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  5. SANDRA HOROWITZ, M.D., S.C.

SANDRA HOROWITZ, M.D., S.C.

Company Details

Entity Name: SANDRA HOROWITZ, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 14 Jun 1982
Date of Dissolution: 13 Nov 2015
Company Number: CORP_52761123
File Number: 52761123
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 13 Nov 2015
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SANDRA HOROWITZ, M.D., S.C. CASH BALANCE PENSION PLAN & TRUST 2014 363210987 2015-05-12 SANDRA HOROWITZ, M.D., S.C. 1
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2007-07-01
Business code 621111
Sponsor’s telephone number 7089573661
Plan sponsor’s address 1825 SYLVAN COURT, FLOSSMOOR, IL, 60422

Signature of
Role Plan administrator
Date 2015-05-12
Name of individual signing SANDRA HOROWITZ
Valid signature Filed with authorized/valid electronic signature
SANDRA HOROWITZ, M.D., S.C. CASH BALANCE PENSION PLAN & TRUST 2013 363210987 2015-01-24 SANDRA HOROWITZ, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2007-07-01
Business code 621111
Sponsor’s telephone number 7089573661
Plan sponsor’s address 1825 SYLVAN COURT, FLOSSMOOR, IL, 60422

Signature of
Role Plan administrator
Date 2015-01-24
Name of individual signing SANDRA HOROWITZ
Valid signature Filed with authorized/valid electronic signature
SANDRA HOROWITZ, M.D., S.C. CASH BALANCE PENSION PLAN & TRUST 2012 363210987 2013-08-22 SANDRA HOROWITZ, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2007-07-01
Business code 621111
Sponsor’s telephone number 7089573661
Plan sponsor’s address 1825 SYLVAN COURT, FLOSSMOOR, IL, 60422

Signature of
Role Plan administrator
Date 2013-08-21
Name of individual signing SANDRA HOROWITZ
Valid signature Filed with authorized/valid electronic signature
SANDRA HOROWITZ, M.D., S.C. CASH BALANCE PENSION PLAN & TRUST 2011 363210987 2013-03-28 SANDRA HOROWITZ, M.D., S.C. 5
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2007-07-01
Business code 621111
Sponsor’s telephone number 7089573661
Plan sponsor’s address 1825 SYLVAN COURT, FLOSSMOOR, IL, 60422

Plan administrator’s name and address
Administrator’s EIN 363210987
Plan administrator’s name SANDRA HOROWITZ, M.D., S.C.
Plan administrator’s address 1825 SYLVAN COURT, FLOSSMOOR, IL, 60422
Administrator’s telephone number 7089573661

Signature of
Role Plan administrator
Date 2013-03-27
Name of individual signing SANDRA HOROWITZ
Valid signature Filed with authorized/valid electronic signature
SANDRA HOROWITZ, M.D., S.C. CASH BALANCE PENSION PLAN & TRUST 2010 363210987 2011-10-04 SANDRA HOROWITZ, M.D., S.C. 5
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2007-07-01
Business code 621111
Sponsor’s telephone number 7089573661
Plan sponsor’s address 1825 SYLVAN COURT, FLOSSMOOR, IL, 60422

Plan administrator’s name and address
Administrator’s EIN 363210987
Plan administrator’s name SANDRA HOROWITZ, M.D., S.C.
Plan administrator’s address 1825 SYLVAN COURT, FLOSSMOOR, IL, 60422
Administrator’s telephone number 7089573661

Signature of
Role Plan administrator
Date 2011-10-04
Name of individual signing SANDRA HOROWITZ
Valid signature Filed with authorized/valid electronic signature
SANDRA HOROWITZ, M.D., S.C. CASH BALANCE PENSION PLAN & TRUST 2009 363210987 2010-11-15 SANDRA HOROWITZ, M.D., S.C. 5
Three-digit plan number (PN) 004
Effective date of plan 2007-07-01
Business code 621111
Sponsor’s telephone number 7089573661
Plan sponsor’s address 1825 SYLVAN COURT, FLOSSMOOR, IL, 60422

Plan administrator’s name and address
Administrator’s EIN 363210987
Plan administrator’s name SANDRA HOROWITZ, M.D., S.C.
Plan administrator’s address 1825 SYLVAN COURT, FLOSSMOOR, IL, 60422
Administrator’s telephone number 7089573661

Signature of
Role Plan administrator
Date 2010-11-14
Name of individual signing SANDRA HOROWITZ
Valid signature Filed with authorized/valid electronic signature
SANDRA HOROWITZ, M.D., S.C. CASH BALANCE PENSION PLAN & TRUST 2009 363210987 2010-11-19 SANDRA HOROWITZ, M.D., S.C. 5
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2007-07-01
Business code 621111
Sponsor’s telephone number 7089573661
Plan sponsor’s address 1825 SYLVAN COURT, FLOSSMOOR, IL, 60422

Plan administrator’s name and address
Administrator’s EIN 363210987
Plan administrator’s name SANDRA HOROWITZ, M.D., S.C.
Plan administrator’s address 1825 SYLVAN COURT, FLOSSMOOR, IL, 60422
Administrator’s telephone number 7089573661

Signature of
Role Plan administrator
Date 2010-11-14
Name of individual signing SANDRA HOROWITZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SANDRA WILLNER HOROWITZ, 11800 SOUTHWEST HIGHWAY, PALOS HEIGHTS, 60463, COOK-NOT IN CITY OF CHICAGO Agent 2002-05-30

President

Name and Address Role
SANDRA HOROWITZ, 1825 SYLVAN COURT, FLOSSMOOR, 60422 President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
ULTRAVISION IMAGING No data 2002-05-02 2015-11-02 Involuntary Cancellation No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 2000 1100000 0.5

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State

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