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  5. SURGICAL CENTER LTD.

SURGICAL CENTER LTD.

Company Details

Entity Name: SURGICAL CENTER LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 18 Aug 1992
Date of Dissolution: 03 Jan 1995
Company Number: CORP_56952624
File Number: 56952624
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 03 Jan 1995
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COUNTRYSIDE DENTAL PROFIT SHARING PLAN 2012 363629250 2013-03-25 SUPERIOR DENTAL LTD. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 8476342525
Plan sponsor’s address 472 HALF DAY ROAD, BUFFALO GROVE, IL, 60089

Plan administrator’s name and address
Administrator’s EIN 363629250
Plan administrator’s name SUPERIOR DENTAL LTD.
Plan administrator’s address 472 HALF DAY ROAD, BUFFALO GROVE, IL, 60089
Administrator’s telephone number 8476342525

Signature of
Role Plan administrator
Date 2013-03-25
Name of individual signing BARRY M SCHATZMAN
Valid signature Filed with authorized/valid electronic signature
COUNTRYSIDE DENTAL PSP QRP 2011 363629250 2012-10-05 SUPERIOR DENTAL LTD. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 8476342525
Plan sponsor’s address 472 HALF DAY ROAD, BUFFALO GROVE, IL, 60089

Plan administrator’s name and address
Administrator’s EIN 363629250
Plan administrator’s name SUPERIOR DENTAL LTD.
Plan administrator’s address 472 HALF DAY ROAD, BUFFALO GROVE, IL, 60089
Administrator’s telephone number 8476342525

Signature of
Role Plan administrator
Date 2012-10-05
Name of individual signing BARRY M SCHATZMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-05
Name of individual signing BARRY M SCHATZMAN
Valid signature Filed with authorized/valid electronic signature
COUNTRYSIDE DENTAL PSP QRP 2010 363629250 2011-07-29 SUPERIOR DENTAL LTD. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 8476342525
Plan sponsor’s address 472 HALF DAY ROAD, BUFFALO GROVE, IL, 60089

Plan administrator’s name and address
Administrator’s EIN 363629250
Plan administrator’s name SUPERIOR DENTAL LTD.
Plan administrator’s address 472 HALF DAY ROAD, BUFFALO GROVE, IL, 60089
Administrator’s telephone number 8476342525

Signature of
Role Plan administrator
Date 2011-07-29
Name of individual signing BARRY M SCHATZMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-29
Name of individual signing BARRY M SCHATZMAN
Valid signature Filed with authorized/valid electronic signature
COUNTRYSIDE DENTAL PSP QRP 2009 363629250 2010-07-27 SUPERIOR DENTAL LTD. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 8476342525
Plan sponsor’s address 472 HALF DAY ROAD, BUFFALO GROVE, IL, 60089

Plan administrator’s name and address
Administrator’s EIN 363629250
Plan administrator’s name SUPERIOR DENTAL LTD.
Plan administrator’s address 472 HALF DAY ROAD, BUFFALO GROVE, IL, 60089
Administrator’s telephone number 8476342525

Signature of
Role Plan administrator
Date 2010-07-27
Name of individual signing BARRY M SCHATZMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-27
Name of individual signing BARRY M SCHATZMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
VACANT, 100 W MONROE ST STE 1710, CHICAGO, 60603, COOK-NOT IN CITY OF CHICAGO Agent 1995-03-06

President

Name and Address Role
HENRY JOHNSON, 4-158TH PLACE CALUMET CITY, 60409 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 100000 No data

Related by officers

No related officers

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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