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  5. ANTHONY J. GEROULIS, M.D., S.C.

ANTHONY J. GEROULIS, M.D., S.C.

Company Details

Entity Name: ANTHONY J. GEROULIS, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 30 Nov 1976
Company Number: CORP_51038401
File Number: 51038401
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANTHONY J. GEROULIS, M.D., S.C. PROFIT SHARING PLAN 2019 362896259 2020-07-21 ANTHONY J. GEROULIS, M.D., S.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 8474414441
Plan sponsor’s address 330 W. FRONTAGE ROAD, NORTHFIELD, IL, 600933467

Signature of
Role Plan administrator
Date 2020-07-21
Name of individual signing ANTHONY GEROULIS
Valid signature Filed with authorized/valid electronic signature
ANTHONY J. GEROULIS, M.D., S.C. PROFIT SHARING PLAN 2019 362896259 2020-07-21 ANTHONY J. GEROULIS, M.D., S.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 8474414441
Plan sponsor’s address 330 W. FRONTAGE ROAD, NORTHFIELD, IL, 600933467

Signature of
Role Plan administrator
Date 2020-07-21
Name of individual signing ANTHONY GEROULIS
Valid signature Filed with authorized/valid electronic signature
ANTHONY J. GEROULIS, M.D., S.C. PROFIT SHARING PLAN 2018 362896259 2019-10-01 ANTHONY J. GEROULIS, M.D., S.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 8474414441
Plan sponsor’s address 330 W. FRONTAGE ROAD, NORTHFIELD, IL, 600933467

Signature of
Role Plan administrator
Date 2019-10-01
Name of individual signing ANTHONY GEROULIS
Valid signature Filed with authorized/valid electronic signature
ANTHONY J. GEROULIS, M.D., S.C. PROFIT SHARING PLAN 2017 362896259 2018-07-17 ANTHONY J. GEROULIS, M.D., S.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 8474414441
Plan sponsor’s address 330 W. FRONTAGE ROAD, NORTHFIELD, IL, 600933467

Signature of
Role Plan administrator
Date 2018-07-17
Name of individual signing ANTHONY GEROULIS
Valid signature Filed with authorized/valid electronic signature
ANTHONY J. GEROULIS, M.D., S.C. PROFIT SHARING PLAN 2016 362896259 2017-09-21 ANTHONY J. GEROULIS, M.D., S.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 8474414441
Plan sponsor’s address 330 W. FRONTAGE ROAD, NORTHFIELD, IL, 600933467

Signature of
Role Plan administrator
Date 2017-09-21
Name of individual signing ANTHONY GEROULIS
Valid signature Filed with authorized/valid electronic signature
ANTHONY J. GEROULIS, M.D., S.C. PROFIT SHARING PLAN 2015 362896259 2016-07-12 ANTHONY J. GEROULIS, M.D., S.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 8474414441
Plan sponsor’s address 330 W. FRONTAGE ROAD, NORTHFIELD, IL, 600933467

Signature of
Role Plan administrator
Date 2016-07-12
Name of individual signing ANTHONY GEROULIS
Valid signature Filed with authorized/valid electronic signature
ANTHONY J. GEROULIS, M.D., S.C. PROFIT SHARING PLAN 2014 362896259 2015-07-02 ANTHONY J. GEROULIS, M.D., S.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 8474414441
Plan sponsor’s address 330 W. FRONTAGE ROAD, NORTHFIELD, IL, 600933467

Signature of
Role Plan administrator
Date 2015-07-02
Name of individual signing ANTHONY GEROULIS
Valid signature Filed with authorized/valid electronic signature
ANTHONY J. GEROULIS, M.D., S.C. PROFIT SHARING PLAN 2013 362896259 2014-06-16 ANTHONY J. GEROULIS, M.D., S.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 8474414441
Plan sponsor’s address 330 W. FRONTAGE ROAD, NORTHFIELD, IL, 600933467

Signature of
Role Plan administrator
Date 2014-06-16
Name of individual signing ANTHONY GEROULIS
Valid signature Filed with authorized/valid electronic signature
ANTHONY J. GEROULIS, M.D., S.C. PROFIT SHARING PLAN 2012 362896259 2013-10-11 ANTHONY J. GEROULIS, M.D., S.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 8474414441
Plan sponsor’s address 330 W. FRONTAGE ROAD, NORTHFIELD, IL, 600933467

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing ANTHONY GEROULIS
Valid signature Filed with authorized/valid electronic signature
ANTHONY J. GEROULIS, M.D., S.C. PROFIT SHARING PLAN 2011 362896259 2012-06-20 ANTHONY J. GEROULIS, M.D., S.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 8474414441
Plan sponsor’s address 330 W. FRONTAGE ROAD, NORTHFIELD, IL, 600933467

Plan administrator’s name and address
Administrator’s EIN 362896259
Plan administrator’s name ANTHONY J. GEROULIS, M.D., S.C.
Plan administrator’s address 330 W. FRONTAGE ROAD, NORTHFIELD, IL, 600933467
Administrator’s telephone number 8474414441

Signature of
Role Plan administrator
Date 2012-06-20
Name of individual signing ANTHONY GEROULIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ANTHONY J GEROULIS, 827 TURNBERRY LN, NORTHBROOK, 60062, COOK-NOT IN CITY OF CHICAGO Agent 2023-12-11

President

Name and Address Role
ANTHONY J GEROULIS 827 TURNBERRY LN NORTHBROOK IL 60062 President

Secretary

Name and Address Role
ANTHONY J GEROULIS 827 TURNBERRY LN NORTHBROOK IL 60062 Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
NORTH SHORE CENTER FOR COSMETIC SURGERY No data 1998-12-01 2006-04-01 Involuntary Cancellation No data
PLAZA DEL LAGO OUTPATIENT TREATMENT CENTER, INC. No data 1991-02-19 1995-04-01 Involuntary Cancellation No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 100000 1000000 1

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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