| Entity Name: | NORTH SUBURBAN ORAL SURGERY, LTD. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 10 Nov 1971 |
| Company Number: | CORP_49921551 |
| File Number: | 49921551 |
| Type of Business: | Incorporated under the Professional Service Corporation Act |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTH SUBURBAN ORAL SURGERY LTD PROFIT SHARING AND SAVINGS PLAN | 2022 | 362721915 | 2024-01-09 | NORTH SUBURBAN ORAL SURGERY LTD | 20 | |||||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-01-08 |
| Name of individual signing | MICHAEL NICK, DDS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-01-08 |
| Name of individual signing | MICHAEL NICK, DDS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1971-12-31 |
| Business code | 621210 |
| Sponsor’s telephone number | 8472347818 |
| Plan sponsor’s address | 1240 MEADOW ROAD STE 300, NORTHBROOK, IL, 60062 |
Signature of
| Role | Plan administrator |
| Date | 2023-01-31 |
| Name of individual signing | MICHAEL NICK, DDS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1971-12-31 |
| Business code | 621210 |
| Sponsor’s telephone number | 8472347818 |
| Plan sponsor’s address | 1240 MEADOW ROAD, NORTHBROOK, IL, 60062 |
Signature of
| Role | Plan administrator |
| Date | 2022-08-15 |
| Name of individual signing | MICHAEL NICK, DDS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-08-15 |
| Name of individual signing | MICHAEL NICK, DDS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Plan sponsor’s mailing address | 1240 MEADOW ROAD STE 300, NORTHBROOK, IL, 60062 |
| Plan sponsor’s address | 1240 MEADOW ROAD STE 300, NORTHBROOK, IL, 60062 |
Plan administrator’s name and address
| Administrator’s EIN | 392721915 |
| Plan administrator’s name | NORTH SUBURBAN ORAL SURGERY, LTD |
| Plan administrator’s address | 1240 MEADOW ROAD STE 300, NORTHBROOK, IL, 60062 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| MARK STEINBERG MD, 1240 MEADOW RD STE #300, NORTHBROOK, 60062, COOK-NOT IN CITY OF CHICAGO | Agent | 2020-11-23 |
| Name and Address | Role |
|---|---|
| MICHAEL NICK, DDS. 6226 N KNOX, CHICAGO, IL 60646 | Secretary |
| Name and Address | Role |
|---|---|
| MARK STEINBERG, DDS, MD. 30 SEQUOIA LN DEERFIELD IL 60015 | President |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| PROF SERVICE CORP | 060000482 | No data | No data | REGISTERED PROFESSIONAL SERVICE CORPORATION | No data | 1998-01-01 | 2017-04-06 | 2018-01-01 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| NORTH SUBURBAN CENTER FOR ORAL & FACIAL SURGERY, LTD. | Assume Name | 2023-10-18 | 2021-04-01 | No data | No data |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM | No data | Voting Rights | 10000 | 1000000 | 1 |
Date of last update: 13 Jan 2025
