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  5. H. E. BIELSKI ENTERPRISES INC.

H. E. BIELSKI ENTERPRISES INC.

Company Details

Entity Name: H. E. BIELSKI ENTERPRISES INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 15 Jul 1969
Date of Dissolution: 01 Aug 1988
Company Number: CORP_49529244
File Number: 49529244
Date Status Change: 01 Aug 1988
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AD-PARK PEDIATRIC ASSOCIATES, S.C. PROFIT-SHARING PLAN 2012 362657245 2013-07-19 AD-PARK PEDIATRIC ASSOCIATES, S.C. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-08-01
Business code 621111
Plan sponsor’s address 1640 WEST LAKE STREET - 2ND FLOOR, ADDISON, IL, 601012582

Signature of
Role Plan administrator
Date 2013-07-12
Name of individual signing MERRICK BROMBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-12
Name of individual signing MERRICK BROMBERG
Valid signature Filed with authorized/valid electronic signature
AD-PARK PEDIATRIC ASSOCIATES, S.C. PROFIT-SHARING PLAN 2011 362657245 2012-10-01 AD-PARK PEDIATRIC ASSOCIATES, S.C. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-08-01
Business code 621111
Plan sponsor’s address 1640 WEST LAKE STREET - 2ND FLOOR, ADDISON, IL, 601012582

Plan administrator’s name and address
Administrator’s EIN 362657245
Plan administrator’s name AD-PARK PEDIATRIC ASSOCIATES, S.C.
Plan administrator’s address 1640 WEST LAKE STREET - 2ND FLOOR, ADDISON, IL, 601012582

Signature of
Role Plan administrator
Date 2012-09-27
Name of individual signing MERRICK BROMBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-27
Name of individual signing MERRICK BROMBERG
Valid signature Filed with authorized/valid electronic signature
AD-PARK PEDIATRIC ASSOCIATES, S.C. PROFIT-SHARING PLAN 2010 362657245 2012-02-27 AD-PARK PEDIATRIC ASSOCIATES, S.C. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-08-01
Business code 621111
Plan sponsor’s address 303 WEST LAKE STREET - SUITE 102, ADDISON, IL, 601012582

Plan administrator’s name and address
Administrator’s EIN 362657245
Plan administrator’s name AD-PARK PEDIATRIC ASSOCIATES, S.C.
Plan administrator’s address 303 WEST LAKE STREET - SUITE 102, ADDISON, IL, 601012582

Signature of
Role Plan administrator
Date 2012-02-28
Name of individual signing MERRICK BROMBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-02-28
Name of individual signing MERRICK BROMBERG
Valid signature Filed with authorized/valid electronic signature
AD-PARK PEDIATRIC ASSOCIATES, S.C. PROFIT SHARING PLAN 2009 362657245 2011-05-02 AD-PARK PEDIATRIC ASSOCIATES, S.C. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-08-01
Business code 621111
Sponsor’s telephone number 7083833853
Plan sponsor’s address 610 S MAPLE AVE STE 3150, OAK PARK, IL, 603041099

Plan administrator’s name and address
Administrator’s EIN 362657245
Plan administrator’s name AD-PARK PEDIATRIC ASSOCIATES, S.C.
Plan administrator’s address 610 S MAPLE AVE STE 3150, OAK PARK, IL, 603041099
Administrator’s telephone number 7083833853

Signature of
Role Plan administrator
Date 2011-05-02
Name of individual signing MERRICK BROMBERG, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role
H. E. BIELSKI, 460 BLACKHAWK BLVD., SOUTH BELOIT, 61080, WINNEBAGO Agent

President

Name and Address Role
H E BIELSKI, 408 W MARSHALL ST ELK HORN WI 53121 President

Related by officers

No related officers

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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