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  5. MONROE MEDICAL ASSOCIATES, S.C.

MONROE MEDICAL ASSOCIATES, S.C.

Company Details

Entity Name: MONROE MEDICAL ASSOCIATES, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 10 Jun 1976
Date of Dissolution: 21 Oct 2014
Company Number: CORP_50918203
File Number: 50918203
Date Status Change: 21 Oct 2014
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MONROE MEDICAL ASSOCIATES, S.C. 401(K) PROFIT SHARING PLAN 2013 362878285 2014-04-22 MONROE MEDICAL ASSOCIATES, S.C. 44
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-08-01
Business code 621111
Sponsor’s telephone number 7083394800
Plan sponsor’s address 71 W 156TH ST, SUITE 401, HARVEY, IL, 604264265
MONROE MEDICAL ASSOCIATES, S.C. 401(K) PROFIT SHARING PLAN 2012 362878285 2013-09-30 MONROE MEDICAL ASSOCIATES, S.C. 44
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-08-01
Business code 621111
Sponsor’s telephone number 7083394800
Plan sponsor’s address 71 W 156TH ST, SUITE 401, HARVEY, IL, 604264265

Signature of
Role Plan administrator
Date 2013-09-30
Name of individual signing ERWIN ROBIN MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-30
Name of individual signing ERWIN ROBIN MD
Valid signature Filed with authorized/valid electronic signature
MONROE MEDICAL ASSOCIATES, S.C. 401(K) PROFIT SHARING PLAN 2011 362878285 2012-04-27 MONROE MEDICAL ASSOCIATES, S.C. 38
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-08-01
Business code 621111
Sponsor’s telephone number 7083394800
Plan sponsor’s address 71 W 156TH ST, SUITE 401, HARVEY, IL, 604264265

Plan administrator’s name and address
Administrator’s EIN 362878285
Plan administrator’s name MONROE MEDICAL ASSOCIATES, S.C.
Plan administrator’s address 71 W 156TH ST, SUITE 401, HARVEY, IL, 604264265
Administrator’s telephone number 7083394800

Signature of
Role Plan administrator
Date 2012-04-27
Name of individual signing ERWIN ROBIN MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-27
Name of individual signing ERWIN ROBIN MD
Valid signature Filed with authorized/valid electronic signature
MONROE MEDICAL ASSOCIATES, S.C. 401(K) PROFIT SHARING PLAN 2010 362878285 2012-04-27 MONROE MEDICAL ASSOCIATES, S.C. 39
Three-digit plan number (PN) 002
Effective date of plan 1976-08-01
Business code 621111
Sponsor’s telephone number 7083394800
Plan sponsor’s address 71 W 156TH ST, SUITE 401, HARVEY, IL, 604264265

Plan administrator’s name and address
Administrator’s EIN 362878285
Plan administrator’s name MONROE MEDICAL ASSOCIATES, S.C.
Plan administrator’s address 71 W 156TH ST, SUITE 401, HARVEY, IL, 604264265
Administrator’s telephone number 7083394800

Signature of
Role Plan administrator
Date 2012-04-27
Name of individual signing ERWIN ROBIN MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-27
Name of individual signing ERWIN ROBIN MD
Valid signature Filed with authorized/valid electronic signature
MONROE MEDICAL ASSOCIATES, S.C. 401(K) PROFIT SHARING PLAN 2010 362878285 2012-06-13 MONROE MEDICAL ASSOCIATES, S.C. 39
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-08-01
Business code 621111
Sponsor’s telephone number 7083394800
Plan sponsor’s address 71 W 156TH ST, SUITE 401, HARVEY, IL, 604264265

Plan administrator’s name and address
Administrator’s EIN 362878285
Plan administrator’s name MONROE MEDICAL ASSOCIATES, S.C.
Plan administrator’s address 71 W 156TH ST, SUITE 401, HARVEY, IL, 604264265
Administrator’s telephone number 7083394800

Signature of
Role Plan administrator
Date 2012-06-13
Name of individual signing ERWIN ROBIN MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-13
Name of individual signing ERWIN ROBIN MD
Valid signature Filed with authorized/valid electronic signature
MONROE MEDICAL ASSOCIATES, S.C. 401(K) PROFIT SHARING PLAN 2009 362878285 2011-01-20 MONROE MEDICAL ASSOCIATES, S.C. 42
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-08-01
Business code 621111
Sponsor’s telephone number 7083394800
Plan sponsor’s address 71 W 156TH ST, SUITE 401, HARVEY, IL, 604264265

Plan administrator’s name and address
Administrator’s EIN 362878285
Plan administrator’s name MONROE MEDICAL ASSOCIATES, S.C.
Plan administrator’s address 71 W 156TH ST, SUITE 401, HARVEY, IL, 604264265
Administrator’s telephone number 7083394800

Signature of
Role Plan administrator
Date 2011-01-17
Name of individual signing MARK F KOZLOFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-01-17
Name of individual signing MARK F KOZLOFF
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MICHAEL E FOX, 200 W MADISON ST #3000, CHICAGO, 60606, COOK-NOT IN CITY OF CHICAGO Agent 2008-01-25

President

Name and Address Role
MARK F KOZLOFF MD, 801 MACARTHUR BLVD #401 MUNSTER IN 46321 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 300 300000 No data

Related by officers

MICHAEL E FOX, 200 W MADISON ST #3000, CHICAGO, 60606, COOK-NOT IN CITY OF CHICAGO

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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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