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  5. GREGORY A. WIENER, M.D., S.C.

GREGORY A. WIENER, M.D., S.C.

Company Details

Entity Name: GREGORY A. WIENER, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 05 Aug 1999
Company Number: CORP_60612692
File Number: 60612692
Type of Business: Incorporated under the Medical Corporation Act
Address 5440 N CUMBERLAND AVE 1ST 105, CHICAGO, IL, 60656
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GREGORY A. WIENER, M.D., S.C. PROFIT SHARING PLAN 2010 364309002 2012-07-12 GREGORY A. WIENER, M.D., S.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 7737633990
Plan sponsor’s address 7447 W. TALCOTT AVE., STE. 451, CHICAGO, IL, 60631

Plan administrator’s name and address
Administrator’s EIN 364309002
Plan administrator’s name GREGORY A. WIENER, M.D., S.C.
Plan administrator’s address 7447 W. TALCOTT AVE., STE. 451, CHICAGO, IL, 60631
Administrator’s telephone number 7737633990

Signature of
Role Plan administrator
Date 2012-07-12
Name of individual signing GREG WIENER
Valid signature Filed with authorized/valid electronic signature
GREGORY A. WIENER, M.D., S.C. PROFIT SHARING PLAN 2009 364309002 2010-08-12 GREGORY A. WIENER, M.D., S.C. No data
File View Page
Three-digit plan number (PN) 001
Plan sponsor’s mailing address 7447 W. TALCOTT AVE., STE. 451, CHICAGO, IL, 60631
Plan sponsor’s address 7447 W. TALCOTT AVE., STE. 451, CHICAGO, IL, 60631

Plan administrator’s name and address
Administrator’s EIN 364309002
Plan administrator’s name GREGORY A. WIENER, M.D., S.C.
Plan administrator’s address 7447 W. TALCOTT AVE., STE. 451, CHICAGO, IL, 60631
GREGORY A. WIENER, M.D., S.C. PROFIT SHARING PLAN 2009 364309002 2011-07-15 GREGORY A. WIENER, M.D., S.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 7737633990
Plan sponsor’s address 7447 W. TALCOTT AVE., STE. 451, CHICAGO, IL, 60631

Plan administrator’s name and address
Administrator’s EIN 364309002
Plan administrator’s name GREGORY A. WIENER, M.D., S.C.
Plan administrator’s address 7447 W. TALCOTT AVE., STE. 451, CHICAGO, IL, 60631
Administrator’s telephone number 7737633990

Signature of
Role Plan administrator
Date 2011-07-15
Name of individual signing GREGORY WIENER
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 2017-07-12

Secretary

Name and Address Role Account Number
GREGORY ALAN WIENER Secretary 404070
GREGORY A WIENER MD 5440 CUMBERLAND AVE 105 CHICAGO IL 60631 Secretary No data

President

Name and Address Role Account Number
GREGORY ALAN WIENER President 404070
GREGORY A WIENER MD 5440 CUMBERLAND AVE 105 CHICAGO IL 60631 President No data

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 2447120 Issued 1010 Limited Business License 896 - Skincare Services 2016-02-11 2016-02-11 2018-02-15

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
THE ART OF PLASTIC SURGERY Assume Name 2015-11-18 No data No data No data
DAVID A. RANDOLPH, M.D. AND GREGORY A. WEINER, M.D. No data 1999-08-05 2002-01-03 Voluntary Cancellation No data

Shares

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

Related by officers

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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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