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ILLINOIS NATIONAL SALES, INC.

Company Details

Entity Name: ILLINOIS NATIONAL SALES, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 18 Jun 1991
Date of Dissolution: 01 Nov 1995
Company Number: CORP_56435182
File Number: 56435182
Type of Business: All Inclusive Purpose
Date Status Change: 01 Nov 1995
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHWEST DERMATOLOGY, S.C. P.S & SAVINGS PLAN & TRUST 2012 363576064 2013-07-17 NORTHWEST DERMATOLOGY, S.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 8478848096
Plan sponsor’s address 2500 WEST HIGGINS ROAD, SUITE 1040, HOFFMAN ESTATES, IL, 60169

Signature of

Role Plan administrator
Date 2013-07-17
Name of individual signing SUSAN LIEBOVITZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-17
Name of individual signing SUSAN LIEBOVITZ
Valid signature Filed with authorized/valid electronic signature
NORTHWEST DERMATOLOGY, S.C. P.S & SAVINGS PLAN & TRUST 2011 363576064 2012-07-15 NORTHWEST DERMATOLOGY, S.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 8478848096
Plan sponsor’s address 2500 WEST HIGGINS ROAD, SUITE 1040, HOFFMAN ESTATES, IL, 60169

Plan administrator’s name and address

Administrator’s EIN 363576064
Plan administrator’s name NORTHWEST DERMATOLOGY, S.C.
Plan administrator’s address 2500 WEST HIGGINS ROAD, SUITE 1040, HOFFMAN ESTATES, IL, 60169
Administrator’s telephone number 8478848096

Signature of

Role Plan administrator
Date 2012-07-15
Name of individual signing SUSAN LIEBOVITZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-15
Name of individual signing SUSAN LIEBOVITZ
Valid signature Filed with authorized/valid electronic signature
NORTHWEST DERMATOLOGY, S.C. P.S & SAVINGS PLAN & TRUST 2010 363576064 2011-05-07 NORTHWEST DERMATOLOGY, S.C. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 8478848096
Plan sponsor’s address 2500 WEST HIGGINS ROAD, SUITE 1040, HOFFMAN ES, IL, 60169

Plan administrator’s name and address

Administrator’s EIN 363576064
Plan administrator’s name NORTHWEST DERMATOLOGY, S.C.
Plan administrator’s address 2500 WEST HIGGINS ROAD, SUITE 1040, HOFFMAN ES, IL, 60169
Administrator’s telephone number 8478848096

Signature of

Role Plan administrator
Date 2011-05-07
Name of individual signing SUSAN LIEBOVITZ,MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-07
Name of individual signing SUSAN LIEBOVITZ,MD
Valid signature Filed with authorized/valid electronic signature
NORTHWEST DERMATOLOGY, S.C. P.S & SAVINGS PLAN & TRUST 2009 363576064 2010-07-14 NORTHWEST DERMATOLOGY, S.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 8478848096
Plan sponsor’s address 2500 WEST HIGGINS ROAD, SUITE 1040, HOFFMAN ESTATES, IL, 60169

Plan administrator’s name and address

Administrator’s EIN 363576064
Plan administrator’s name NORTHWEST DERMATOLOGY, S.C.
Plan administrator’s address 2500 WEST HIGGINS ROAD, SUITE 1040, HOFFMAN ESTATES, IL, 60169
Administrator’s telephone number 8478848096

Signature of

Role Plan administrator
Date 2010-07-14
Name of individual signing SUSAN LIEBOVITZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-14
Name of individual signing SUSAN LIEBOVITZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JODI C COOPER, 1260 NEIL LANE, N CHICAGO, 60064, LAKE Agent 1994-10-14

President

Name and Address Role
HARRY HALPERIN, 1260 NEIL LANE N, CHICAGO 60064 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000000 1000000 1

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State