| Entity Name: | LEONARD BERLIN, M.D., S.C. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 12 May 1969 |
| Date of Dissolution: | 13 Oct 2023 |
| Company Number: | CORP_49499035 |
| File Number: | 49499035 |
| Type of Business: | Incorporated under the Medical Corporation Act |
| Date Status Change: | 13 Oct 2023 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTH SHORE IMAGING 401(K) PLAN AND TRUST | 2010 | 362671462 | 2010-11-19 | SKOKIE VALLEY RADIOLOGISTS, S.C. | 3 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 362671462 |
| Plan administrator’s name | SKOKIE VALLEY RADIOLOGISTS, S.C. |
| Plan administrator’s address | 518 MEADOW DRIVE WEST, WILMETTE, IL, 60091 |
| Administrator’s telephone number | 8472563180 |
Signature of
| Role | Plan administrator |
| Date | 2010-11-19 |
| Name of individual signing | LEONARD BERLIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 004 |
| Effective date of plan | 1995-03-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8472563180 |
| Plan sponsor’s address | 518 MEADOW DRIVE WEST, WILMETTE, IL, 60091 |
Plan administrator’s name and address
| Administrator’s EIN | 362671462 |
| Plan administrator’s name | SKOKIE VALLEY RADIOLOGISTS, S.C. |
| Plan administrator’s address | 518 MEADOW DRIVE WEST, WILMETTE, IL, 60091 |
| Administrator’s telephone number | 8472563180 |
| File | View Page |
| Three-digit plan number (PN) | 004 |
| Effective date of plan | 1995-03-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8472563180 |
| Plan sponsor’s address | 518 MEADOW DRIVE WEST, WILMETTE, IL, 60091 |
Plan administrator’s name and address
| Administrator’s EIN | 362671462 |
| Plan administrator’s name | SKOKIE VALLEY RADIOLOGISTS, S.C. |
| Plan administrator’s address | 518 MEADOW DRIVE WEST, WILMETTE, IL, 60091 |
| Administrator’s telephone number | 8472563180 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-10 |
| Name of individual signing | LEONARD BERLIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| STEVEN CHERIN, 208 SOUTH LASALLE STREET, SUITE 1601, CHICAGO, 60604, COOK-NOT IN CITY OF CHICAGO | Agent | 2022-06-06 |
| Name and Address | Role |
|---|---|
| LEONARD BERLIN MD 518 MEADOW DRIVE WEST WILMETTE IL 60091 | President |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| NORTH SHORE RADIOLOGICAL SERVICES | No data | 1989-03-03 | 2015-10-01 | Involuntary Cancellation | No data |
| Name | Change Date |
|---|---|
| SKOKIE VALLEY RADIOLOGISTS, S.C. | 2009-10-06 |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM | No data | Voting Rights | 1000 | 200000 | No data |
Date of last update: 16 Jan 2025
