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ENDOSCOPY CENTER OF THE NORTH SHORE, LLC

Company Details

Entity Name: ENDOSCOPY CENTER OF THE NORTH SHORE, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 14 Sep 2015
Company Number: LLC_05362989
File Number: 05362989
Type of Management: Manager Managed
Date Status Change: 12 Aug 2024
Address 1732 CENTRAL ST, EVANSTON, 60093, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ENDOSCOPY CENTER OF THE NORTH SHORE CASH BALANCE PLAN & TRUST 2023 475109066 2024-05-29 ENDOSCOPY CENTER OF THE NORTH SHORE, LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 8472561855
Plan sponsor’s address 1732 CENTRAL ST, EVANSTON, IL, 60201

Signature of

Role Plan administrator
Date 2024-05-29
Name of individual signing KATHLEEN M QUINLAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-29
Name of individual signing KATHLEEN M QUINLAN
Valid signature Filed with authorized/valid electronic signature
ENDOSCOPY CENTER OF THE NORTH SHORE 401(K) 2023 475109066 2024-07-30 ENDOSCOPY CENTER OF THE NORTH SHORE, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 8472561855
Plan sponsor’s address 1732 CENTRAL ST, EVANSTON, IL, 60201

Signature of

Role Plan administrator
Date 2024-07-29
Name of individual signing KATHY QUINLAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-29
Name of individual signing KATHY QUINLAN
Valid signature Filed with authorized/valid electronic signature
ENDOSCOPY CENTER OF THE NORTH SHORE CASH BALANCE PLAN & TRUST 2022 475109066 2023-09-28 ENDOSCOPY CENTER OF THE NORTH SHORE, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 8472561855
Plan sponsor’s address 1732 CENTRAL ST, EVANSTON, IL, 60201

Signature of

Role Plan administrator
Date 2023-09-28
Name of individual signing KATHY QUINLAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-28
Name of individual signing KATHY QUINLAN
Valid signature Filed with authorized/valid electronic signature
ENDOSCOPY CENTER OF THE NORTH SHORE 401(K) 2022 475109066 2023-09-28 ENDOSCOPY CENTER OF THE NORTH SHORE, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 8472561855
Plan sponsor’s address 1732 CENTRAL ST, EVANSTON, IL, 60201

Signature of

Role Plan administrator
Date 2023-09-28
Name of individual signing KATHY QUINLAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-28
Name of individual signing KATHY QUINLAN
Valid signature Filed with authorized/valid electronic signature
ENDOSCOPY CENTER OF THE NORTH SHORE CASH BALANCE PLAN & TRUST 2021 475109066 2022-07-21 ENDOSCOPY CENTER OF THE NORTH SHORE, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 8472561855
Plan sponsor’s address 1100 CENTRAL AVE., SUITE H, WILMETTE, IL, 60091

Signature of

Role Plan administrator
Date 2022-07-21
Name of individual signing VLADISLAV HALAI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-21
Name of individual signing VLADISLAV HALAI
Valid signature Filed with authorized/valid electronic signature
ENDOSCOPY CENTER OF THE NORTH SHORE 401(K) 2021 475109066 2022-07-21 ENDOSCOPY CENTER OF THE NORTH SHORE, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 8472561855
Plan sponsor’s address 1100 CENTRAL AVE., SUITE H, WILMETTE, IL, 60091

Signature of

Role Plan administrator
Date 2022-07-21
Name of individual signing VLADISLAV HALAI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-21
Name of individual signing VLADISLAV HALAI
Valid signature Filed with authorized/valid electronic signature
ENDOSCOPY CENTER OF THE NORTH SHORE 401(K) 2020 475109066 2022-02-22 ENDOSCOPY CENTER OF THE NORTH SHORE, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 8472561855
Plan sponsor’s address 1100 CENTRAL AVE, STE H, WILMETTE, IL, 60091

Signature of

Role Plan administrator
Date 2022-02-22
Name of individual signing ANGELICA FLORES
Valid signature Filed with authorized/valid electronic signature
ENDOSCOPY CENTER OF THE NORTH SHORE 401(K) 2019 475109066 2021-02-18 ENDOSCOPY CENTER OF THE NORTH SHORE, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 8472561855
Plan sponsor’s address 1100 CENTRAL AVE, STE H, WILMETTE, IL, 60091

Signature of

Role Plan administrator
Date 2021-02-18
Name of individual signing ANGELICA FLORES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-02-18
Name of individual signing ANGELICA FLORES
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
WG TAX LAW, 2515 WAUKEGAN RD NUM 203, BANNOCKBURN, 60015 Agent 2023-08-24

Manager

Name and Address Role Appointment Date
MANOJ MEHTA, 1732 CENTRAL ST, EVANSTON, IL, 60093 Manager 2024-08-12

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State