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NORTH SHORE FERTILITY, S.C.

Company Details

Entity Name: NORTH SHORE FERTILITY, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 20 Dec 1999
Company Number: CORP_60816468
File Number: 60816468
Type of Business: Incorporated under the Medical Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH SHORE FERTILITY 401(K) PLAN 2013 364335336 2014-07-24 NORTH SHORE FERTILITY, S.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8477638850
Plan sponsor’s address 4250 DEMPSTER STREET, SKOKIE, IL, 600762008

Signature of

Role Plan administrator
Date 2014-07-24
Name of individual signing ANNE BORKOWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-24
Name of individual signing ANNE BORKOWSKI
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE FERTILITY 401(K) PLAN 2012 364335336 2013-07-26 NORTH SHORE FERTILITY, S.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8477638850
Plan sponsor’s address 4250 DEMPSTER STREET, SKOKIE, IL, 600762008

Signature of

Role Plan administrator
Date 2013-07-26
Name of individual signing ANNE BORKOWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-26
Name of individual signing ANNE BORKOWSKI
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE FERTILITY 401(K) PLAN 2011 364335336 2012-09-25 NORTH SHORE FERTILITY, S.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8477638850
Plan sponsor’s address 4250 DEMPSTER STREET, SKOKIE, IL, 600762008

Plan administrator’s name and address

Administrator’s EIN 364335336
Plan administrator’s name NORTH SHORE FERTILITY, S.C.
Plan administrator’s address 4250 DEMPSTER STREET, SKOKIE, IL, 600762008
Administrator’s telephone number 8477638850

Signature of

Role Plan administrator
Date 2012-09-25
Name of individual signing SUSAN DAVIES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-25
Name of individual signing SUSAN DAVIES
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE FERTILITY 401(K) PLAN AND TRUST 2010 364335336 2011-08-31 NORTH SHORE FERTILITY, S.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8477638850
Plan sponsor’s address 4250 DEMPSTER STREET, SKOKIE, IL, 600762008

Plan administrator’s name and address

Administrator’s EIN 364335336
Plan administrator’s name NORTH SHORE FERTILITY, S.C.
Plan administrator’s address 4250 DEMPSTER STREET, SKOKIE, IL, 600762008
Administrator’s telephone number 8477638850

Signature of

Role Plan administrator
Date 2011-08-31
Name of individual signing SUSAN DAVIES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-31
Name of individual signing SUSAN DAVIES
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE FERTILITY 401(K) PLAN 2009 364335336 2010-09-07 NORTH SHORE FERTILITY, S.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8477638850
Plan sponsor’s address 4250 DEMPSTER STREET, SKOKIE, IL, 600762008

Plan administrator’s name and address

Administrator’s EIN 364335336
Plan administrator’s name NORTH SHORE FERTILITY, S.C.
Plan administrator’s address 4250 DEMPSTER STREET, SKOKIE, IL, 600762008
Administrator’s telephone number 8477638850

Signature of

Role Plan administrator
Date 2010-09-03
Name of individual signing SUSAN DAVIES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-03
Name of individual signing SUSAN DAVIES
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
STEPHEN R MILLER, 10 S WACKER DR, STE 4000, CHICAGO, 60606, COOK-NOT IN CITY OF CHICAGO Agent 2005-05-18

President

Name and Address Role
ANNE BORKOWSKI 5225 OLD ORCHARD RD. #17, SKOKIE, IL 60077 President

Secretary

Name and Address Role
ANNE BORKOWSKI 5225 OLD ORCHARD RD #17, SKOKIE, IL 60077 Secretary

Shares

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7665707707 2020-05-01 0507 PPP 4250 DEMPSTER ST, SKOKIE, IL, 60076-2008
Loan Status Date 2021-05-13
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 56400
Loan Approval Amount (current) 56400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 44449
Servicing Lender Name PNC Bank, National Association
Servicing Lender Address 222 Delaware Ave, WILMINGTON, DE, 19801-1621
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address SKOKIE, COOK, IL, 60076-2008
Project Congressional District IL-09
Number of Employees 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 44449
Originating Lender Name PNC Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 56954.6
Forgiveness Paid Date 2021-04-23
7258258310 2021-01-28 0507 PPS 4250 Dempster St, Skokie, IL, 60076-2008
Loan Status Date 2021-02-11
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 56465
Loan Approval Amount (current) 56465
Undisbursed Amount 0
Franchise Name -
Lender Location ID 44449
Servicing Lender Name PNC Bank, National Association
Servicing Lender Address 222 Delaware Ave, WILMINGTON, DE, 19801-1621
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Skokie, COOK, IL, 60076-2008
Project Congressional District IL-09
Number of Employees 6
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 44449
Originating Lender Name PNC Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 57175.52
Forgiveness Paid Date 2022-04-29

Date of last update: 13 Feb 2025

Sources: Illinois Office of the Secretary of State