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  5. SAI MEDICAL INC.

SAI MEDICAL INC.

Company Details

Entity Name: SAI MEDICAL INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 01 Nov 2002
Company Number: CORP_62484691
File Number: 62484691
Type of Business: All Inclusive Purpose
Address 5218 N SHERIDAN RD, CHICAGO, IL, 60640
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SAI MEDICAL, INC 401(K) PLAN 2023 223880335 2024-07-26 SAI MEDICAL, INC., 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446190
Sponsor’s telephone number 7737198525
Plan sponsor’s address 303 E NORTH LOWER 100, NORTHLAKE, IL, 60164

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2024-07-26
Name of individual signing TARA EVANS, FOR TAG RESOURCES
Valid signature Filed with authorized/valid electronic signature
SAI MEDICAL, INC 401(K) PLAN 2022 223880335 2023-08-18 SAI MEDICAL, INC., 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446190
Sponsor’s telephone number 7737198525
Plan sponsor’s address 303 E NORTH LOWER 100, NORTHLAKE, IL, 60164

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2023-08-18
Name of individual signing TARA EVANS, FOR TAG RESOURCES
Valid signature Filed with authorized/valid electronic signature
SAI MEDICAL, INC 401(K) PLAN 2021 223880335 2022-05-19 SAI MEDICAL, INC., 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446190
Sponsor’s telephone number 7737198525
Plan sponsor’s address 303 E NORTH LOWER 100, NORTHLAKE, IL, 60164

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2022-05-19
Name of individual signing TARA EVANS
Valid signature Filed with authorized/valid electronic signature
SAI MEDICAL, INC 401(K) PLAN 2020 223880335 2021-09-23 SAI MEDICAL, INC., 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446190
Sponsor’s telephone number 7737198525
Plan sponsor’s address 303 E NORTH LOWER 100, NORTHLAKE, IL, 60164

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2021-09-23
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
SAI MEDICAL, INC. 401(K) PLAN 2019 223880335 2020-06-25 SAI MEDICAL, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446190
Sponsor’s telephone number 7084102060
Plan sponsor’s address 303 E. NORTH AVE., NORTHLAKE, IL, 60164

Signature of
Role Plan administrator
Date 2020-06-25
Name of individual signing MUKESH PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-25
Name of individual signing MUKESH PATEL
Valid signature Filed with authorized/valid electronic signature
SAI MEDICAL, INC. 401(K) PLAN 2018 223880335 2019-05-21 SAI MEDICAL, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446190
Sponsor’s telephone number 7084102060
Plan sponsor’s address 303 E. NORTH AVE., NORTHLAKE, IL, 60164

Signature of
Role Plan administrator
Date 2019-05-21
Name of individual signing MUKESH PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-21
Name of individual signing MUKESH PATEL
Valid signature Filed with authorized/valid electronic signature
SAI MEDICAL, INC. 401(K) PLAN 2017 223880335 2018-05-25 SAI MEDICAL, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446190
Sponsor’s telephone number 7084102060
Plan sponsor’s address 303 E. NORTH AVE., NORTHLAKE, IL, 60164

Signature of
Role Plan administrator
Date 2018-05-25
Name of individual signing MUKESH PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-25
Name of individual signing MUKESH PATEL
Valid signature Filed with authorized/valid electronic signature
SAI MEDICAL, INC. 401(K) PLAN 2016 223880335 2017-06-14 SAI MEDICAL, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446190
Sponsor’s telephone number 7084102060
Plan sponsor’s address 325 E. NORTH AVE., NORTHLAKE, IL, 60164

Signature of
Role Plan administrator
Date 2017-06-14
Name of individual signing MUKESH PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-14
Name of individual signing MUKESH PATEL
Valid signature Filed with authorized/valid electronic signature
SAI MEDICAL, INC. 401(K) PLAN 2015 223880335 2016-07-17 SAI MEDICAL, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446190
Sponsor’s telephone number 7084102060
Plan sponsor’s address 325 E. NORTH AVE., NORTHLAKE, IL, 60164

Signature of
Role Plan administrator
Date 2016-07-17
Name of individual signing MUKESH PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-17
Name of individual signing MUKESH PATEL
Valid signature Filed with authorized/valid electronic signature
SAI MEDICAL, INC. 401(K) PLAN 2014 223880335 2015-09-10 SAI MEDICAL, INC. 4
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446190
Sponsor’s telephone number 7084102060
Plan sponsor’s address 325 E. NORTH AVE., NORTHLAKE, IL, 60164

Signature of
Role Plan administrator
Date 2015-09-09
Name of individual signing MUKESH PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-09
Name of individual signing MUKESH PATEL
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MUKESH R PATEL, 1335 KEENLAND DR, BARTLETT, 60103, DU PAGE Agent 2011-04-07

Vice president

Name and Address Role Account Number
CHETAN PATEL Vice president 258026

Secretary

Name and Address Role Account Number
MUKESH R PATEL Secretary No data
VIPUL PATEL Secretary 258026

President

Name and Address Role Account Number
MUKESH R PATEL 1335 KEENLAND DR BARTLETT IL 60103 President 258026

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 1331758 Issued 1010 Limited Business License No data 2006-07-10 2006-08-16 2007-08-15
HME AND SERVICES PROV 203000431 No data No data HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER No data 2003-02-27 2024-01-04 2027-03-31

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 1000000 1

Related by officers

CHETAN PATEL

SAWAN, INC. MADI CORPORATION BALAJI SALES INC. JAY SAINATH SALES INC. JAY SAINATH GROUP INC. 365 DAYS LED CORP., JAY KESAR ROCKFORD INC. JAY KESAR 18111 INC. RANGEELA RATAN INC. MIRZAPUR INC.

VIPUL PATEL

MEHEROWALLI, INC. WINGS OVER HARRISON LLC PARTH FINE FOODS INC. SOUP AND PIZZA FACTORY, INC. M11 SYSTEMS, INC. SAI KRUPA ENERGY INC., CARAGENE PHARMACEAUTICALS INC. PALVS INC. 2ND GEN - BIESTERFIELD INC. 2ND GEN - PULASKI INC.

Related by address

5218 N SHERIDAN RD, CHICAGO, IL, 60640

SAVJ, INC.

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State

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