Search icon

ELIZABETH ADAM SKIN CARE CLINIC, INC

Company Details

Entity Name: ELIZABETH ADAM SKIN CARE CLINIC, INC
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 15 Jun 1990
Date of Dissolution: 11 Nov 2022
Company Number: CORP_55998221
File Number: 55998221
Type of Business: All Inclusive Purpose
Date Status Change: 11 Nov 2022
Address 845 N MICHIGAN AVE, CHICAGO, IL, 60611
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELIZABETH ADAM SKIN CARE CLINIC, INC 401(K) 2010 363776061 2011-09-13 ELIZABETH ADAM SKIN CARE CLINIC, INC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-08-01
Business code 812112
Sponsor’s telephone number 3129444311
Plan sponsor’s address 845 N. MICHIGAN AVE., # 908E, CHICAGO, IL, 60611

Plan administrator’s name and address

Administrator’s EIN 363776061
Plan administrator’s name ELIZABETH ADAM SKIN CARE CLINIC, INC
Plan administrator’s address 845 N. MICHIGAN AVE., # 908E, CHICAGO, IL, 60611
Administrator’s telephone number 3129444311

Signature of

Role Plan administrator
Date 2011-09-13
Name of individual signing KRZYSZTOF KWIATKOWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-13
Name of individual signing KRZYSZTOF KWIATKOWSKI
Valid signature Filed with authorized/valid electronic signature
ELIZABETH ADAM SKIN CARE CLINIC, INC 401(K) 2009 363776061 2010-06-21 ELIZABETH ADAM SKIN CARE CLINIC, INC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-08-01
Business code 812112
Sponsor’s telephone number 3129444311
Plan sponsor’s address 845 N. MICHIGAN AVE., # 908E, CHICAGO, IL, 60611

Plan administrator’s name and address

Administrator’s EIN 363776061
Plan administrator’s name ELIZABETH ADAM SKIN CARE CLINIC, INC
Plan administrator’s address 845 N. MICHIGAN AVE., # 908E, CHICAGO, IL, 60611
Administrator’s telephone number 3129444311

Signature of

Role Plan administrator
Date 2010-06-15
Name of individual signing KRZYSZTOF KWIATKOWSKI
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ELIZABETH ADAM, 6220 N LEGETT AVE, CHICAGO, 60646, COOK-NOT IN CITY OF CHICAGO Agent 1994-06-07

President

Name and Address Role Account Number
ELIZABETH ADAM, 6220 N LEGETTCHICAGO 60646 President 29768

Secretary

Name and Address Role Account Number
KRZYSZTOF KHIATKOWSKI Secretary 29768

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 2762086 Issued 1010 Limited Business License 904 - Retail Sales of General Merchandise 2021-03-11 2021-03-16 2023-03-15
BUSINESS LICENSE 2563940 Issued 4404 Regulated Business License 745 | 894 | 895 | 896 - Provide Full Body Massage Services | Hair Services | Nail Services | Skincare Services 2021-03-11 2021-03-16 2023-03-15
BUSINESS LICENSE 25502 Cancelled 1524 Massage Establishment 704 | 745 - Massage Establishment | Provide Full Body Massage Services 2017-03-07 2017-03-16 2019-03-15
BUSINESS LICENSE 25501 Cancelled 1010 Limited Business License No data 2011-03-01 2011-03-16 2013-03-15
COSMO 189007843 No data No data BCENT SALON/SHOP REGISTRATION No data 2003-10-14 2020-11-30 2022-11-30

Historical Names

Name Change Date
ELIZABETH ADAM SKIN CARE CLINIC,P.C. 1992-05-28

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 1000000 No data

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State