| Entity Name: | UROLOGICAL SURGEONS OF ILLINOIS, LTD. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 04 Mar 1981 |
| Date of Dissolution: | 11 Aug 2017 |
| Company Number: | CORP_52313511 |
| File Number: | 52313511 |
| Date Status Change: | 11 Aug 2017 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UROLOGICAL SURGEONS OF ILLINOIS, LTD. PROFIT SHARING PLAN AND TRUST | 2011 | 363123406 | 2012-10-10 | UROLOGICAL SURGEONS OF ILLINOIS, LTD. | 5 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 363341096 |
| Plan administrator’s name | JOEL N. SLUTSKY, M.D. |
| Plan administrator’s address | 375 NORTH WALL STREET -SUITE P530, KANKAKEE, IL, 609013486 |
| Administrator’s telephone number | 8159374006 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-10 |
| Name of individual signing | JOEL N. SLUTSKY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1981-04-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8159374006 |
| Plan sponsor’s address | 375 NORTH WALL STREET - SUITE P530, KANKAKEE, IL, 609013486 |
Plan administrator’s name and address
| Administrator’s EIN | 363341096 |
| Plan administrator’s name | JOEL N. SLUTSKY, M.D. |
| Plan administrator’s address | 375 NORTH WALL STREET -SUITE P530, KANKAKEE, IL, 609013486 |
| Administrator’s telephone number | 8159374006 |
Signature of
| Role | Plan administrator |
| Date | 2011-09-29 |
| Name of individual signing | JOEL N. SLUTSKY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-09-29 |
| Name of individual signing | JOEL N. SLUTSKY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1981-04-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8159374006 |
| Plan sponsor’s address | 375 NORTH WALL STREET - SUITE P530, KANKAKEE, IL, 609013486 |
Plan administrator’s name and address
| Administrator’s EIN | 363341096 |
| Plan administrator’s name | JOEL N. SLUTSKY, M.D. |
| Plan administrator’s address | 375 NORTH WALL STREET -SUITE P530, KANKAKEE, IL, 609013486 |
| Administrator’s telephone number | 8159374006 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-29 |
| Name of individual signing | JOEL N. SLUTSKY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-09-29 |
| Name of individual signing | JOEL N. SLUTSKY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| JOEL N SLUTSKY, N WALL STREET STE, P530, KANKAKEE, 60901, KANKAKEE | Agent | 2004-03-17 |
| Name and Address | Role |
|---|---|
| JOEL N SLUTSKY 375 N WALL ST#P530 KANKAKEE 60901 | President |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| MEDICAL CORP | 042004506 | No data | No data | REGISTERED MEDICAL CORPORATION | No data | 1981-03-04 | 2015-11-25 | 2017-01-01 |
| Name | Change Date |
|---|---|
| KANKAKEE UROLOGICAL ASSOCIATES, LTD. | 2003-11-26 |
| KANKAKEE UROLOGY ASSOCIATES, LTD. | 1993-02-08 |
| DR. JOEL N. SLUTSKY, M.D. S.C. | 1993-01-11 |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM | No data | Voting Rights | 1000 | 50000 | No data |
Date of last update: 13 Jan 2025
