| Entity Name: | CIRCLE EIGHT SQUARE DANCE CLUB |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Not-for-Profit |
| Status: | Dissolved |
| Date Formed: | 03 Sep 1985 |
| Date of Dissolution: | 01 Dec 1993 |
| Company Number: | CORP_53962297 |
| File Number: | 53962297 |
| Type of Business: | Not for Profit |
| Date Status Change: | 01 Dec 1993 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CORE ORTHOPEDICS & SPORTS MEDICINE, LLC 401(K) PROFIT SHARING PLAN & TRUST | 2012 | 260265227 | 2013-10-11 | CORE ORTHOPEDICS & SPORTS MEDICINE, LLC | 15 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 260265227 |
| Plan administrator’s name | CORE ORTHOPEDICS & SPORTS MEDICINE, LLC |
| Plan administrator’s address | 555 BIESTERFIELD ROAD, ELK GROVE, IL, 60007 |
| Administrator’s telephone number | 8476901776 |
Signature of
| Role | Plan administrator |
| Date | 2013-10-11 |
| Name of individual signing | DANIEL T. KUESIS, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8476901776 |
| Plan sponsor’s address | 555 BIESTERFIELD ROAD, ELK GROVE, IL, 60007 |
Plan administrator’s name and address
| Administrator’s EIN | 260265227 |
| Plan administrator’s name | CORE ORTHOPEDICS & SPORTS MEDICINE, LLC |
| Plan administrator’s address | 555 BIESTERFIELD ROAD, ELK GROVE, IL, 60007 |
| Administrator’s telephone number | 8476901776 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-11 |
| Name of individual signing | DANIEL T. KUESIS, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8476901776 |
| Plan sponsor’s address | 555 BIESTERFIELD ROAD, ELK GROVE, IL, 60007 |
Plan administrator’s name and address
| Administrator’s EIN | 260265227 |
| Plan administrator’s name | CORE ORTHOPEDICS & SPORTS MEDICINE, LLC |
| Plan administrator’s address | 555 BIESTERFIELD ROAD, ELK GROVE, IL, 60007 |
| Administrator’s telephone number | 8476901776 |
Signature of
| Role | Plan administrator |
| Date | 2011-09-19 |
| Name of individual signing | DANIEL T. KUESIS, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| CHARLES J INGRAM, 3S032 WILLIAMS ROAD, WARRENVILLE, 60555, DU PAGE | Agent | 1989-09-14 |
Date of last update: 13 Jan 2025
