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  5. LIBERTYVILLE ANKLE & FOOT CLINIC, INC.

LIBERTYVILLE ANKLE & FOOT CLINIC, INC.

Company Details

Entity Name: LIBERTYVILLE ANKLE & FOOT CLINIC, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 19 Jan 2000
Date of Dissolution: 27 Dec 2019
Company Number: CORP_60863571
File Number: 60863571
Type of Business: All Inclusive Purpose
Date Status Change: 27 Dec 2019
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LIBERTYVILLE ANKLE & FOOT CLINIC PROFIT SHARING PLAN 2016 364340809 2017-10-16 LIBERTYVILLE ANKLE & FOOT CLINIC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8473621320
Plan sponsor’s address 1017 WEST PARK AVE, SUITE A, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing SCOTT JACOBSEN, DPM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-16
Name of individual signing SCOTT JACOBSEN, DPM
Valid signature Filed with authorized/valid electronic signature
LIBERTYVILLE ANKLE & FOOT CLINIC PROFIT SHARING PLAN 2016 364340809 2017-10-16 LIBERTYVILLE ANKLE & FOOT CLINIC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8473621320
Plan sponsor’s address 1017 WEST PARK AVE, SUITE A, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing SCOTT JACOBSEN, DPM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-16
Name of individual signing SCOTT JACOBSEN, DPM
Valid signature Filed with authorized/valid electronic signature
LIBERTYVILLE ANKLE & FOOT CLINIC PROFIT SHARING PLAN 2015 364340809 2016-10-13 LIBERTYVILLE ANKLE & FOOT CLINIC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8473621320
Plan sponsor’s address 1017 WEST PARK AVE, SUITE A, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2016-10-13
Name of individual signing SCOTT JACOBSEN, DPM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-13
Name of individual signing SCOTT JACOBSEN, DPM
Valid signature Filed with authorized/valid electronic signature
LIBERTYVILLE ANKLE & FOOT CLINIC PROFIT SHARING PLAN 2014 364340809 2015-06-05 LIBERTYVILLE ANKLE & FOOT CLINIC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8473621320
Plan sponsor’s address 1017 WEST PARK AVE, SUITE A, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2015-06-05
Name of individual signing SCOTT JACOBSEN, DPM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-05
Name of individual signing SCOTT JACOBSEN, DPM
Valid signature Filed with authorized/valid electronic signature
LIBERTYVILLE ANKLE & FOOT CLINIC PROFIT SHARING PLAN 2013 364340809 2014-05-20 LIBERTYVILLE ANKLE & FOOT CLINIC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8473621320
Plan sponsor’s address 1017 WEST PARK AVE, SUITE A, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2014-05-20
Name of individual signing SCOTT JACOBSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-20
Name of individual signing SCOTT JACOBSEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ROBERT GELMAN, 3919 EAST LAKE SHORE DR, WONDER LAKE, 60097, MC HENRY Agent 2014-01-02

President

Name and Address Role
SCOTT JACOBSEN 1300 W PRATT CHICAGO 60626 President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
DINUCCI ANKLE & FOOT CLINIC No data 2000-06-21 2010-06-01 Involuntary Cancellation No data

Historical Names

Name Change Date
DINUCCI ANKLE & FOOT CLINIC, INC. 2000-06-21

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 1000000 No data

Related by officers

ROBERT GELMAN, 3919 EAST LAKE SHORE DR, WONDER LAKE, 60097, MC HENRY

PULSE, INC. JFD ENTERPRISES, INC.

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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