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  5. SHERPA, INC.

SHERPA, INC.

Company Details

Entity Name: SHERPA, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 02 Mar 2006
Date of Dissolution: 10 Feb 2011
Company Number: CORP_64778455
File Number: 64778455
Type of Business: All Inclusive Purpose
Date Status Change: 10 Feb 2011
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C. SAVINGS PLAN 2012 364351696 2013-10-02 COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8478851200
Plan sponsor’s address 1786 MOON LAKE BLVD SUITE 205, HOFFMAN ESTATES, IL, 60194

Signature of
Role Plan administrator
Date 2013-10-02
Name of individual signing PHILIP N BUSHNICK
Valid signature Filed with authorized/valid electronic signature
COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C. SAVINGS PLAN 2011 364351696 2012-10-10 COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8478851200
Plan sponsor’s address 1786 MOON LAKE BLVD SUITE 205, HOFFMAN ESTATES, IL, 60194

Plan administrator’s name and address
Administrator’s EIN 364351696
Plan administrator’s name COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C.
Plan administrator’s address 1786 MOON LAKE BLVD SUITE 205, HOFFMAN ESTATES, IL, 60194
Administrator’s telephone number 8478851200

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing PHILIP N BUSHNICK
Valid signature Filed with authorized/valid electronic signature
COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C. SAVINGS PLAN 2010 364351696 2011-06-29 COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8478851200
Plan sponsor’s address 1786 MOON LAKE BLVD SUITE 205, HOFFMAN ESTATES, IL, 60194

Plan administrator’s name and address
Administrator’s EIN 364351696
Plan administrator’s name COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C.
Plan administrator’s address 1786 MOON LAKE BLVD SUITE 205, HOFFMAN ESTATES, IL, 60194
Administrator’s telephone number 8478851200

Signature of
Role Plan administrator
Date 2011-06-29
Name of individual signing PHILIP N BUSHNICK
Valid signature Filed with authorized/valid electronic signature
COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C. SAVINGS PLAN 2009 364351696 2010-10-08 COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8478851200
Plan sponsor’s address 1786 MOON LAKE BLVD SUITE 205, HOFFMAN ESTATES, IL, 60194

Plan administrator’s name and address
Administrator’s EIN 364351696
Plan administrator’s name COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C.
Plan administrator’s address 1786 MOON LAKE BLVD SUITE 205, HOFFMAN ESTATES, IL, 60194
Administrator’s telephone number 8478851200

Signature of
Role Plan administrator
Date 2010-10-08
Name of individual signing DR. PHILIP N. BUSHNICK
Valid signature Filed with authorized/valid electronic signature
COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C. SAVINGS PLAN 2009 364351696 2010-09-29 COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C. 4
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8478851200
Plan sponsor’s address 1786 MOON LAKE BLVD SUITE 205, HOFFMAN ESTATES, IL, 60194

Plan administrator’s name and address
Administrator’s EIN 364351696
Plan administrator’s name COSMETIC & PLASTIC SURGERY ASSOCIATES, M.D., S.C.
Plan administrator’s address 1786 MOON LAKE BLVD SUITE 205, HOFFMAN ESTATES, IL, 60194
Administrator’s telephone number 8478851200

Signature of
Role Plan administrator
Date 2010-09-29
Name of individual signing DR. PHILIP N. BUSHNICK
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BRETT M DETTERBECK, 220 N SMITH ST STE 410, PALATINE, 60067, COOK-NOT IN CITY OF CHICAGO Agent 2008-03-14

President

Name and Address Role
BRETT DETTERBECK,, 220 N SMITHST, # 410, PALATINE, IL 60067 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 100000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State

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