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  5. KIRK EYE CENTER, S.C.

KIRK EYE CENTER, S.C.

Company Details

Entity Name: KIRK EYE CENTER, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 26 Sep 1968
Company Number: CORP_49067810
File Number: 49067810
Type of Business: Incorporated under the Medical Corporation Act
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
MMYDYQ6JTML3 2024-07-24 7427 LAKE ST, RIVER FOREST, IL, 60305, 1817, USA 7427 LAKE ST, RIVER FOREST, IL, 60305, 1817, USA

Business Information
Division Name KIRK EYE CENTER SC
Congressional District 07
State/Country of Incorporation IL, USA
Activation Date 2023-07-27
Initial Registration Date 2023-07-25
Entity Start Date 1984-07-01
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name TERA VILLALOBOS
Role REVENUE CYCLE MANAGER
Address 3477 GRAND AVENUE, GURNEE, IL, 60031, USA
Government Business
Title PRIMARY POC
Name LISA GILL
Role ADMINISTRATOR
Address 7427 LAKE ST, RIVER FOREST, IL, 60305, USA
Past Performance
Title ALTERNATE POC
Name MATT HUDSON
Role MANAGER
Address 7427 LAKE ST, RIVER FOREST, IL, 60305, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KIRK EYE CENTER, S. C. 401(K) PROFIT SHARING PLAN 2014 362658561 2015-06-29 KIRK EYE CENTER, S. C. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-02-28
Business code 621320
Sponsor’s telephone number 7087713334
Plan sponsor’s address 7427 LAKE STREET, RIVER FOREST, IL, 60305

Signature of
Role Plan administrator
Date 2015-06-26
Name of individual signing SCOTT H. KIRK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-26
Name of individual signing SCOTT H. KIRK
Valid signature Filed with authorized/valid electronic signature
KIRK EYE CENTER, S. C. 401(K) PROFIT SHARING PLAN 2013 362658561 2014-06-18 KIRK EYE CENTER, S. C. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-02-28
Business code 621320
Sponsor’s telephone number 7087713334
Plan sponsor’s address 7427 LAKE STREET, RIVER FOREST, IL, 60305

Signature of
Role Plan administrator
Date 2014-06-17
Name of individual signing SCOTT KIRK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-17
Name of individual signing SCOTT KIRK
Valid signature Filed with authorized/valid electronic signature
KIRK EYE CENTER, S. C. 401(K) PROFIT SHARING PLAN 2012 362658561 2013-07-25 KIRK EYE CENTER, S. C. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-02-28
Business code 621320
Sponsor’s telephone number 7087713334
Plan sponsor’s address 7427 LAKE STREET, RIVER FOREST, IL, 60305

Signature of
Role Plan administrator
Date 2013-07-25
Name of individual signing SCOTT KIRK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-25
Name of individual signing SCOTT KIRK
Valid signature Filed with authorized/valid electronic signature
KIRK EYE CENTER, S. C. 401(K) PROFIT SHARING PLAN 2011 362658561 2012-07-17 KIRK EYE CENTER, S. C. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-02-28
Business code 621320
Sponsor’s telephone number 7087713334
Plan sponsor’s address 7427 LAKE STREET, RIVER FOREST, IL, 60305

Plan administrator’s name and address
Administrator’s EIN 362658561
Plan administrator’s name KIRK EYE CENTER, S. C.
Plan administrator’s address 7427 LAKE STREET, RIVER FOREST, IL, 60305
Administrator’s telephone number 7087713334

Signature of
Role Plan administrator
Date 2012-07-17
Name of individual signing SCOTT KIRK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-17
Name of individual signing SCOTT KIRK
Valid signature Filed with authorized/valid electronic signature
KIRK EYE CENTER, S. C. 401(K) PROFIT SHARING PLAN 2010 362658561 2011-05-17 KIRK EYE CENTER, S. C. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-02-28
Business code 621320
Sponsor’s telephone number 7087713334
Plan sponsor’s address 7427 LAKE STREET, RIVER FORE, IL, 60305

Plan administrator’s name and address
Administrator’s EIN 362658561
Plan administrator’s name KIRK EYE CENTER, S. C.
Plan administrator’s address 7427 LAKE STREET, RIVER FORE, IL, 60305
Administrator’s telephone number 7087713334

Signature of
Role Plan administrator
Date 2011-05-16
Name of individual signing SCOTT KIRK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-16
Name of individual signing SCOTT KIRK
Valid signature Filed with authorized/valid electronic signature
KIRK EYE CENTER, S. C. 401(K) PROFIT SHARING PLAN 2009 362658561 2010-07-15 KIRK EYE CENTER, S. C. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-02-28
Business code 621320
Sponsor’s telephone number 7087713334
Plan sponsor’s address 7427 LAKE STREET, RIVER FOREST, IL, 60305

Plan administrator’s name and address
Administrator’s EIN 362658561
Plan administrator’s name KIRK EYE CENTER, S. C.
Plan administrator’s address 7427 LAKE STREET, RIVER FOREST, IL, 60305
Administrator’s telephone number 7087713334

Signature of
Role Plan administrator
Date 2010-07-15
Name of individual signing SCOTT KIRK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-15
Name of individual signing SCOTT KIRK
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
C T CORPORATION SYSTEM, 208 SO LASALLE ST, SUITE 814, CHICAGO, 60604, COOK-NOT IN CITY OF CHICAGO Agent 2017-03-14

President

Name and Address Role
KENT A KIRK, M.D. 7427 LAKE ST., RIVER FOREST, IL 60305 President

Secretary

Name and Address Role
SCOTT H. KIRK, M.D., ADDRESS Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042619350 No data No data REGISTERED MEDICAL CORPORATION No data 2008-09-03 2022-01-07 2025-01-01

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
KIRK OPTICAL Assume Name 2002-04-04 No data No data No data
BERNARD B. GAWNE, M.D. No data 1998-05-22 2005-08-11 Expired No data

Historical Names

Name Change Date
HAROLD Q KIRK, M.D., S.C. 1987-01-22

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 1000000 1

Related by officers

C T CORPORATION SYSTEM, 208 SO LASALLE ST, SUITE 814, CHICAGO, 60604, COOK-NOT IN CITY OF CHICAGO

TRADELINK L.L.C. DOUGLAS MACHINE LIMITED LIABILITY COMPANY GENERAL ELECTRIC COMPANY BP CORPORATION NORTH AMERICA INC. COATS & CLARK'S SALES CORPORATION ALFA LAVAL, INC. SCOVILL INC. N L INDUSTRIES, INC. INDUSTRIAL GENERAL CORPORATION PRATT & LAMBERT UNITED, INC.

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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