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  5. PESKIN ORAL SURGERY, LTD.

PESKIN ORAL SURGERY, LTD.

Company Details

Entity Name: PESKIN ORAL SURGERY, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 23 Jan 2001
Company Number: CORP_61450734
File Number: 61450734
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
PESKIN ORAL SURGERY, LTD. RETIREMENT PLAN AND TRUST 2023 364417599 2024-04-04 PESKIN ORAL SURGERY, LTD. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8476764590
Plan sponsor’s address 4711 GOLF ROAD, SUITE 408, SUITE 408, SKOKIE, IL, 60076

Signature of
Role Plan administrator
Date 2024-04-04
Name of individual signing KENNETH PESKIN
Valid signature Filed with authorized/valid electronic signature
PESKIN ORAL SURGERY, LTD. RETIREMENT PLAN AND TRUST 2022 364417599 2023-04-03 PESKIN ORAL SURGERY, LTD. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8476764590
Plan sponsor’s address 4711 GOLF ROAD, SUITE 408, SUITE 408, SKOKIE, IL, 60076

Signature of
Role Plan administrator
Date 2023-04-03
Name of individual signing KENNETH PESKIN
Valid signature Filed with authorized/valid electronic signature
PESKIN ORAL SURGERY, LTD. RETIREMENT PLAN AND TRUST 2021 364417599 2022-07-12 PESKIN ORAL SURGERY, LTD. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-23
Business code 621210
Sponsor’s telephone number 8476764590
Plan sponsor’s address 4711 GOLF ROAD, SUITE 408, SKOKIE, IL, 60076

Signature of
Role Plan administrator
Date 2022-07-12
Name of individual signing KENNETH PESKIN
Valid signature Filed with authorized/valid electronic signature
PESKIN ORAL SURGERY, LTD. RETIREMENT PLAN AND TRUST 2020 364417599 2021-06-15 PESKIN ORAL SURGERY, LTD. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-23
Business code 621210
Sponsor’s telephone number 8476764590
Plan sponsor’s address 4711 GOLF ROAD, SUITE 408, SKOKIE, IL, 60076

Signature of
Role Plan administrator
Date 2021-06-15
Name of individual signing KENNETH PESKIN
Valid signature Filed with authorized/valid electronic signature
PESKIN ORAL SURGERY, LTD. RETIREMENT PLAN AND TRUST 2019 364417599 2020-05-11 PESKIN ORAL SURGERY, LTD. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-23
Business code 541990
Sponsor’s telephone number 8476764590
Plan sponsor’s address 4711 GOLF ROAD, SUITE 408, SKOKIE, IL, 60076

Signature of
Role Plan administrator
Date 2020-05-11
Name of individual signing KENNETH PESKIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-11
Name of individual signing KENNETH PESKIN
Valid signature Filed with authorized/valid electronic signature
PESKIN ORAL SURGERY, LTD. RETIREMENT PLAN AND TRUST 2018 364417599 2019-04-18 PESKIN ORAL SURGERY, LTD. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-23
Business code 541990
Sponsor’s telephone number 8476764590
Plan sponsor’s address 4711 GOLF ROAD, SUITE 408, SKOKIE, IL, 60076

Signature of
Role Plan administrator
Date 2019-04-18
Name of individual signing KENNETH PESKIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-18
Name of individual signing KENNETH PESKIN
Valid signature Filed with authorized/valid electronic signature
PESKIN ORAL SURGERY, LTD. RETIREMENT PLAN AND TRUST 2017 364417599 2018-02-22 PESKIN ORAL SURGERY, LTD. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-23
Business code 541990
Sponsor’s telephone number 8476764590
Plan sponsor’s address 4711 GOLF ROAD, SUITE 408, SKOKIE, IL, 60076

Signature of
Role Plan administrator
Date 2018-02-22
Name of individual signing KENNETH PESKIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-02-22
Name of individual signing KENNETH PESKIN
Valid signature Filed with authorized/valid electronic signature
PESKIN ORAL SURGERY, LTD. RETIREMENT PLAN AND TRUST 2016 364417599 2017-05-22 PESKIN ORAL SURGERY, LTD. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-23
Business code 541990
Sponsor’s telephone number 8476764590
Plan sponsor’s address 4711 GOLF ROAD, SUITE 408, SKOKIE, IL, 60076

Signature of
Role Plan administrator
Date 2017-05-22
Name of individual signing KENNETH PESKIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-22
Name of individual signing KENNETH PESKIN
Valid signature Filed with authorized/valid electronic signature
PESKIN ORAL SURGERY, LTD. RETIREMENT PLAN AND TRUST 2015 364417599 2016-02-26 PESKIN ORAL SURGERY, LTD. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-23
Business code 541990
Sponsor’s telephone number 8476764590
Plan sponsor’s address 4711 GOLF ROAD, SUITE 408, SKOKIE, IL, 60076

Signature of
Role Plan administrator
Date 2016-02-26
Name of individual signing KENNETH PESKIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-02-26
Name of individual signing KENNETH PESKIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JEFFREY M WESTON, 900 SKOKIE BLVD, STE 135, NORTHBROOK, 60062, COOK-NOT IN CITY OF CHICAGO Agent 2015-11-20

President

Name and Address Role
KENNETH H PESKIN, 4711 GOLF RD #408SKOKIE 60076 President

Secretary

Name and Address Role
KENNETH H PESKIN, 4711 GOLF RD #408SKOKIE 60076 Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PROF SERVICE CORP 060007819 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 2001-03-09 2021-10-29 2025-01-01

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100000 100000 1

Related by officers

JEFFREY M WESTON, 900 SKOKIE BLVD, STE 135, NORTHBROOK, 60062, COOK-NOT IN CITY OF CHICAGO

CENTRAL CITY PRODUCTIONS, INC. LEASEHOLD EQUITIES, INC. FINLEY HOMES INCORPORATED MATHEWS CONSTRUCTION COMPANY BURGETT BUILDERS, INC.

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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