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PREMIER SURGICAL ASSISTANTS, INC.

Company Details

Entity Name: PREMIER SURGICAL ASSISTANTS, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 19 Feb 2008
Date of Dissolution: 10 Jul 2015
Company Number: CORP_65953846
File Number: 65953846
Type of Business: All Inclusive Purpose
Date Status Change: 10 Jul 2015
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PREMIERE SURGICAL ASSISTANTS, INC. 401K PROFIT SHARING PLAN AND TRUST 2011 262248926 2012-07-19 PREMIERE SURGICAL ASSISTANTS, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 6303696200
Plan sponsor’s address 608 S WASHINGTON ST., SUITE 204, NAPERVILLE, IL, 60540

Plan administrator’s name and address

Administrator’s EIN 262248926
Plan administrator’s name PREMIERE SURGICAL ASSISTANTS, INC.
Plan administrator’s address 608 S WASHINGTON ST., SUITE 204, NAPERVILLE, IL, 60540
Administrator’s telephone number 6303696200

Signature of

Role Plan administrator
Date 2012-07-19
Name of individual signing VICTOR NIKKEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-19
Name of individual signing VICTOR NIKKEL
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DAN M COLLANDER, 608 S WASHINGTON ST STE 307, NAPERVILLE, 60540, DU PAGE Agent 2011-10-07

President

Name and Address Role
VIC NIKKEL, 608 S WASHINGTON ST, NAPERVILLE, 60540 President

Historical Names

Name Change Date
PREMIERE SURGICAL ASSISTANTS, INC. 2008-03-17

Shares

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

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State