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  5. BURBANK VISION, INC.

BURBANK VISION, INC.

Company Details

Entity Name: BURBANK VISION, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 20 Sep 1991
Date of Dissolution: 13 Feb 2009
Company Number: CORP_56542051
File Number: 56542051
Type of Business: All Inclusive Purpose
Date Status Change: 13 Feb 2009
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BURBANK VISION, INC. PENSION PLAN AND TRUST 2012 363784727 2013-10-10 BURBANK VISION, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621320
Sponsor’s telephone number 7084253540
Plan sponsor’s address 2841 S. HOME AVENUE, BERWYN, IL, 60402

Plan administrator’s name and address
Administrator’s EIN 363784727
Plan administrator’s name BURBANK VISION, INC.
Plan administrator’s address 2841 S. HOME AVENUE, BERWYN, IL, 60402
Administrator’s telephone number 7084253540

Signature of
Role Plan administrator
Date 2013-10-10
Name of individual signing CHARLES B. GOODMAN
Valid signature Filed with authorized/valid electronic signature
BURBANK VISION, INC. PENSION PLAN AND TRUST 2011 363784727 2012-10-14 BURBANK VISION, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621320
Sponsor’s telephone number 7084253540
Plan sponsor’s address 2841 S. HOME AVENUE, BERWYN, IL, 60402

Plan administrator’s name and address
Administrator’s EIN 363784727
Plan administrator’s name BURBANK VISION, INC.
Plan administrator’s address 2841 S. HOME AVENUE, BERWYN, IL, 60402
Administrator’s telephone number 7084253540

Signature of
Role Plan administrator
Date 2012-10-14
Name of individual signing CHARLES B. GOODMAN
Valid signature Filed with authorized/valid electronic signature
BURBANK VISION, INC. PENSION PLAN AND TRUST 2010 363784727 2011-10-26 BURBANK VISION, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621320
Sponsor’s telephone number 7084253540
Plan sponsor’s address 2841 S. HOME AVENUE, BERWYN, IL, 60402

Plan administrator’s name and address
Administrator’s EIN 363784727
Plan administrator’s name BURBANK VISION, INC.
Plan administrator’s address 2841 S. HOME AVENUE, BERWYN, IL, 60402
Administrator’s telephone number 7084253540

Signature of
Role Plan administrator
Date 2011-10-26
Name of individual signing CHARLES B. GOODMAN
Valid signature Filed with authorized/valid electronic signature
BURBANK VISION, INC. PENSION PLAN AND TRUST 2009 363784727 2012-10-14 BURBANK VISION, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621320
Sponsor’s telephone number 7084253540
Plan sponsor’s address 2841 S. HOME AVENUE, BERWYN, IL, 60402

Plan administrator’s name and address
Administrator’s EIN 363784727
Plan administrator’s name BURBANK VISION, INC.
Plan administrator’s address 2841 S. HOME AVENUE, BERWYN, IL, 60402
Administrator’s telephone number 7084253540

Signature of
Role Plan administrator
Date 2012-10-14
Name of individual signing CHARLES B. GOODMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ALAN B SAMLAN, 525 W MONROE STREET 2360, CHICAGO, 60661, COOK-NOT IN CITY OF CHICAGO Agent 2006-08-22

President

Name and Address Role
CHARLES B GOODMAN, 7854 S CICERO AVENUE, BURBANK 60459 President

Shares

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

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Mar 2025

Sources: Illinois Office of the Secretary of State

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