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  5. COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C.

COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C.

Company Details

Entity Name: COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 14 Feb 2000
Date of Dissolution: 09 Jan 2023
Company Number: CORP_60877793
File Number: 60877793
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 09 Jan 2023
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C. SAVINGS PLAN 2020 364351696 2021-10-14 COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8478851200
Plan sponsor’s address 2500 W. HIGGINS ROAD, SUITE 380, HOFFMAN ESTATES, IL, 60169

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing PHILIP BUSHNICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-14
Name of individual signing PHILIP BUSHNICK
Valid signature Filed with authorized/valid electronic signature
COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C. SAVINGS PLAN 2019 364351696 2020-10-14 COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8478851200
Plan sponsor’s address 2500 W. HIGGINS ROAD, SUITE 380, HOFFMAN ESTATES, IL, 60169

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing PHILIP BUSHNICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-14
Name of individual signing PHILIP BUSHNICK
Valid signature Filed with authorized/valid electronic signature
COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C. SAVINGS PLAN 2018 364351696 2019-10-14 COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8478851200
Plan sponsor’s address 2500 W. HIGGINS ROAD, SUITE 380, HOFFMAN ESTATES, IL, 60169

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing PHILIP BUSHNICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-14
Name of individual signing PHILIP BUSHNICK
Valid signature Filed with authorized/valid electronic signature
COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C. SAVINGS PLAN 2017 364351696 2018-11-02 COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8478851200
Plan sponsor’s address 2500 W. HIGGINS ROAD, SUITE 380, HOFFMAN ESTATES, IL, 60169

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing PHILIP BUSHNICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-15
Name of individual signing PHILIP BUSHNICK
Valid signature Filed with authorized/valid electronic signature
COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C. SAVINGS PLAN 2016 364351696 2017-10-16 COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8478851200
Plan sponsor’s address 2500 W. HIGGINS ROAD, SUITE 380, HOFFMAN ESTATES, IL, 60169

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing PHILIP N.BUSHNICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-16
Name of individual signing PHILIP N.BUSHNICK
Valid signature Filed with authorized/valid electronic signature
COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C. SAVINGS PLAN 2015 364351696 2016-09-16 COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8478851200
Plan sponsor’s address 2500 W. HIGGINS ROAD, SUITE 380, HOFFMAN ESTATES, IL, 60169

Signature of
Role Plan administrator
Date 2016-09-15
Name of individual signing PHILIP BUSHNICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-15
Name of individual signing PHILIP BUSHNICK
Valid signature Filed with authorized/valid electronic signature
COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C. SAVINGS PLAN 2014 364351696 2015-09-14 COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8478851200
Plan sponsor’s address 2500 WEST HIGGINS ROAD, SUITE 380, HOFFMAN ESTATES, IL, 60169

Signature of
Role Plan administrator
Date 2015-09-14
Name of individual signing PHILIP N BUSHNICK
Valid signature Filed with authorized/valid electronic signature
COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C. SAVINGS PLAN 2014 364351696 2015-09-14 COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C. 8
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8478851200
Plan sponsor’s address 2500 WEST HIGGINS ROAD, SUITE 380, HOFFMAN ESTATES, IL, 60169

Signature of
Role Plan administrator
Date 2015-09-14
Name of individual signing PHILIP N BUSHNICK
Valid signature Filed with authorized/valid electronic signature
COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C. SAVINGS PLAN 2013 364351696 2014-10-01 COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8478851200
Plan sponsor’s address 2500 WEST HIGGINS ROAD, SUITE 380, HOFFMAN ESTATES, IL, 60194

Signature of
Role Plan administrator
Date 2014-10-01
Name of individual signing PHILIP N BUSHNICK
Valid signature Filed with authorized/valid electronic signature
COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C. SAVINGS PLAN 2012 364351696 2013-10-02 COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8478851200
Plan sponsor’s address 1786 MOON LAKE BLVD SUITE 205, HOFFMAN ESTATES, IL, 60194

Signature of
Role Plan administrator
Date 2013-10-02
Name of individual signing PHILIP N BUSHNICK
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
PHILLIP BUSHNICK, 20540 N WEATHERSTONE RD, KILDEER, 60047, LAKE Agent 2020-04-01

President

Name and Address Role
PHILIP BUSHNICK, 2500 W HIGGINS RD #380, HOFFMAN ESTATES IL President

Shares

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

Related by officers

No related officers

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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