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CLT, INC.

Company Details

Entity Name: CLT, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 30 Aug 2004
Date of Dissolution: 08 Jan 2010
Company Number: CORP_63770949
File Number: 63770949
Type of Business: All Inclusive Purpose
Date Status Change: 08 Jan 2010
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH SHORE CENTER FOR MEDICAL AESTHETICS, LTD. CASH BALANCE PLAN 2012 364257915 2013-07-26 NORTH SHORE CENTER FOR MEDICAL AESTHETICS, LTD. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8474801111
Plan sponsor’s address NORTHBROOK COURT PROFESSIONAL PLAZA, 1535 LAKE COOK RD., SUITE 401, NORTHBROOK, IL, 60062

Plan administrator’s name and address

Administrator’s EIN 364257915
Plan administrator’s name NORTH SHORE CENTER FOR MEDICAL AESTHETICS, LTD.
Plan administrator’s address 1535 LAKE COOK ROAD, SUITE 401, NORTHBROOK, IL, 60662
Administrator’s telephone number 8474801111

Signature of

Role Plan administrator
Date 2013-07-26
Name of individual signing ANDREW SCHEMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-26
Name of individual signing ANDREW SCHEMAN
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE CENTER FOR MEDICAL AESTHETICS, LTD. 401(K) PROFIT SHARING PLAN 2012 364257915 2013-05-24 NORTH SHORE CENTER FOR MEDICAL AESTHETICS, LTD. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8474801111
Plan sponsor’s address NORTHBROOK COURT PROFESSIONAL PLAZA, 1535 LAKE COOK RD., SUITE 401, NORTHBROOK, IL, 60062

Signature of

Role Plan administrator
Date 2013-05-24
Name of individual signing ANDREW J. SCHEMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-24
Name of individual signing ANDREW J. SCHEMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE CENTER FOR MEDICAL AESTHETICS, LTD. 401(K) PROFIT SHARING PLAN 2011 364257915 2012-07-23 NORTH SHORE CENTER FOR MEDICAL AESTHETICS, LTD. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8474801111
Plan sponsor’s address NORTHBROOK COURT PROFESSIONAL PLAZA, 1535 LAKE COOK RD., SUITE 401, NORTHBROOK, IL, 60062

Plan administrator’s name and address

Administrator’s EIN 364257915
Plan administrator’s name NORTH SHORE CENTER FOR MEDICAL AESTHETICS, LTD.
Plan administrator’s address NORTHBROOK COURT PROFESSIONAL PLAZA, 1535 LAKE COOK RD., SUITE 401, NORTHBROOK, IL, 60062
Administrator’s telephone number 8474801111

Signature of

Role Plan administrator
Date 2012-07-23
Name of individual signing ANDREW J. SCHEMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-23
Name of individual signing ANDREW J. SCHEMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE CENTER FOR MEDICAL AESTHETICS, LTD. CASH BALANCE PLAN 2011 364257915 2012-07-23 NORTH SHORE CENTER FOR MEDICAL AESTHETICS, LTD. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8474801111
Plan sponsor’s address NORTHBROOK COURT PROFESSIONAL PLAZA, 1535 LAKE COOK RD., SUITE 401, NORTHBROOK, IL, 60062

Plan administrator’s name and address

Administrator’s EIN 364257915
Plan administrator’s name NORTH SHORE CENTER FOR MEDICAL AESTHETICS, LTD.
Plan administrator’s address 1535 LAKE COOK ROAD, SUITE 401, NORTHBROOK, IL, 60062
Administrator’s telephone number 8474801111

Signature of

Role Plan administrator
Date 2012-07-23
Name of individual signing ANDREW SCHEMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-23
Name of individual signing ANDREW SCHEMAN
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE CENTER FOR MEDICAL AESTHETICS, LTD. 401(K) PROFIT SHARING PLAN 2010 364257915 2011-05-23 NORTH SHORE CENTER FOR MEDICAL AESTHETICS, LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8474801111
Plan sponsor’s address NORTHBROOK COURT PROFESSIONAL PLAZA, 1535 LAKE COOK RD., SUITE 401, NORTHBROOK, IL, 60062

Plan administrator’s name and address

Administrator’s EIN 364257915
Plan administrator’s name NORTH SHORE CENTER FOR MEDICAL AESTHETICS, LTD.
Plan administrator’s address NORTHBROOK COURT PROFESSIONAL PLAZA, 1535 LAKE COOK RD., SUITE 401, NORTHBROOK, IL, 60062
Administrator’s telephone number 8474801111

Signature of

Role Plan administrator
Date 2011-05-23
Name of individual signing ANDREW J. SCHEMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-23
Name of individual signing ANDREW J. SCHEMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE CENTER FOR MEDICAL AESTHETICS, LTD. 401(K) PROFIT SHARING PLAN 2009 364257915 2010-08-24 NORTH SHORE CENTER FOR MEDICAL AESTHETICS, LTD. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8474801111
Plan sponsor’s address NORTHBROOK COURT PROFESSIONAL PLAZA, 1535 LAKE COOK RD., SUITE 401, NORTHBROOK, IL, 60062

Plan administrator’s name and address

Administrator’s EIN 364257915
Plan administrator’s name NORTH SHORE CENTER FOR MEDICAL AESTHETICS, LTD.
Plan administrator’s address NORTHBROOK COURT PROFESSIONAL PLAZA, 1535 LAKE COOK RD., SUITE 401, NORTHBROOK, IL, 60062
Administrator’s telephone number 8474801111

Signature of

Role Plan administrator
Date 2010-08-24
Name of individual signing ANDREW J. SCHEMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-24
Name of individual signing ANDREW J. SCHEMAN, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
CHARLES L TAMMINGA, 76 MICHELE DRIVE, PAWNEE, 62558, SANGAMON Agent 2004-08-30

President

Name and Address Role
CHARLES TAMMINGA 76 MICHELE DRIVE PAWNEE 62558 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100 100000 No data

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State