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  5. SKK OPTOMETRISTS LIMITED

SKK OPTOMETRISTS LIMITED

Company Details

Entity Name: SKK OPTOMETRISTS LIMITED
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Converted
Date Formed: 18 Aug 2004
Company Number: CORP_63719277
File Number: 63719277
Type of Business: Incorporated under the Professional Service Corporation Act
Date Status Change: 13 Nov 2020
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKE ZURICH EYE CARE 2020 201509132 2021-10-08 SKK OPTOMETRISTS LIMITED 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 8479771477
Plan sponsor’s address 534 NORTH RAND ROAD, LAKE ZURICH, IL, 60047

Signature of
Role Plan administrator
Date 2021-10-08
Name of individual signing SCOOT POUYAT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-08
Name of individual signing SCOTT D POUYAT
Valid signature Filed with authorized/valid electronic signature
LAKE ZURICH EYE CARE 401(K) AND PROFIT SHARING PLAN 2020 201509132 2021-05-14 SKK OPTOMETRISTS LIMITED 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 8479771477
Plan sponsor’s address 534 NORTH RAND ROAD, LAKE ZURICH, IL, 60047

Signature of
Role Plan administrator
Date 2021-05-14
Name of individual signing SCOTT POUYAT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-14
Name of individual signing SCOTT D POUYAT
Valid signature Filed with authorized/valid electronic signature
LAKE ZURICH EYE CARE 401(K) AND PROFIT SHARING PLAN 2019 201509132 2020-05-08 SKK OPTOMETRISTS LIMITED 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 8479771477
Plan sponsor’s address 534 NORTH RAND ROAD, LAKE ZURICH, IL, 60047

Signature of
Role Plan administrator
Date 2020-05-08
Name of individual signing SCOTT POUYAT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-08
Name of individual signing SCOTT POUYAT
Valid signature Filed with authorized/valid electronic signature
LAKE ZURICH EYE CARE 401(K) AND PROFIT SHARING PLAN 2018 201509132 2019-08-06 SKK OPTOMETRISTS LIMITED 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 8479771477
Plan sponsor’s address 534 NORTH RAND ROAD, LAKE ZURICH, IL, 60047

Signature of
Role Plan administrator
Date 2019-08-06
Name of individual signing SCOTT POUYAT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-06
Name of individual signing SCOTT POUYAT
Valid signature Filed with authorized/valid electronic signature
LAKE ZURICH EYE CARE 401(K) AND PROFIT SHARING PLAN 2017 201509132 2018-07-17 SKK OPTOMETRISTS LIMITED 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 8479771477
Plan sponsor’s address 534 NORTH RAND ROAD, LAKE ZURICH, IL, 60047

Signature of
Role Plan administrator
Date 2018-07-17
Name of individual signing SCOTT POUYAT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-17
Name of individual signing SCOTT POUYAT
Valid signature Filed with authorized/valid electronic signature
LAKE ZURICH EYE CARE 401(K) AND PROFIT SHARING PLAN 2016 201509132 2017-10-10 SKK OPTOMETRISTS LIMITED 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 8479771477
Plan sponsor’s address 534 NORTH RAND ROAD, LAKE ZURICH, IL, 60047

Signature of
Role Plan administrator
Date 2017-10-10
Name of individual signing SCOTT POUYAT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-10
Name of individual signing SCOTT POUYAT
Valid signature Filed with authorized/valid electronic signature
LAKE ZURICH EYE CARE 401(K) AND PROFIT SHARING PLAN 2015 201509132 2016-10-05 SKK OPTOMETRISTS LIMITED 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 8479771477
Plan sponsor’s address 534 NORTH RAND ROAD, LAKE ZURICH, IL, 60047

Signature of
Role Plan administrator
Date 2016-10-05
Name of individual signing SCOTT POUYAT
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ANDREW J. KELLEHER, JR., 102 S, WYNSTONE PARK DRIVE, NORTH BARRINGTON, 60010, LAKE Agent 2020-08-26

President

Name and Address Role
SCOTT POUYAT 5 DUNHILL LANE N.BARRINGTON 60010 President

Historical Names

Name Change Date
SKK OPTOMETRIC PHYSICIANS LIMITED 2006-01-17

Shares

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

Related by officers

ANDREW J. KELLEHER, JR., 102 S, WYNSTONE PARK DRIVE, NORTH BARRINGTON, 60010, LAKE

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Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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