BLUFF VIEW FARM, INC.

Company Details

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

MAHESH K. AGARWAL, M.D., S.C. PROFIT SHARING PLAN

2012

363077422

2013-10-04

MAHESH K. AGARWAL, M.D., S.C.

File	View Page
Three-digit plan number (PN)	003
Effective date of plan	1995-01-01
Business code	621111
Sponsor’s telephone number	8476625100
Plan sponsor’s address	47 EAST MALLARD LANE, LAKE FOREST, IL, 60045

Signature of

Role	Plan administrator
Date	2013-10-04
Name of individual signing	MAHESH K. AGARWAL, M.D.
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2013-10-04
Name of individual signing	MAHESH K. AGARWAL, M.D.
Valid signature	Filed with authorized/valid electronic signature

MAHESH K. AGARWAL, M.D., S.C. PROFIT SHARING PLAN

2011

363077422

2012-08-15

MAHESH K. AGARWAL, M.D., S.C.

File	View Page
Three-digit plan number (PN)	003
Effective date of plan	1995-01-01
Business code	621111
Sponsor’s telephone number	8476625100
Plan sponsor’s address	47 EAST MALLARD LANE, LAKE FOREST, IL, 60045

Plan administrator’s name and address

Administrator’s EIN	363077422
Plan administrator’s name	MAHESH K. AGARWAL, M.D., S.C.
Plan administrator’s address	47 EAST MALLARD LANE, LAKE FOREST, IL, 60045
Administrator’s telephone number	8476625100

Signature of

Role	Plan administrator
Date	2012-08-15
Name of individual signing	MAHESH K. AGARWAL, M.D.
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2012-08-15
Name of individual signing	MAHESH K. AGARWAL, M.D.
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role
BARRY A MCMILLIN, 8490 FOREST BOULEVARD, CASEYVILLE, 62232, ST. CLAIR	Agent

Name and Address	Role
BARRY A MC MILLIN 1173 STONE WOLF TRAIL FAIRVIEW HEIGHTS IL	President

Name and Address	Role
MICHELLE MCMILLIN 1173 STONE WOLF TRAIL FAIRVIEW HEIGHTS IL	Secretary

Class	Series	Voting Rights	Authorized Shares	Issued Shares	Par Value
COMM	No data	Voting Rights	2000	1000000	No data

Date of last update: 23 Dec 2024