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  5. SUBHASH K SHAH, M.D., S.C.

SUBHASH K SHAH, M.D., S.C.

Company Details

Entity Name: SUBHASH K SHAH, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 30 Nov 1982
Date of Dissolution: 08 Apr 2022
Company Number: CORP_52918715
File Number: 52918715
Date Status Change: 08 Apr 2022
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUBHASH K. SHAH, M.D., S.C. DEFINED BENEFIT PENSION PLAN AND TRUST 2013 363211766 2015-08-03 SUBHASH K. SHAH, M.D., S.C. 1
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-11-01
Business code 621111
Sponsor’s telephone number 3125675560
Plan sponsor’s address 11413 BURR OAK LANE, BURR RIDGE, IL, 60527

Signature of
Role Plan administrator
Date 2015-08-02
Name of individual signing SUBHASH SHAH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-02
Name of individual signing SUBHASH SHAH
Valid signature Filed with authorized/valid electronic signature
SUBHASH K. SHAH, M.D., S.C. DEFINED BENEFIT PENSION PLAN AND TRUST 2012 363211766 2014-08-14 SUBHASH K. SHAH, M.D., S.C. 1
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-11-01
Business code 621111
Sponsor’s telephone number 3125675560
Plan sponsor’s address 11413 BURR OAK LANE, BURR RIDGE, IL, 60527

Signature of
Role Plan administrator
Date 2014-08-13
Name of individual signing SUBHASH SHAH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-08-13
Name of individual signing SUBHASH SHAH
Valid signature Filed with authorized/valid electronic signature
SUBHASH K. SHAH, M.D., S.C. DEFINED BENEFIT PENSION PLAN AND TRUST 2011 363211766 2013-07-08 SUBHASH K. SHAH, M.D., S.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-11-01
Business code 621111
Sponsor’s telephone number 3125675560
Plan sponsor’s address 11413 BURR OAK LANE, BURR RIDGE, IL, 60527

Plan administrator’s name and address
Administrator’s EIN 363211766
Plan administrator’s name SUBHASH K. SHAH, M.D., S.C.
Plan administrator’s address 11413 BURR OAK LANE, BURR RIDGE, IL, 60527
Administrator’s telephone number 3125675560

Signature of
Role Plan administrator
Date 2013-07-07
Name of individual signing SUBHASH SHAH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-07
Name of individual signing SUBHASH SHAH
Valid signature Filed with authorized/valid electronic signature
SUBHASH K. SHAH, M.D., S.C. DEFINED BENEFIT PENSION PLAN AND TRUST 2010 363211766 2012-08-01 SUBHASH K. SHAH, M.D., S.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-11-01
Business code 621111
Sponsor’s telephone number 3125675560
Plan sponsor’s address 11413 BURR OAK LANE, BURR RIDGE, IL, 60527

Plan administrator’s name and address
Administrator’s EIN 363211766
Plan administrator’s name SUBHASH K. SHAH, M.D., S.C.
Plan administrator’s address 11413 BURR OAK LANE, BURR RIDGE, IL, 60527
Administrator’s telephone number 3125675560

Signature of
Role Plan administrator
Date 2012-07-28
Name of individual signing SUBHHASH SHAH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-28
Name of individual signing SUBHHASH SHAH
Valid signature Filed with authorized/valid electronic signature
SUBHASH K. SHAH, M.D., S.C. DEFINED BENEFIT PENSION PLAN AND TRUST 2009 363211766 2011-05-25 SUBHASH K. SHAH, M.D., S.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-11-01
Business code 621111
Sponsor’s telephone number 3125675560
Plan sponsor’s address 11413 BURR OAK LANE, BURR RIDGE, IL, 60527

Plan administrator’s name and address
Administrator’s EIN 363211766
Plan administrator’s name SUBHASH K. SHAH, M.D., S.C.
Plan administrator’s address 11413 BURR OAK LANE, BURR RIDGE, IL, 60527
Administrator’s telephone number 3125675560

Signature of
Role Plan administrator
Date 2011-05-25
Name of individual signing SUBHASH SHAH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-25
Name of individual signing SUBHASH SHAH
Valid signature Filed with authorized/valid electronic signature
SUBHASH K. SHAH, M.D., S.C. DEFINED BENEFIT PENSION PLAN AND TRUST 2009 363211766 2011-05-16 SUBHASH K. SHAH, M.D., S.C. 2
Three-digit plan number (PN) 003
Effective date of plan 2003-11-01
Business code 621111
Sponsor’s telephone number 3125675560
Plan sponsor’s address 11413 BURR OAK LANE, BURR RIDGE, IL, 60527

Plan administrator’s name and address
Administrator’s EIN 363211766
Plan administrator’s name SUBHASH K. SHAH, M.D., S.C.
Plan administrator’s address 11413 BURR OAK LANE, BURR RIDGE, IL, 60527
Administrator’s telephone number 3125675560

Signature of
Role Plan administrator
Date 2011-05-12
Name of individual signing SUBHASH SHAH
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-05-12
Name of individual signing SUBHASH SHAH
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name and Address Role Appointment Date
LEONARD J BRENNER, 555 SKOKIE BLVD #500, NORTHBROOK, 60062, COOK-NOT IN CITY OF CHICAGO Agent 2017-06-01

President

Name and Address Role
SUBHASH K SHAH MD, 11413 BURR OAK LN BURR RIDGE IL 60527 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 100000 1

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LEONARD J BRENNER, 555 SKOKIE BLVD #500, NORTHBROOK, 60062, 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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