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BSMI, P.C.

BSMI, P.C.

Company Details

Entity Name:	BSMI, P.C.
Jurisdiction:	Illinois
Entity Type:	Corporation - Domestic BCA
Status:	Goodstanding
Date Formed:	29 Mar 2007
Company Number:	CORP_65456028
File Number:	65456028
Type of Business:	Incorporated under the Professional Service Corporation Act
Place of Formation:	ILLINOIS

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

BSMI, P.C. SAFE HARBOR 401(K) PROFIT SHARING PLAN AND TRUST

2023

208862569

2024-02-02

BSMI, P.C.

11

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	8474860255
Plan sponsor’s address	2300 CHESTNUT AVE, STE 102, GLENVIEW, IL, 60026

BSMI, P.C. SAFE HARBOR 401(K) PROFIT SHARING PLAN AND TRUST

2022

208862569

2023-01-24

BSMI, P.C.

10

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	8474860255
Plan sponsor’s address	2300 CHESTNUT AVE, STE 102, GLENVIEW, IL, 60026

BSMI, P.C. SAFE HARBOR 401(K) PROFIT SHARING PLAN AND TRUST

2021

208862569

2022-01-22

BSMI, P.C.

8

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	8474860255
Plan sponsor’s address	2300 CHESTNUT AVE, STE 102, GLENVIEW, IL, 60026

BSMI, P.C. SAFE HARBOR 401(K) PROFIT SHARING PLAN AND TRUST

2020

208862569

2021-05-10

BSMI, P.C.

8

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	8474860255
Plan sponsor’s address	2300 CHESTNUT AVE, STE 102, GLENVIEW, IL, 60026

BSMI, P.C. SAFE HARBOR 401(K) PROFIT SHARING PLAN AND TRUST

2019

208862569

2020-07-06

BSMI, P.C.

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	8474860255
Plan sponsor’s address	2300 CHESTNUT AVE, STE 102, GLENVIEW, IL, 60026

Agent

Name and Address	Role	Appointment Date
BARBARA SIARGOS, 2300 CHESTNUT AVE #102, GLENVIEW, 60026, COOK-NOT IN CITY OF CHICAGO	Agent	2018-05-22

President

Name and Address	Role
BARBARA SIARGOS 727 PLEASANT LN GLENVIEW IL 60025	President

Secretary

Name and Address	Role
MATT ISRAEL	Secretary

Assumed Names

Name	Type	Effective Date	Cancellation Date	Cancellation Type	Last Renewal Date
WILLOW LAKE ORTHODONTICS	Assume Name	2009-07-10	No data	No data	No data

Shares

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

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State