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STEVEN BLOCH, M.D., LTD.

Company Details

Entity Name: STEVEN BLOCH, M.D., LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 12 Mar 1980
Company Number: CORP_51999819
File Number: 51999819
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
STEVEN BLOCH, M.D., LTD. 401(K) PROFIT SHARING PLAN 2014 363090594 2015-10-08 STEVEN BLOCH, M.D., LTD. 6
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8474320840
Plan sponsor’s address 1160 PARK AVENUE WEST, SUITE 2N, HIGHLAND PARK, IL, 60035

Signature of

Role Plan administrator
Date 2015-10-08
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-08
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
STEVEN BLOCH, MD LTD 401(K) PROFIT SHARING PLAN 2013 363090594 2014-06-27 STEVEN BLOCH, M.D., LTD. 6
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2008-01-01
Business code 621111
Plan sponsor’s address 1160 PARK AVENUE WEST - SUITE 2N, HIGHLAND PARK, IL, 60035

Signature of

Role Plan administrator
Date 2014-06-27
Name of individual signing STEVEN BLOCH, M.D.
Valid signature Filed with authorized/valid electronic signature
STEVEN BLOCH, MD LTD 401(K) PROFIT SHARING PLAN 2012 363090594 2013-09-30 STEVEN BLOCH, M.D., LTD. 6
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2008-01-01
Business code 621111
Plan sponsor’s address 1160 PARK AVENUE WEST - SUITE 2N, HIGHLAND PARK, IL, 60035

Signature of

Role Plan administrator
Date 2013-09-24
Name of individual signing STEVEN BLOCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-24
Name of individual signing STEVEN BLOCH
Valid signature Filed with authorized/valid electronic signature
STEVEN BLOCH, MD LTD 401(K) PROFIT SHARING PLAN 2011 363090594 2012-08-24 STEVEN BLOCH, M.D., LTD. 7
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2008-01-01
Business code 621111
Plan sponsor’s address 1160 PARK AVENUE WEST - SUITE 2N, HIGHLAND PARK, IL, 60035

Plan administrator’s name and address

Administrator’s EIN 363090594
Plan administrator’s name STEVEN BLOCH, M.D., LTD.
Plan administrator’s address 1160 PARK AVENUE WEST - SUITE 2N, HIGHLAND PARK, IL, 60035

Signature of

Role Plan administrator
Date 2012-08-22
Name of individual signing STEVEN BLOCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-22
Name of individual signing STEVEN BLOCH
Valid signature Filed with authorized/valid electronic signature
STEVEN BLOCH, MD LTD 401(K) PROFIT SHARING PLAN 2010 363090594 2011-06-20 STEVEN BLOCH, M.D., LTD. 8
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2008-01-01
Business code 621111
Plan sponsor’s address 1160 PARK AVENUE WEST - SUITE 2N, HIGHLAND PARK, IL, 60035

Plan administrator’s name and address

Administrator’s EIN 363090594
Plan administrator’s name STEVEN BLOCH, M.D., LTD.
Plan administrator’s address 1160 PARK AVENUE WEST - SUITE 2N, HIGHLAND PARK, IL, 60035

Signature of

Role Plan administrator
Date 2011-06-20
Name of individual signing STEVEN BLOCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-20
Name of individual signing STEVEN BLOCH
Valid signature Filed with authorized/valid electronic signature
STEVEN BLOCH, MD LTD 401(K) PROFIT SHARING PLAN 2009 363090594 2010-10-05 STEVEN BLOCH, M.D., LTD. 6
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2008-01-01
Business code 621111
Plan sponsor’s address 1160 PARK AVENUE WEST - SUITE 2N, HIGHLAND PARK, IL, 60035

Plan administrator’s name and address

Administrator’s EIN 363090594
Plan administrator’s name STEVEN BLOCH, M.D., LTD.
Plan administrator’s address 1160 PARK AVENUE WEST - SUITE 2N, HIGHLAND PARK, IL, 60035

Signature of

Role Plan administrator
Date 2010-10-06
Name of individual signing STEVEN BLOCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-06
Name of individual signing STEVEN BLOCH
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 2017-04-06

President

Name and Address Role
STEVEN BLOCH MD 1160 PARK AVEWEST 2E HIGHLAND PARK IL 60035 President

Secretary

Name and Address Role
STEVEN BLOCH MD Secretary

Historical Names

Name Change Date
NORTH SHORE PLASTIC SURGERY, LTD. 1980-10-14

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COM No data Voting Rights 80000 80000000 No data

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State