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  5. BRIAN DEMBO, O.D., P.C.

BRIAN DEMBO, O.D., P.C.

Company Details

Entity Name: BRIAN DEMBO, O.D., P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 10 May 1993
Company Number: CORP_57308508
File Number: 57308508
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
BRIAN DEMBO OD, PC 401(K) PROFIT SHARING PLAN 2023 363882767 2024-04-03 BRIAN DEMBO, O.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8479986700
Plan sponsor’s address 1545 WAUKEGAN ROAD, GLENVIEW, IL, 60025

Plan administrator’s name and address
Administrator’s EIN 363882767
Plan administrator’s name BRIAN DEMBO, O.D., P.C.
Plan administrator’s address 1545 WAUKEGAN ROAD, GLENVIEW, IL, 60025
Administrator’s telephone number 8479986700

Signature of
Role Plan administrator
Date 2024-04-03
Name of individual signing BRIAN DEMBO
Valid signature Filed with authorized/valid electronic signature
BRIAN DEMBO OD, PC 401(K) PROFIT SHARING PLAN 2023 363882767 2024-05-01 BRIAN DEMBO, O.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8479986700
Plan sponsor’s address 1545 WAUKEGAN ROAD, GLENVIEW, IL, 60025

Plan administrator’s name and address
Administrator’s EIN 363882767
Plan administrator’s name BRIAN DEMBO, O.D., P.C.
Plan administrator’s address 1545 WAUKEGAN ROAD, GLENVIEW, IL, 60025
Administrator’s telephone number 8479986700

Signature of
Role Plan administrator
Date 2024-05-01
Name of individual signing BRIAN DEMBO
Valid signature Filed with authorized/valid electronic signature
BRIAN DEMBO OD, PC 401(K) PROFIT SHARING PLAN 2022 363882767 2023-05-23 BRIAN DEMBO, O.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8479986700
Plan sponsor’s address 1545 WAUKEGAN ROAD, GLENVIEW, IL, 60025

Plan administrator’s name and address
Administrator’s EIN 363882767
Plan administrator’s name BRIAN DEMBO, O.D., P.C.
Plan administrator’s address 1545 WAUKEGAN ROAD, GLENVIEW, IL, 60025
Administrator’s telephone number 8479986700

Signature of
Role Plan administrator
Date 2023-05-23
Name of individual signing BRIAN DEMBO
Valid signature Filed with authorized/valid electronic signature
BRIAN DEMBO OD, PC 401(K) PROFIT SHARING PLAN 2021 363882767 2022-08-17 BRIAN DEMBO, O.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8479986700
Plan sponsor’s address 1545 WAUKEGAN ROAD, GLENVIEW, IL, 60025

Plan administrator’s name and address
Administrator’s EIN 363882767
Plan administrator’s name BRIAN DEMBO, O.D., P.C.
Plan administrator’s address 1545 WAUKEGAN ROAD, GLENVIEW, IL, 60025
Administrator’s telephone number 8479986700

Signature of
Role Plan administrator
Date 2022-08-17
Name of individual signing BRIAN DEMBO
Valid signature Filed with authorized/valid electronic signature
BRIAN DEMBO OD, PC 401(K) PROFIT SHARING PLAN 2020 363882767 2021-04-07 BRIAN DEMBO, O.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8479986700
Plan sponsor’s address 1545 WAUKEGAN ROAD, GLENVIEW, IL, 60025

Plan administrator’s name and address
Administrator’s EIN 363882767
Plan administrator’s name BRIAN DEMBO, O.D., P.C.
Plan administrator’s address 1545 WAUKEGAN ROAD, GLENVIEW, IL, 60025
Administrator’s telephone number 8479986700

Signature of
Role Plan administrator
Date 2021-04-07
Name of individual signing BRIAN DEMBO
Valid signature Filed with authorized/valid electronic signature
BRIAN DEMBO OD, PC 401(K) PROFIT SHARING PLAN 2019 363882767 2020-09-16 BRIAN DEMBO, O.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8479986700
Plan sponsor’s address 1545 WAUKEGAN ROAD, GLENVIEW, IL, 60025

Plan administrator’s name and address
Administrator’s EIN 363882767
Plan administrator’s name BRIAN DEMBO, O.D., P.C.
Plan administrator’s address 1545 WAUKEGAN ROAD, GLENVIEW, IL, 60025
Administrator’s telephone number 8479986700

Signature of
Role Plan administrator
Date 2020-09-16
Name of individual signing BRIAN DEMBO
Valid signature Filed with authorized/valid electronic signature
BRIAN DEMBO OD, PC 401(K) PROFIT SHARING PLAN 2018 363882767 2019-09-09 BRIAN DEMBO, O.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8479986700
Plan sponsor’s address 1545 WAUKEGAN ROAD, GLENVIEW, IL, 60025

Plan administrator’s name and address
Administrator’s EIN 363882767
Plan administrator’s name BRIAN DEMBO, O.D., P.C.
Plan administrator’s address 1545 WAUKEGAN ROAD, GLENVIEW, IL, 60025
Administrator’s telephone number 8479986700

Signature of
Role Plan administrator
Date 2019-09-09
Name of individual signing BRIAN DEMBO
Valid signature Filed with authorized/valid electronic signature
BRIAN DEMBO OD, PC 401(K) PROFIT SHARING PLAN 2017 363882767 2018-10-01 BRIAN DEMBO, O.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8479986700
Plan sponsor’s address 1545 WAUKEGAN ROAD, GLENVIEW, IL, 60025

Plan administrator’s name and address
Administrator’s EIN 363882767
Plan administrator’s name BRIAN DEMBO, O.D., P.C.
Plan administrator’s address 1545 WAUKEGAN ROAD, GLENVIEW, IL, 60025
Administrator’s telephone number 8479986700

Signature of
Role Plan administrator
Date 2018-10-01
Name of individual signing BRIAN DEMBO
Valid signature Filed with authorized/valid electronic signature
BRIAN DEMBO OD, PC 401(K) PROFIT SHARING PLAN 2016 363882767 2017-09-14 BRIAN DEMBO, O.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8479986700
Plan sponsor’s address 1545 WAUKEGAN ROAD, GLENVIEW, IL, 60025

Plan administrator’s name and address
Administrator’s EIN 363882767
Plan administrator’s name BRIAN DEMBO, O.D., P.C.
Plan administrator’s address 1545 WAUKEGAN ROAD, GLENVIEW, IL, 60025
Administrator’s telephone number 8479986700

Signature of
Role Plan administrator
Date 2017-09-14
Name of individual signing BRIAN DEMBO
Valid signature Filed with authorized/valid electronic signature
BRIAN DEMBO OD, PC 401(K) PROFIT SHARING PLAN 2015 363882767 2016-10-13 BRIAN DEMBO, O.D., P.C. 4
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 8479986700
Plan sponsor’s address 1545 WAUKEGAN ROAD, GLENVIEW, IL, 60025

Plan administrator’s name and address
Administrator’s EIN 363882767
Plan administrator’s name BRIAN DEMBO, O.D., P.C.
Plan administrator’s address 1545 WAUKEGAN ROAD, GLENVIEW, IL, 60025
Administrator’s telephone number 8479986700

Signature of
Role Plan administrator
Date 2016-10-13
Name of individual signing BRIAN DEMBO
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
STEVEN DAVID SPECTOR, 5 REVERE DRIVE SUITE 430, NORTHBROOK, 60062, COOK-NOT IN CITY OF CHICAGO Agent 2024-11-25

President

Name and Address Role
BRIAN DEMBO 1545 WAUKEGAN RD GLENVIEW IL President

Secretary

Name and Address Role
FERN DEMBO Secretary

Shares

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

Related by officers

STEVEN DAVID SPECTOR, 5 REVERE DRIVE SUITE 430, NORTHBROOK, 60062, COOK-NOT IN CITY OF CHICAGO

SPECTOR PROPERTIES, INC. GENTLE DENTAL CARE, P.C. PENCO TRADING CO., INC. K. UNDERLY ENTERPRISES, INC. CAROL OLSEN & ASSOCIATES, INC. HOLDINGEGGS, INC.

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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