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  5. SMITH-PERRY EYE CENTER, S.C.

SMITH-PERRY EYE CENTER, S.C.

Company Details

Entity Name: SMITH-PERRY EYE CENTER, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 01 Apr 1997
Company Number: CORP_59342177
File Number: 59342177
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
SMITH-PERRY EYE CENTER, P. C. DEFINED BENEFIT 2019 364146558 2020-10-01 SMITH-PERRY EYE CENTER, P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 6307896700
Plan sponsor’s address 950 N. YORK ROAD, SUITE 203, HINSDALE, IL, 60521

Signature of
Role Plan administrator
Date 2020-10-01
Name of individual signing BRIAN SMITH, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-01
Name of individual signing BRIAN SMITH, M.D.
Valid signature Filed with authorized/valid electronic signature
SMITH-PERRY EYE CENTER, P.C. DEFINED BENEFIT PLAN & TRUST 2019 364146558 2020-10-01 SMITH-PERRY EYE CENTER, P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 6307896700
Plan sponsor’s address 950 N. YORK ROAD, SUITE 203, HINSDALE, IL, 60521

Signature of
Role Plan administrator
Date 2020-10-01
Name of individual signing BRIAN SMITH, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-01
Name of individual signing BRIAN SMITH, M.D.
Valid signature Filed with authorized/valid electronic signature
SMITH-PERRY EYE CENTER, P.C. DEFINED BENEFIT PLAN & TRUST 2018 364146558 2019-10-01 SMITH-PERRY EYE CENTER, P.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 6307896700
Plan sponsor’s address 950 N. YORK ROAD, SUITE 203, HINSDALE, IL, 60521

Signature of
Role Plan administrator
Date 2019-10-01
Name of individual signing BRIAN SMITH, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-01
Name of individual signing BRIAN SMITH, M.D.
Valid signature Filed with authorized/valid electronic signature
SMITH-PERRY EYE CENTER, P.C. DEFINED BENEFIT PLAN & TRUST 2017 364146558 2018-07-13 SMITH-PERRY EYE CENTER, P.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 6307896700
Plan sponsor’s address 950 N. YORK ROAD, SUITE 203, HINSDALE, IL, 60521

Signature of
Role Plan administrator
Date 2018-07-13
Name of individual signing BRIAN SMITH, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-13
Name of individual signing BRIAN SMITH, M.D.
Valid signature Filed with authorized/valid electronic signature
SMITH-PERRY EYE CENTER, P.C. DEFINED BENEFIT PLAN & TRUST 2016 364146558 2017-07-27 SMITH-PERRY EYE CENTER, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 6307896700
Plan sponsor’s address 950 N. YORK ROAD, SUITE 203, HINSDALE, IL, 60521

Signature of
Role Plan administrator
Date 2017-07-27
Name of individual signing BRIAN SMITH, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-27
Name of individual signing BRIAN SMITH, M.D.
Valid signature Filed with authorized/valid electronic signature
SMITH-PERRY EYE CENTER, P.C. DEFINED BENEFIT PLAN & TRUST 2015 364146558 2016-07-13 SMITH-PERRY EYE CENTER, P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 6307896700
Plan sponsor’s address 950 N. YORK ROAD, SUITE 203, HINSDALE, IL, 60521

Signature of
Role Plan administrator
Date 2016-07-13
Name of individual signing BRIAN SMITH, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-13
Name of individual signing BRIAN SMITH, M.D.
Valid signature Filed with authorized/valid electronic signature
SMITH-PERRY EYE CENTER, P.C. DEFINED BENEFIT PLAN & TRUST 2014 364146558 2015-07-15 SMITH-PERRY EYE CENTER, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 6307896700
Plan sponsor’s address 702 BURR RIDGE CLUB DRIVE, BURR RIDGE, IL, 60527

Signature of
Role Plan administrator
Date 2015-07-15
Name of individual signing BRIAN SMITH, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-15
Name of individual signing BRIAN SMITH, M.D.
Valid signature Filed with authorized/valid electronic signature
SMITH-PERRY EYE CENTER, P.C. DEFINED BENEFIT PLAN & TRUST 2013 364146558 2014-06-19 SMITH-PERRY EYE CENTER, P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 6307896700
Plan sponsor’s address 950 N. YORK ROAD, SUITE 203, HINSDALE, IL, 605218609

Plan administrator’s name and address
Administrator’s EIN 364146558
Plan administrator’s name SMITH-PERRY EYE CENTER, P.C.
Plan administrator’s address 950 N. YORK ROAD, SUITE 203, HINSDALE, IL, 605218609
Administrator’s telephone number 6307896700

Signature of
Role Plan administrator
Date 2014-06-19
Name of individual signing BRIAN SMITH, M.D.
Valid signature Filed with authorized/valid electronic signature
SMITH-PERRY EYE CENTER, P.C. DEFINED BENEFIT PLAN & TRUST 2013 364146558 2014-06-19 SMITH-PERRY EYE CENTER, P.C. 9
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 6307896700
Plan sponsor’s address 950 N. YORK ROAD, SUITE 203, HINSDALE, IL, 605218609

Plan administrator’s name and address
Administrator’s EIN 364146558
Plan administrator’s name SMITH-PERRY EYE CENTER, P.C.
Plan administrator’s address 950 N. YORK ROAD, SUITE 203, HINSDALE, IL, 605218609
Administrator’s telephone number 6307896700

Signature of
Role Plan administrator
Date 2014-06-19
Name of individual signing BRIAN SMITH, M.D.
Valid signature Filed with authorized/valid electronic signature
SMITH-PERRY EYE CENTER, P.C. DEFINED BENEFIT PLAN & TRUST 2012 364146558 2013-06-17 SMITH-PERRY EYE CENTER, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 6307896700
Plan sponsor’s address 950 N. YORK ROAD, SUITE 203, HINSDALE, IL, 605218609

Plan administrator’s name and address
Administrator’s EIN 364146558
Plan administrator’s name SMITH-PERRY EYE CENTER, P.C.
Plan administrator’s address 950 N. YORK ROAD, SUITE 203, HINSDALE, IL, 605218609
Administrator’s telephone number 6307896700

Signature of
Role Plan administrator
Date 2013-06-17
Name of individual signing BRIAN SMITH, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BRIAN DAVID SMITH, 702 BURR RIDGE CLUB DRIVE, BURR RIDGE, 60527, DU PAGE Agent 2011-03-07

President

Name and Address Role
BRIAN SMITH, 702 BURR RIDGE CLUB DR BURR RIDGE IL 60527 President

Secretary

Name and Address Role
BRIAN SMITH Secretary

Historical Names

Name Change Date
SMITH-PERRY EYE CENTER, P.C. 1997-04-07

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 1000000 0.01

Related by officers

BRIAN SMITH

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Related by address

No related companies by address

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State

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