| Entity Name: | 1609 WERNSING AVENUE, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 05 Mar 2013 |
| Company Number: | LLC_04272749 |
| File Number: | 04272749 |
| Type of Management: | Manager Managed |
| Date Status Change: | 30 Jan 2024 |
| Address | 1609 W. WERNSING AVE., EFFINGHAM, 62401, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A.C. DERMATOLOGY, LTD. PROFIT SHARING PLAN | 2011 | 363971886 | 2012-07-13 | A.C. DERMATOLOGY, LTD. | 5 | |||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 363971886 |
| Plan administrator’s name | A.C. DERMATOLOGY, LTD. |
| Plan administrator’s address | 40 S. CLAY #130 E, HINSDALE, IL, 60525 |
| Administrator’s telephone number | 6306543376 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-13 |
| Name of individual signing | ROSEMARY CHEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-07-13 |
| Name of individual signing | ROSEMARY CHEN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1995-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 6306543376 |
| Plan sponsor’s address | 40 S. CLAY #130 E, HINSDALE, IL, 60525 |
Plan administrator’s name and address
| Administrator’s EIN | 363971886 |
| Plan administrator’s name | A.C. DERMATOLOGY, LTD. |
| Plan administrator’s address | 40 S. CLAY #130 E, HINSDALE, IL, 60525 |
| Administrator’s telephone number | 6306543376 |
Signature of
| Role | Plan administrator |
| Date | 2011-06-20 |
| Name of individual signing | ROSEMARY CHEN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1995-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 6306543376 |
| Plan sponsor’s address | 40 S. CLAY #130 E, HINSDALE, IL, 60525 |
Plan administrator’s name and address
| Administrator’s EIN | 363971886 |
| Plan administrator’s name | A.C. DERMATOLOGY, LTD. |
| Plan administrator’s address | 40 S. CLAY #130 E, HINSDALE, IL, 60525 |
| Administrator’s telephone number | 6306543376 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-22 |
| Name of individual signing | ROSEMARY CHEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| AARON K. LEONARD, 122 E. WASHINGTON AVE., EFFINGHAM, 62401 | Agent | 2022-05-21 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| HILL, CHAD, 1609 W WERNSING AVENUE, STE 1, EFFINGHAM, IL, 62401 | Manager | 2024-01-30 |
| FORBES, JOSEPH E., 1609 W WERNSING AVENUE, STE 1, EFFINGHAM, IL, 62401 | Manager | 2024-01-30 |
Date of last update: 23 Dec 2024
