| Entity Name: | UROLOGY SPECIALISTS, S.C. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 07 Jun 2001 |
| Date of Dissolution: | 08 Nov 2013 |
| Company Number: | CORP_61660577 |
| File Number: | 61660577 |
| Type of Business: | Incorporated under the Medical Corporation Act |
| Date Status Change: | 08 Nov 2013 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UROLOGY SPECIALISTS, S.C. 401K PROFIT SHARING PLAN | 2013 | 364449696 | 2014-06-03 | UROLOGY SPECIALISTS, S.C. | 11 | |||||||||||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2014-06-03 |
| Name of individual signing | LAURENCE A. LEVINE, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2014-06-03 |
| Name of individual signing | LAURENCE A. LEVINE, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3125635000 |
| Plan sponsor’s address | 1725 W. HARRISON STREET, SUITE 352, CHICAGO, IL, 60612 |
Signature of
| Role | Plan administrator |
| Date | 2013-06-11 |
| Name of individual signing | LAURENCE A. LEVINE, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-06-11 |
| Name of individual signing | LAURENCE A. LEVINE, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3125635000 |
| Plan sponsor’s address | 1725 W. HARRISON STREET, SUITE 352, CHICAGO, IL, 60612 |
Plan administrator’s name and address
| Administrator’s EIN | 364449696 |
| Plan administrator’s name | UROLOGY SPECIALISTS, S.C. |
| Plan administrator’s address | 1725 W. HARRISON STREET, SUITE 352, CHICAGO, IL, 60612 |
| Administrator’s telephone number | 3125635000 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-09 |
| Name of individual signing | LAURENCE A. LEVINE, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-07-09 |
| Name of individual signing | LAURENCE A. LEVINE, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| NATIONAL CORPORATE RESEARCH, L, 520 SOUTH SECOND ST, SUITE 403, SPRINGFIELD, 62701, SANGAMON | Agent | 2010-06-18 |
| Name and Address | Role |
|---|---|
| LAURENCE LEVINE, 1725 W HARRISON #917 CHICAGO 60612 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 10000 | 1000000 | No data |
Date of last update: 16 Jan 2025
