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  5. NORTHWESTERN OPHTHALMIC INSTITUTE, S.C.

NORTHWESTERN OPHTHALMIC INSTITUTE, S.C.

Company Details

Entity Name: NORTHWESTERN OPHTHALMIC INSTITUTE, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 01 May 2002
Company Number: CORP_62201959
File Number: 62201959
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
NORTHWESTERN OPHTHALMIC INSTITUTE, S. C. CASH BALANCE PENSION 2023 364495455 2024-06-27 NORTHWESTERN OPHTHALMIC INSTITUTE, S. C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621320
Sponsor’s telephone number 3127039990
Plan sponsor’s address 917 TOMAWADEE DRIVE, PARK RIDGE, IL, 60068

Signature of
Role Plan administrator
Date 2024-06-27
Name of individual signing THOMAS BOURNIAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-27
Name of individual signing THOMAS BOURNIAS
Valid signature Filed with authorized/valid electronic signature
NORTHWESTERN OPHTHALMIC INSTITUTE, S. C. 401(K) AND PROFIT SHARING PLAN 2023 364495455 2024-06-27 NORTHWESTERN OPHTHALMIC INSTITUTE, S.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621320
Sponsor’s telephone number 3127039990
Plan sponsor’s address 917 TOMAWADEE DRIVE, PARK RIDGE, IL, 60068

Signature of
Role Plan administrator
Date 2024-06-27
Name of individual signing THOMAS BOURNIAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-27
Name of individual signing THOMAS BOURNIAS
Valid signature Filed with authorized/valid electronic signature
NORTHWESTERN OPHTHALMIC INSTITUTE, S. C. 401(K) AND PROFIT SHARING PLAN 2022 364495455 2023-05-25 NORTHWESTERN OPHTHALMIC INSTITUTE, S.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621320
Sponsor’s telephone number 3127039990
Plan sponsor’s address 917 TOMAWADEE DRIVE, PARK RIDGE, IL, 60068

Signature of
Role Plan administrator
Date 2023-05-23
Name of individual signing THOMAS BOURNIAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-23
Name of individual signing THOMAS BOURNIAS
Valid signature Filed with authorized/valid electronic signature
NORTHWESTERN OPHTHALMIC INSTITUTE, S. C. CASH BALANCE PENSION 2022 364495455 2023-05-25 NORTHWESTERN OPHTHALMIC INSTITUTE, S. C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621320
Sponsor’s telephone number 3127039990
Plan sponsor’s address 917 TOMAWADEE DRIVE, PARK RIDGE, IL, 60068

Signature of
Role Plan administrator
Date 2023-05-23
Name of individual signing THOMAS BOURNIAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-23
Name of individual signing THOMAS BOURNIAS
Valid signature Filed with authorized/valid electronic signature
NORTHWESTERN OPHTHALMIC INSTITUTE, S. C. CASH BALANCE PENSION 2021 364495455 2022-06-27 NORTHWESTERN OPHTHALMIC INSTITUTE, S. C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621320
Sponsor’s telephone number 3127039990
Plan sponsor’s address 917 TOMAWADEE DRIVE, PARK RIDGE, IL, 60068

Signature of
Role Plan administrator
Date 2022-06-24
Name of individual signing THOMAS BOURNIAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-24
Name of individual signing THOMAS BOURNIAS
Valid signature Filed with authorized/valid electronic signature
NORTHWESTERN OPHTHALMIC INSTITUTE, S. C. 401(K) AND PROFIT SHARING PLAN 2021 364495455 2022-06-27 NORTHWESTERN OPHTHALMIC INSTITUTE, S.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621320
Sponsor’s telephone number 3127039990
Plan sponsor’s address 917 TOMAWADEE DRIVE, PARK RIDGE, IL, 60068

Signature of
Role Plan administrator
Date 2022-06-24
Name of individual signing THOMAS BOURNIAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-24
Name of individual signing THOMAS BOURNIAS
Valid signature Filed with authorized/valid electronic signature
NORTHWESTERN OPHTHALMIC INSTITUTE, S. C. 401(K) AND PROFIT SHARING PLAN 2020 364495455 2021-07-07 NORTHWESTERN OPHTHALMIC INSTITUTE, S.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621320
Sponsor’s telephone number 3127039990
Plan sponsor’s address 917 TOMAWADEE DRIVE, PARK RIDGE, IL, 60068

Signature of
Role Plan administrator
Date 2021-07-07
Name of individual signing THOMAS BOURNIAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-07
Name of individual signing THOMAS BOURNIAS
Valid signature Filed with authorized/valid electronic signature
NORTHWESTERN OPHTHALMIC INSTITUTE, S. C. CASH BALANCE PENSION 2020 364495455 2021-07-07 NORTHWESTERN OPHTHALMIC INSTITUTE, S. C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621320
Sponsor’s telephone number 3127039990
Plan sponsor’s address 917 TOMAWADEE DRIVE, PARK RIDGE, IL, 60068

Signature of
Role Plan administrator
Date 2021-07-07
Name of individual signing THOMAS BOURNIAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-07
Name of individual signing THOMAS BOURNIAS
Valid signature Filed with authorized/valid electronic signature
NORTHWESTERN OPHTHALMIC INSTITUTE, S. C. 401(K) AND PROFIT SHARING PLAN 2019 364495455 2020-07-14 NORTHWESTERN OPHTHALMIC INSTITUTE, S.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621320
Sponsor’s telephone number 3127039990
Plan sponsor’s address 917 TOMAWADEE DRIVE, PARK RIDGE, IL, 60068

Signature of
Role Plan administrator
Date 2020-07-14
Name of individual signing THOMAS BOURNIAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-14
Name of individual signing THOMAS BOURNIAS
Valid signature Filed with authorized/valid electronic signature
NORTHWESTERN OPHTHALMIC INSTITUTE, S. C. CASH BALANCE PENSION 2019 364495455 2020-07-14 NORTHWESTERN OPHTHALMIC INSTITUTE, S. C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621320
Sponsor’s telephone number 3127039990
Plan sponsor’s address 917 TOMAWADEE DRIVE, PARK RIDGE, IL, 60068

Signature of
Role Plan administrator
Date 2020-07-14
Name of individual signing THOMAS BOURNIAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-14
Name of individual signing THOMAS BOURNIAS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
THOMAS E BOURNIAS, 917 TOMAWADEE DR, PARK RIDGE, 60068, COOK-NOT IN CITY OF CHICAGO Agent 2005-07-15

President

Name and Address Role
THOMAS E BOURNIAS 917 TOMAWADEE DRIVE PARK RIDGE 60068 President

Secretary

Name and Address Role
OLYMPIA ASIMACOPOULOS Secretary

Historical Names

Name Change Date
NORTHWESTERN OPHTHALMIC INSTITUTE, P.C. 2002-09-05

Shares

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8359068610 2021-03-24 0507 PPS 917 Tomawadee Dr, Park Ridge, IL, 60068-2438
Loan Status Date 2022-03-08
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 123695
Loan Approval Amount (current) 123695
Undisbursed Amount 0
Franchise Name -
Lender Location ID 119627
Servicing Lender Name Time Bank
Servicing Lender Address 626 Talcott Rd, PARK RIDGE, IL, 60068-4721
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Park Ridge, COOK, IL, 60068-2438
Project Congressional District IL-09
Number of Employees 9
NAICS code 621320
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 119627
Originating Lender Name Time Bank
Originating Lender Address PARK RIDGE, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 124200.09
Forgiveness Paid Date 2021-09-27

Related by officers

No related officers

Related by address

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Date of last update: 27 Feb 2025

Sources: Illinois Office of the Secretary of State

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