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  5. TRACI A. KURTZER, M.D., S.C.

TRACI A. KURTZER, M.D., S.C.

Company Details

Entity Name: TRACI A. KURTZER, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 23 Aug 2002
Date of Dissolution: 13 Jan 2017
Company Number: CORP_62370785
File Number: 62370785
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 13 Jan 2017
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TRACI A. KURTZER, M.D., S.C. PROFIT SHARING PLAN 2019 061644952 2020-02-17 TRACI A. KURTZER, M.D., S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-12-15
Business code 621111
Sponsor’s telephone number 8473280238
Plan sponsor’s address 830 MONTICELLO PLACE, EVANSTON, IL, 60201
TRACI A. KURTZER, M.D., S.C. PROFIT SHARING PLAN 2018 061644952 2019-05-24 TRACI A. KURTZER, M.D., S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-12-15
Business code 621111
Sponsor’s telephone number 8473280238
Plan sponsor’s address 830 MONTICELLO PLACE, EVANSTON, IL, 60201
TRACI A. KURTZER, M.D., S.C. PROFIT SHARING PLAN 2017 061644952 2018-10-15 TRACI A. KURTZER, M.D., S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-12-15
Business code 621111
Sponsor’s telephone number 8473280238
Plan sponsor’s address 830 MONTICELLO PLACE, EVANSTON, IL, 60201
TRACI A. KURTZER, M.D., S.C. PROFIT SHARING PLAN 2016 061644952 2017-09-27 TRACI A. KURTZER, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-12-15
Business code 621111
Sponsor’s telephone number 8473280238
Plan sponsor’s address 830 MONTICELLO PLACE, EVANSTON, IL, 60201
TRACI A. KURTZER, M.D., S.C. PROFIT SHARING PLAN 2015 061644952 2016-04-07 TRACI A. KURTZER, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-12-15
Business code 621111
Sponsor’s telephone number 8473280238
Plan sponsor’s address 830 MONTICELLO PLACE, EVANSTON, IL, 60201
TRACI A. KURTZER, M.D., S.C. PROFIT SHARING PLAN 2014 061644952 2015-04-01 TRACI A. KURTZER, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-12-15
Business code 621111
Sponsor’s telephone number 8473280238
Plan sponsor’s address 636 CHURCH ST., SUITE 308, EVANSTON, IL, 60201
TRACI A. KURTZER, M.D., S.C. PROFIT SHARING PLAN 2013 061644952 2014-05-19 TRACI A. KURTZER, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-12-15
Business code 621111
Sponsor’s telephone number 8473280238
Plan sponsor’s address 636 CHURCH ST., SUITE 308, EVANSTON, IL, 60201
TRACI A. KURTZER, M.D., S.C. PROFIT SHARING PLAN 2012 061644952 2013-04-08 TRACI A. KURTZER, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-12-15
Business code 621111
Sponsor’s telephone number 8473280238
Plan sponsor’s address 636 CHURCH ST., SUITE 308, EVANSTON, IL, 60201

Signature of
Role Plan administrator
Date 2013-04-08
Name of individual signing TRACI A. KURTZER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-08
Name of individual signing TRACI A. KURTZER
Valid signature Filed with authorized/valid electronic signature
TRACI A. KURTZER, M.D., S.C. PROFIT SHARING PLAN 2011 061644952 2012-08-09 TRACI A. KURTZER, M.D., S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-12-15
Business code 621111
Sponsor’s telephone number 8473280238
Plan sponsor’s address 636 CHURCH ST., SUITE 217, EVANSTON, IL, 60201

Plan administrator’s name and address
Administrator’s EIN 061644952
Plan administrator’s name TRACI A. KURTZER, M.D., S.C.
Plan administrator’s address 636 CHURCH ST., SUITE 217, EVANSTON, IL, 60201
Administrator’s telephone number 8473280238

Signature of
Role Plan administrator
Date 2012-08-09
Name of individual signing TRACI A. KURTZER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-09
Name of individual signing TRACI A. KURTZER
Valid signature Filed with authorized/valid electronic signature
TRACI A. KURTZER, M.D., S.C. PROFIT SHARING PLAN 2010 061644952 2011-05-25 TRACI A. KURTZER, M.D., S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-12-15
Business code 621111
Sponsor’s telephone number 8473280238
Plan sponsor’s address 636 CHURCH ST., SUITE 217, EVANSTON, IL, 60201

Plan administrator’s name and address
Administrator’s EIN 061644952
Plan administrator’s name TRACI A. KURTZER, M.D., S.C.
Plan administrator’s address 636 CHURCH ST., SUITE 217, EVANSTON, IL, 60201
Administrator’s telephone number 8473280238

Signature of
Role Plan administrator
Date 2011-05-25
Name of individual signing TRACI KURTZER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-25
Name of individual signing TRACI KURTZER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SHERWIN R. RUBINSTEIN, 7250 N. CICERO AVE. STE. 200, LINCOLNWOOD, 60712, COOK-NOT IN CITY OF CHICAGO Agent 2002-08-23

President

Name and Address Role
TRACI A KURTZER, 830 MONTICELLO PLACE EVANSTON IL 60201 President

Shares

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

Related by officers

SHERWIN R. RUBINSTEIN, 7250 N. CICERO AVE. STE. 200, LINCOLNWOOD, 60712, COOK-NOT IN CITY OF CHICAGO

CARRIE L. JOHNSON, M.D., S.C.

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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