELIZABETH, 504 N GREEN ST UNIT 1401, CHICAGO, IL, 60642 Manager 2024-06-07

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
AIRIA COMPREHENSIVE DERMATOLOGY Assumed name 2020-04-23 No data No data No data
AIRIA DERMATOLOGY Assumed name 2020-04-23 No data No data No data

Historical Names

Name Change Date
KIRACOFE M.D. MEDICAL, LLC 2020-06-25

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State