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  5. MARK ALLAN BERK, M.D., S.C.

MARK ALLAN BERK, M.D., S.C.

Company Details

Entity Name: MARK ALLAN BERK, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Converted
Date Formed: 08 Dec 1997
Company Number: CORP_59697501
File Number: 59697501
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 25 Nov 2019
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MARK ALLAN BERK, M.D., S.C. 401(K) PLAN 2019 364201210 2020-05-13 MARK ALLAN BERK, M.D., S.C. 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8472346121
Plan sponsor’s address 900 N. WESTMORELAND - SUITE 222, LAKE FOREST, IL, 60045

Signature of
Role Plan administrator
Date 2020-05-13
Name of individual signing MARK ALLAN BERK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-13
Name of individual signing MARK ALLAN BERK
Valid signature Filed with authorized/valid electronic signature
MARK ALLAN BERK, M.D., S.C. 401(K) PLAN 2019 364201210 2021-02-15 MARK ALLAN BERK, M.D., S.C. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8472346121
Plan sponsor’s address 900 N. WESTMORELAND - SUITE 222, LAKE FOREST, IL, 60045

Signature of
Role Plan administrator
Date 2021-02-15
Name of individual signing MARK ALLAN BERK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-02-15
Name of individual signing MARK ALLAN BERK
Valid signature Filed with authorized/valid electronic signature
MARK ALLAN BERK, M.D., S.C. 401(K) PLAN 2018 364201210 2019-07-18 MARK ALLAN BERK, M.D., S.C. 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8472346121
Plan sponsor’s address 900 N. WESTMORELAND - SUITE 222, LAKE FOREST, IL, 60045

Signature of
Role Plan administrator
Date 2019-07-18
Name of individual signing GITA BERK FOR M.ALLAN BERK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-18
Name of individual signing GITA BERK FOR M.ALLAN BERK
Valid signature Filed with authorized/valid electronic signature
MARK ALLAN BERK, M.D., S.C. 401(K) PLAN 2017 364201210 2018-09-21 MARK ALLAN BERK, M.D., S.C. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8472346121
Plan sponsor’s address 900 N. WESTMORELAND - SUITE 222, LAKE FOREST, IL, 60045

Signature of
Role Plan administrator
Date 2018-09-20
Name of individual signing MARK ALLAN BERK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-20
Name of individual signing MARK ALLAN BERK
Valid signature Filed with authorized/valid electronic signature
MARK ALLAN BERK, M.D., S.C. 401(K) PLAN 2016 364201210 2017-08-01 MARK ALLAN BERK, M.D., S.C. 48
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8472346121
Plan sponsor’s address 900 N. WESTMORELAND - SUITE 222, LAKE FOREST, IL, 60045

Signature of
Role Plan administrator
Date 2017-08-01
Name of individual signing MARK ALLAN BERK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-01
Name of individual signing MARK ALLAN BERK
Valid signature Filed with authorized/valid electronic signature
MARK ALLAN BERK, M.D., S.C. 401(K) PLAN 2016 364201210 2017-08-01 MARK ALLAN BERK, M.D., S.C. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8472346121
Plan sponsor’s address 900 N. WESTMORELAND - SUITE 222, LAKE FOREST, IL, 60045

Signature of
Role Plan administrator
Date 2017-08-01
Name of individual signing MARK ALLAN BERK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-01
Name of individual signing MARK ALLAN BERK
Valid signature Filed with authorized/valid electronic signature
MARK ALLAN BERK, M.D., S.C. 401(K) PLAN 2015 364201210 2016-10-12 MARK ALLAN BERK, M.D., S.C. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8472346121
Plan sponsor’s address 900 N. WESTMORELAND - SUITE 222, LAKE FOREST, IL, 60045

Signature of
Role Plan administrator
Date 2016-10-11
Name of individual signing MARK ALLAN BERK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-11
Name of individual signing MARK ALLAN BERK
Valid signature Filed with authorized/valid electronic signature
MARK ALLAN BERK, M.D., S.C. 401(K) PLAN 2014 364201210 2015-10-08 MARK ALLAN BERK, M.D., S.C. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8472346121
Plan sponsor’s address 900 N. WESTMORELAND - SUITE 222, LAKE FOREST, IL, 60045

Signature of
Role Plan administrator
Date 2015-10-07
Name of individual signing MARK ALLAN BERK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-07
Name of individual signing MARK ALLAN BERK
Valid signature Filed with authorized/valid electronic signature
MARK ALLAN BERK, M.D., S.C. 401(K) PLAN 2013 364201210 2014-10-07 MARK ALLAN BERK, M.D., S.C. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8472346121
Plan sponsor’s address 900 N. WESTMORELAND - SUITE 222, LAKE FOREST, IL, 60045

Signature of
Role Plan administrator
Date 2014-10-07
Name of individual signing MARK ALLAN BERK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-07
Name of individual signing MARK ALLAN BERK
Valid signature Filed with authorized/valid electronic signature
MARK ALLAN BERK, M.D., S.C. 401(K) PLAN 2012 364201210 2013-10-07 MARK ALLAN BERK, M.D., S.C. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8472346121
Plan sponsor’s address 900 N. WESTMORELAND - SUITE 222, LAKE FOREST, IL, 60045

Signature of
Role Plan administrator
Date 2013-10-04
Name of individual signing MARK BERK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-04
Name of individual signing MARK BERK
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
COGENCY GLOBAL INC., 600 SOUTH SECOND ST, SUITE 404, SPRINGFIELD, 62704, SANGAMON Agent 2018-05-04

President

Name and Address Role
MARK ALLAN BERK, M D, 3000 N HALSTED ST #3200 CHICAGO IL 606 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100000 1000000 No data

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COGENCY GLOBAL INC., 600 SOUTH SECOND ST, SUITE 404, SPRINGFIELD, 62704, SANGAMON

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Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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