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  5. LARSON EYE CENTER, LTD.

LARSON EYE CENTER, LTD.

Company Details

Entity Name: LARSON EYE CENTER, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 14 Oct 1980
Date of Dissolution: 28 Dec 2018
Company Number: CORP_52188555
File Number: 52188555
Date Status Change: 28 Dec 2018
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LARSON EYE CENTER, LTD. 401(K) PROFIT SHARING PLAN 2016 363109606 2017-02-15 LARSON EYE CENTER, LTD. 28
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6303255200
Plan sponsor’s address 126 WEST FIRST STREET, HINSDALE, IL, 60521

Signature of
Role Plan administrator
Date 2017-02-15
Name of individual signing BRUCE C. LARSON, M.D.
Valid signature Filed with authorized/valid electronic signature
LARSON EYE CENTER, LTD. 401(K) PROFIT SHARING PLAN 2015 363109606 2016-10-17 LARSON EYE CENTER, LTD. 26
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6303255200
Plan sponsor’s address 126 WEST FIRST STREET, HINSDALE, IL, 60521

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing BRUCE C. LARSON, M.D.
Valid signature Filed with authorized/valid electronic signature
LARSON EYE CENTER, LTD. 401(K) PROFIT SHARING PLAN 2014 363109606 2015-08-19 LARSON EYE CENTER, LTD. 23
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6303255200
Plan sponsor’s address 126 WEST FIRST STREET, HINSDALE, IL, 60521

Signature of
Role Plan administrator
Date 2015-08-19
Name of individual signing BRUCE C. LARSON, M.D.
Valid signature Filed with authorized/valid electronic signature
LARSON EYE CENTER, LTD. 401(K) PROFIT SHARING PLAN 2013 363109606 2014-10-06 LARSON EYE CENTER, LTD. 25
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6303255200
Plan sponsor’s address 126 WEST FIRST STREET, HINSDALE, IL, 60521

Signature of
Role Plan administrator
Date 2014-10-06
Name of individual signing BRUCE C. LARSON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-06
Name of individual signing BRUCE C. LARSON, M.D.
Valid signature Filed with authorized/valid electronic signature
LARSON EYE CENTER, LTD. 401(K) PROFIT SHARING PLAN 2012 363109606 2013-05-07 LARSON EYE CENTER, LTD. 24
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6303255200
Plan sponsor’s address 126 WEST FIRST STREET, HINSDALE, IL, 60521

Signature of
Role Plan administrator
Date 2013-05-07
Name of individual signing BRUCE C. LARSON, M.D.
Valid signature Filed with authorized/valid electronic signature
LARSON EYE CENTER, LTD. 401(K) PROFIT SHARING PLAN 2011 363109606 2012-05-09 LARSON EYE CENTER, LTD. 21
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6303255200
Plan sponsor’s address 126 WEST FIRST STREET, HINSDALE, IL, 60521

Plan administrator’s name and address
Administrator’s EIN 363109606
Plan administrator’s name LARSON EYE CENTER, LTD.
Plan administrator’s address 126 WEST FIRST STREET, HINSDALE, IL, 60521
Administrator’s telephone number 6303255200

Signature of
Role Plan administrator
Date 2012-05-09
Name of individual signing BRUCE C. LARSON, M.D.
Valid signature Filed with authorized/valid electronic signature
LARSON EYE CENTER, LTD. 401(K) PROFIT SHARING PLAN 2010 363109606 2011-04-14 LARSON EYE CENTER, LTD. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6303255200
Plan sponsor’s address 126 WEST FIRST STREET, HINSDALE, IL, 60521

Plan administrator’s name and address
Administrator’s EIN 363109606
Plan administrator’s name LARSON EYE CENTER, LTD.
Plan administrator’s address 126 WEST FIRST STREET, HINSDALE, IL, 60521
Administrator’s telephone number 6303255200

Signature of
Role Plan administrator
Date 2011-04-14
Name of individual signing BRUCE C. LARSON, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-14
Name of individual signing BRUCE C. LARSON, MD
Valid signature Filed with authorized/valid electronic signature
LARSON EYE CENTER, LTD. 401(K) PROFIT SHARING PLAN 2010 363109606 2011-04-14 LARSON EYE CENTER, LTD. 20
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6303255200
Plan sponsor’s address 126 WEST FIRST STREET, HINSDALE, IL, 60521

Plan administrator’s name and address
Administrator’s EIN 363109606
Plan administrator’s name LARSON EYE CENTER, LTD.
Plan administrator’s address 126 WEST FIRST STREET, HINSDALE, IL, 60521
Administrator’s telephone number 6303255200

Signature of
Role Plan administrator
Date 2011-04-14
Name of individual signing BRUCE C. LARSON, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-14
Name of individual signing BRUCE C. LARSON, MD
Valid signature Filed with authorized/valid electronic signature
LARSON EYE CENTER, LTD. 401(K) PROFIT SHARING PLAN 2009 363109606 2010-09-01 LARSON EYE CENTER, LTD. 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6303255200
Plan sponsor’s address 126 WEST FIRST STREET, HINSDALE, IL, 60521

Plan administrator’s name and address
Administrator’s EIN 363109606
Plan administrator’s name LARSON EYE CENTER, LTD.
Plan administrator’s address 126 WEST FIRST STREET, HINSDALE, IL, 60521
Administrator’s telephone number 6303255200

Signature of
Role Plan administrator
Date 2010-09-01
Name of individual signing BRUCE C. LARSON, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-01
Name of individual signing BRUCE C. LARSON, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DAVID B SHOLEM, 306 W CHURCH ST, CHAMPAIGN, 61820, CHAMPAIGN Agent 2001-11-07

President

Name and Address Role
BRUCE C LARSON, 207 BROAD AVE SOUTH, NAPLES FL, 34102 President

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042004252 No data No data REGISTERED MEDICAL CORPORATION No data 1980-10-01 2016-01-19 2017-01-01

Historical Names

Name Change Date
BRUCE C. LARSON, M.D. & ASSOCIATES, LTD. 2002-12-31
DAVID C. WHITSELL & ASSOCIATES, LTD. 1987-08-03

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 100000 10

Related by officers

DAVID B SHOLEM, 306 W CHURCH ST, CHAMPAIGN, 61820, CHAMPAIGN

TOWN CENTER APARTMENTS, L.L.C. SHAY FAMILY, L.L.C. NSC PROPERTIES, L.L.C. MIDWEST INVESTMENT GROUP, L.L.C. DOWNTOWN URBANA SENIORS, L.L.C. THE TRAINING CHANNEL, LLC 706 SOUTH LOCUST, LLC ONE-TO-ONE SERVICE.COM, LLC 606 WEST HEALEY, L.L.C. DISCOV-TREE PARTNERS, LLC

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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