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NORTH SHORE DENTISTRY FOR CHILDREN, LTD.

Company Details

Entity Name: NORTH SHORE DENTISTRY FOR CHILDREN, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 02 Aug 1983
Company Number: CORP_53167268
File Number: 53167268
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
COMPREHENSIVE UROLOGIC CARE, S.C. PROFIT SHARING PLAN & TRUST 2011 363105151 2012-08-28 COMPREHENSIVE UROLOGIC CARE, S.C. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-02-01
Business code 621111
Sponsor’s telephone number 8473825080
Plan sponsor’s address 22285 PEPPER ROAD, SUITE 201, LAKE BARRINGTON, IL, 60010

Plan administrator’s name and address

Administrator’s EIN 363105151
Plan administrator’s name COMPREHENSIVE UROLOGIC CARE, S.C.
Plan administrator’s address 22285 PEPPER ROAD, SUITE 201, LAKE BARRINGTON, IL, 60010
Administrator’s telephone number 8473825080

Signature of

Role Plan administrator
Date 2012-08-28
Name of individual signing DAVID GOLDRATH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-28
Name of individual signing DAVID GOLDRATH
Valid signature Filed with authorized/valid electronic signature
COMPREHENSIVE UROLOGIC CARE, S.C. PROFIT SHARING PLAN & TRUST 2010 363105151 2011-08-19 COMPREHENSIVE UROLOGIC CARE, S.C. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-02-01
Business code 621111
Sponsor’s telephone number 8473825080
Plan sponsor’s address 22285 PEPPER ROAD, SUITE 201, LAKE BARRINGTON, IL, 60010

Plan administrator’s name and address

Administrator’s EIN 363105151
Plan administrator’s name COMPREHENSIVE UROLOGIC CARE, S.C.
Plan administrator’s address 22285 PEPPER ROAD, SUITE 201, LAKE BARRINGTON, IL, 60010
Administrator’s telephone number 8473825080

Signature of

Role Plan administrator
Date 2011-08-19
Name of individual signing DAVID GOLDRATH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-19
Name of individual signing DAVID GOLDRATH
Valid signature Filed with authorized/valid electronic signature
COMPREHENSIVE UROLOGIC CARE, S.C. PROFIT SHARING PLAN & TRUST 2009 363105151 2011-09-01 COMPREHENSIVE UROLOGIC CARE, S.C. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-02-01
Business code 621111
Sponsor’s telephone number 8473825080
Plan sponsor’s address 22285 PEPPER ROAD, SUITE 201, LAKE BARRINGTON, IL, 60010

Plan administrator’s name and address

Administrator’s EIN 363105151
Plan administrator’s name COMPREHENSIVE UROLOGIC CARE, S.C.
Plan administrator’s address 22285 PEPPER ROAD, SUITE 201, LAKE BARRINGTON, IL, 60010
Administrator’s telephone number 8473825080

Signature of

Role Plan administrator
Date 2011-09-01
Name of individual signing DAVID GOLDRATH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-01
Name of individual signing DAVID GOLDRATH
Valid signature Filed with authorized/valid electronic signature
COMPREHENSIVE UROLOGIC CARE, S.C. PROFIT SHARING PLAN & TRUST 2009 363105151 2010-08-09 COMPREHENSIVE UROLOGIC CARE, S.C. 0
Three-digit plan number (PN) 001
Effective date of plan 1981-02-01
Business code 621111
Sponsor’s telephone number 8473825080
Plan sponsor’s address 22285 PEPPER ROAD, SUITE 201, LAKE BARRINGTON, IL, 60010

Plan administrator’s name and address

Administrator’s EIN 363105151
Plan administrator’s name COMPREHENSIVE UROLOGIC CARE, S.C.
Plan administrator’s address 22285 PEPPER ROAD, SUITE 201, LAKE BARRINGTON, IL, 60010
Administrator’s telephone number 8473825080

Signature of

Role Plan administrator
Date 2010-08-09
Name of individual signing DAVID GOLDRATH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-09
Name of individual signing DAVID GOLDRATH
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
MARIA SIMON DDS MS 1560 SHERMAN AVE #610 EVANSTON IL 60201 President

Secretary

Name and Address Role
JASON S GLICK DDS 1560 SHERMANAVE #610, EVANSTON IL 60201 Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PROF SERVICE CORP 060003801 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 1983-09-12 2018-03-12 2019-01-01

Historical Names

Name Change Date
DRS. FIPPINGER & SIMON, LTD. 2004-03-01
ROLAND KENNETH MEYER, JR., D.D.S., TERRANCE ELMER FIPPINGER, D.D.S., M.S., LTD. 1994-12-13

Shares

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

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State