| Entity Name: | LEGACY DERMATOLOGY, PLLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 28 Oct 2022 |
| Company Number: | LLC_12419678 |
| File Number: | 12419678 |
| Type of Management: | Manager Managed |
| Date Status Change: | 19 Sep 2024 |
| Address | 2230 HUNTINGTON DRIVE N, ALGONQUIN, 60102, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LEGACY DERMATOLOGY PLLC 401K | 2023 | 920865244 | 2024-08-16 | LEGACY DERMATOLOGY LLC | 6 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-08-16 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| KENNETH J. NEMEC, JR., 835 MCCLINTOCK DRIVE, SECOND FLOOR, BURR RIDGE, 60527 | Agent | 2022-12-19 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| LAURENCE MARTIN BRADLEY, JR., M.D., 2230 HUNTINGTON DRIVE N, ALGONQUIN, IL, 60102 | Manager | 2022-12-19 |
| Name | Change Date |
|---|---|
| LEGACY DERMATOLOGY LLC | 2022-12-19 |
Date of last update: 23 Dec 2024
