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  5. GEORGE A. MANDELARIS, D.D.S., M.S., P.C.

GEORGE A. MANDELARIS, D.D.S., M.S., P.C.

Company Details

Entity Name: GEORGE A. MANDELARIS, D.D.S., M.S., P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 13 Oct 1982
Company Number: CORP_52871921
File Number: 52871921
Type of Business: Incorporated under the Professional Service Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PERIODONTAL MEDICINE & SURGICAL SPECIALISTS, LTD. 401(K) PROFIT SHARING PLAN 2016 363200073 2017-03-13 PERIODONTAL MEDICINE & SURGICAL SPECIALISTS, LTD. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-10-15
Business code 621210
Sponsor’s telephone number 8476981180
Plan sponsor’s address 1875 DEMPSTER, SUITE 250, PARK RIDGE, IL, 60068

Signature of
Role Plan administrator
Date 2017-03-13
Name of individual signing GEORGE MANDELARIS
Valid signature Filed with authorized/valid electronic signature
PERIODONTAL MEDICINE & SURGICAL SPECIALISTS, LTD. 401(K) PROFIT SHARING PLAN 2015 363200073 2016-07-26 PERIODONTAL MEDICINE & SURGICAL SPECIALISTS, LTD. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-10-15
Business code 621210
Sponsor’s telephone number 8476981180
Plan sponsor’s address 1875 DEMPSTER, SUITE 250, PARK RIDGE, IL, 60068

Signature of
Role Plan administrator
Date 2016-07-26
Name of individual signing GEORGE MANDELARIS
Valid signature Filed with authorized/valid electronic signature
PERIODONTAL MEDICINE & SURGICAL SPECIALISTS, LTD. 401(K) PROFIT SHARING PLAN 2014 363200073 2015-05-12 PERIODONTAL MEDICINE & SURGICAL SPECIALISTS, LTD. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-10-15
Business code 621210
Sponsor’s telephone number 8476981180
Plan sponsor’s address 1875 DEMPSTER, SUITE 250, PARK RIDGE, IL, 60068

Signature of
Role Plan administrator
Date 2015-05-12
Name of individual signing GEORGE MANDELARIS
Valid signature Filed with authorized/valid electronic signature
PERIODONTAL MEDICINE & SURGICAL SPECIALISTS, LTD. 401(K) PROFIT SHARING PLAN 2013 363200073 2014-04-15 PERIODONTAL MEDICINE & SURGICAL SPECIALISTS, LTD. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-10-15
Business code 621210
Sponsor’s telephone number 8476981180
Plan sponsor’s address 1875 DEMPSTER, SUITE 250, PARK RIDGE, IL, 60068

Signature of
Role Plan administrator
Date 2014-04-15
Name of individual signing GEORGE MANDELARIS
Valid signature Filed with authorized/valid electronic signature
PERIODONTAL MEDICINE & SURGICAL SPECIALISTS, LTD. CASH BALANCE PENSION PLAN 2012 363200073 2013-10-02 PERIODONTAL MEDICINE & SURGICAL SPECIALISTS, LTD. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8476981180
Plan sponsor’s address 2145 OLD GLENVIEW ROAD, WILMETTE, IL, 60091

Signature of
Role Plan administrator
Date 2013-10-02
Name of individual signing ALAN L. ROSENFELD, D.D.S.
Valid signature Filed with authorized/valid electronic signature
ROSENFELD & MANDELARIS, LTD. 401(K) PROFIT SHARING PLAN 2012 363200073 2013-08-30 PERIODONTAL MEDICINE & SURGICAL SPECIALISTS, LTD. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-10-15
Business code 621210
Sponsor’s telephone number 6306273930
Plan sponsor’s address 1S224 SUMMIT AVENUE, SUITE 205, OAKBROOK TERRACE, IL, 60181

Plan administrator’s name and address
Administrator’s EIN 363200073
Plan administrator’s name PERIODONTAL MEDICINE & SURGICAL SPECIALISTS, LTD.
Plan administrator’s address 1S224 SUMMIT AVENUE, SUITE 205, OAKBROOK TERRACE, IL, 60181
Administrator’s telephone number 6306273930

Signature of
Role Plan administrator
Date 2013-08-30
Name of individual signing GEORGE MANDELARIS
Valid signature Filed with authorized/valid electronic signature
PERIODONTAL MEDICINE & SURGICAL SPECIALISTS, LTD. CASH BALANCE PENSION PLAN 2011 363200073 2012-10-09 PERIODONTAL MEDICINE & SURGICAL SPECIALISTS, LTD. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8476981180
Plan sponsor’s address 2145 OLD GLENVIEW ROAD, WILMETTE, IL, 60091

Plan administrator’s name and address
Administrator’s EIN 363200073
Plan administrator’s name PERIODONTAL MEDICINE & SURGICAL SPECIALISTS, LTD.
Plan administrator’s address 2145 OLD GLENVIEW ROAD, WILMETTE, IL, 60091
Administrator’s telephone number 8476981180

Signature of
Role Plan administrator
Date 2012-10-09
Name of individual signing ALAN L. ROSENFELD, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-09
Name of individual signing ALAN L. ROSENFELD, D.D.S.
Valid signature Filed with authorized/valid electronic signature
ROSENFELD & MANDELARIS, LTD. CASH BALANCE PENSION PLAN 2010 363200073 2011-10-17 ROSENFELD & MANDELARIS, LTD. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8476981180
Plan sponsor’s address 2145 OLD GLENVIEW ROAD, WILMETTE, IL, 60091

Plan administrator’s name and address
Administrator’s EIN 363200073
Plan administrator’s name ROSENFELD & MANDELARIS, LTD.
Plan administrator’s address 2145 OLD GLENVIEW ROAD, WILMETTE, IL, 60091
Administrator’s telephone number 8476981180

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing ALAN L. ROSENFELD, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-17
Name of individual signing ALAN L. ROSENFELD, D.D.S.
Valid signature Filed with authorized/valid electronic signature
ROSENFELD & MANDELARIS, LTD. CASH BALANCE PENSION 2009 363200073 2010-10-05 ROSENFELD & MANDELARIS, LTD. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8476981180
Plan sponsor’s address 2145 OLD GLENVIEW ROAD, WILMETTE, IL, 60091

Plan administrator’s name and address
Administrator’s EIN 363200073
Plan administrator’s name ROSENFELD & MANDELARIS, LTD.
Plan administrator’s address 2145 OLD GLENVIEW ROAD, WILMETTE, IL, 60091
Administrator’s telephone number 8476981180

Signature of
Role Plan administrator
Date 2010-10-05
Name of individual signing ALAN L. ROSENFELD, D.D.S.
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 2017-04-07

President

Name and Address Role
GEORGE A. MANDELARIS D.D.S. MS1S224 SUMMIT AVE., SUITE 205 President

Secretary

Name and Address Role
GEORGE A. MANDELARIS, D.D.S., OAKBROOK TERRACE, IL 60181 Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
MECALL, ROSENFELD & ZMICK, LTD. No data 2000-04-11 2001-02-06 Voluntary Cancellation No data

Historical Names

Name Change Date
GEORGE A. MANDELARIS, D.D.S., P.C. 2016-12-13
PERIODONTAL MEDICINE & SURGICAL SPECIALISTS, LTD. 2016-12-01
ROSENFELD & MANDELARIS, LTD. 2011-05-02
ROSENFELD AND ASSOCIATES, LTD. 2005-10-11
MECALL AND ROSENFELD ASSOCIATES, LTD. 2001-02-06

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 1000000 1

Related by officers

C T CORPORATION SYSTEM, 208 SO LASALLE ST, SUITE 814, CHICAGO, 60604, COOK-NOT IN CITY OF CHICAGO

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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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