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NORTH SHORE GASTROENTEROLOGY, S.C.

Company Details

Entity Name: NORTH SHORE GASTROENTEROLOGY, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 01 Nov 1976
Date of Dissolution: 18 Dec 2017
Company Number: CORP_51021991
File Number: 51021991
Date Status Change: 18 Dec 2017
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH SHORE GASTROENTEROLOGY, S.C. CASH BALANCE PENSION PLAN & TRUST 2017 362894273 2018-08-30 NORTH SHORE GASTROENTEROLOGY, S.C. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8477235300
Plan sponsor’s address 939 EASTWOOD ROAD, GLENCOE, IL, 60022

Signature of

Role Plan administrator
Date 2018-08-28
Name of individual signing DOUGLAS ADLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-08-28
Name of individual signing DOUGLAS ADLER
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE GASTROENTEROLOGY, S.C. CASH BALANCE PENSION PLAN & TRUST 2016 362894273 2017-10-16 NORTH SHORE GASTROENTEROLOGY, S.C. 17
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8477235300
Plan sponsor’s address 939 EASTWOOD ROAD, GLENCOE, IL, 60022

Signature of

Role Plan administrator
Date 2017-10-14
Name of individual signing DOUGLAS ADLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-14
Name of individual signing DOUGLAS ADLER
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE GASTROENTEROLOGY, S.C. PROFIT SHARING PLAN & TRUST 2016 362894273 2017-10-13 NORTH SHORE GASTROENTEROLOGY, S.C. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 8474325252
Plan sponsor’s address 939 EASTWOOD ROAD, GLENCOE, IL, 60022

Signature of

Role Plan administrator
Date 2017-10-12
Name of individual signing DOUGLAS ADLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-12
Name of individual signing DOUGLAS ADLER
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE GASTROENTEROLOGY, S.C. CASH BALANCE PENSION PLAN & TRUST 2015 362894273 2016-10-03 NORTH SHORE GASTROENTEROLOGY, S.C. 17
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8474325252
Plan sponsor’s address 939 EASTWOOD ROAD, GLENCOE, IL, 60022

Signature of

Role Plan administrator
Date 2016-10-02
Name of individual signing DOUGLAS ADLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-02
Name of individual signing DOUGLAS ADLER
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE GASTROENTEROLOGY, S.C. PROFIT SHARING PLAN & TRUST 2015 362894273 2016-05-20 NORTH SHORE GASTROENTEROLOGY, S.C. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 8474325252
Plan sponsor’s address 939 EASTWOOD ROAD, GLENCOE, IL, 60022

Signature of

Role Plan administrator
Date 2016-05-20
Name of individual signing DOUGLAS ADLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-20
Name of individual signing DOUGLAS ADLER
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE GASTROENTEROLOGY, S.C. PROFIT SHARING PLAN & TRUST 2014 362894273 2015-10-05 NORTH SHORE GASTROENTEROLOGY, S.C. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 8477235300
Plan sponsor’s address 939 EASTWOOD ROAD, GLENCOE, IL, 60022

Signature of

Role Plan administrator
Date 2015-10-04
Name of individual signing DOUGLAS ADLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-04
Name of individual signing DOUGLAS ADLER
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE GASTROENTEROLOGY, S.C. CASH BALANCE PENSION PLAN & TRUST 2014 362894273 2015-10-05 NORTH SHORE GASTROENTEROLOGY, S.C. 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8474325252
Plan sponsor’s address 939 EASTWOOD ROAD, GLENCOE, IL, 60022

Signature of

Role Plan administrator
Date 2015-10-04
Name of individual signing DOUGLAS ADLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-04
Name of individual signing DOUGLAS ADLER
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE GASTROENTEROLOGY, S.C. CASH BALANCE PENSION PLAN & TRUST 2013 362894273 2014-09-29 NORTH SHORE GASTROENTEROLOGY, S.C. 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8477235300
Plan sponsor’s address 939 EASTWOOD ROAD, GLENCOE, IL, 60022

Signature of

Role Plan administrator
Date 2014-09-28
Name of individual signing DOUGLAS ADLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-28
Name of individual signing DOUGLAS ADLER
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE GASTROENTEROLOGY, S.C. PROFIT SHARING PLAN & TRUST 2013 362894273 2014-09-29 NORTH SHORE GASTROENTEROLOGY, S.C. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 8477235300
Plan sponsor’s address 939 EASTWOOD ROAD, GLENCOE, IL, 60022

Signature of

Role Plan administrator
Date 2014-09-28
Name of individual signing DOUGLAS ADLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-28
Name of individual signing DOUGLAS ADLER
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE GASTROENTEROLOGY, S.C. PROFIT SHARING PLAN & TRUST 2012 362894273 2013-10-14 NORTH SHORE GASTROENTEROLOGY, S.C. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 8477235300
Plan sponsor’s address 939 EASTWOOD ROAD, GLENCOE, IL, 60022

Signature of

Role Plan administrator
Date 2013-10-13
Name of individual signing DOUGLAS ADLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-13
Name of individual signing DOUGLAS ADLER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SCN&R REGISTERED AGENT, INC, 233 S WACKER DR, STE 5900, CHICAGO, 60606, COOK-NOT IN CITY OF CHICAGO Agent 2016-05-20

President

Name and Address Role
DOUGLAS R ADLER, 2501 COMPASSRD/#130, GLENVIEW, IL, 60026 President

Historical Names

Name Change Date
RUVEN LEVITAN, M.D., F.A.C.P., S.C. 1990-06-13

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM A Voting Rights 5000 2550000 No data

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State