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HOLMBERG OPTOMETRIC, LTD.

Company Details

Entity Name: HOLMBERG OPTOMETRIC, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 24 Oct 2017
Company Number: CORP_71208516
File Number: 71208516
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
HOLMBERG OPTOMETRIC 401(K) PLAN 2023 823278989 2024-06-21 HOLMBERG OPTOMETRIC, LTD 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-07-15
Business code 621320
Sponsor’s telephone number 7735177580
Plan sponsor’s address 366 DIXIE HWY, CHICAGO HEIGHTS, IL, 60411

Signature of

Role Plan administrator
Date 2024-06-21
Name of individual signing KATHRINE HOLMBERG
Valid signature Filed with authorized/valid electronic signature
HOLMBERG OPTOMETRIC 401(K) PLAN 2022 823278989 2023-04-25 HOLMBERG OPTOMETRIC, LTD 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-07-15
Business code 621320
Sponsor’s telephone number 7735177580
Plan sponsor’s address 366 DIXIE HWY, CHICAGO HEIGHTS, IL, 60411

Signature of

Role Plan administrator
Date 2023-04-25
Name of individual signing KATHRINE HOLMBERG
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
CHARLES F MAUPIN, 2300 BARRINGTON RD STE 220, HOFFMAN ESTATES, 60169, COOK-NOT IN CITY OF CHICAGO Agent 2023-01-10

President

Name and Address Role
KATHRINE HOLMBERG OD 366 DIXIEHWY CHICAGO HEIGHTS IL 60411 President

Secretary

Name and Address Role
KATHRINE HOLMBERG OD 366 DIXIEHWY CHICAGO HEIGHTS IL 60411 Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PROF SERVICE CORP 060012192 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 2017-12-13 2021-10-29 2025-01-01

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
GREENSPAN OPTOMETRIC ASSOCIATES Assume Name 2017-11-02 No data No data No data

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