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  5. SHRIJI 1616, INC.

SHRIJI 1616, INC.

Company Details

Entity Name: SHRIJI 1616, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 15 May 2007
Date of Dissolution: 09 Oct 2015
Company Number: CORP_65501023
File Number: 65501023
Type of Business: All Inclusive Purpose
Date Status Change: 09 Oct 2015
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GLOBAL MEDICAL IMAGING RETIREMENT SAVINGS PLAN 2011 364407031 2012-12-14 GLOBAL MEDICAL IMAGING, S.C. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-09-15
Business code 621111
Sponsor’s telephone number 2625271956
Plan sponsor’s address 1800 HOLLISTER DRIVE, SUITE G-18, LIBERTYVILLE, IL, 60048

Plan administrator’s name and address
Administrator’s EIN 364407031
Plan administrator’s name GLOBAL MEDICAL IMAGING, S.C.
Plan administrator’s address 1800 HOLLISTER DRIVE, SUITE G-18, LIBERTYVILLE, IL, 60048
Administrator’s telephone number 2625271956

Signature of
Role Plan administrator
Date 2012-12-14
Name of individual signing JERRY RICE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-12-14
Name of individual signing JERRY RICE
Valid signature Filed with authorized/valid electronic signature
GLOBAL MEDICAL IMAGING RETIREMENT SAVINGS PLAN 2011 364407031 2012-07-02 GLOBAL MEDICAL IMAGING, S.C. 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-09-15
Business code 621111
Sponsor’s telephone number 2625271956
Plan sponsor’s address 1800 HOLLISTER DRIVE, SUITE G-18, LIBERTYVILLE, IL, 60048

Plan administrator’s name and address
Administrator’s EIN 364407031
Plan administrator’s name GLOBAL MEDICAL IMAGING, S.C.
Plan administrator’s address 1800 HOLLISTER DRIVE, SUITE G-18, LIBERTYVILLE, IL, 60048
Administrator’s telephone number 2625271956

Signature of
Role Plan administrator
Date 2012-07-02
Name of individual signing JERRY RICE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-02
Name of individual signing JERRY RICE
Valid signature Filed with authorized/valid electronic signature
GURNEE RADIOLOGY CENTER 401(K) PROFIT SHARING PLAN 2010 364407031 2011-09-07 GLOBAL MEDICAL IMAGING, S.C. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621510
Sponsor’s telephone number 8472493700
Plan sponsor’s address 25 TOWER COURT, SUITE A, GURNEE, IL, 60031

Plan administrator’s name and address
Administrator’s EIN 364407031
Plan administrator’s name GLOBAL MEDICAL IMAGING, S.C.
Plan administrator’s address 25 TOWER COURT, SUITE A, GURNEE, IL, 60031
Administrator’s telephone number 8472493700

Signature of
Role Plan administrator
Date 2011-09-07
Name of individual signing MARIA CORONA
Valid signature Filed with authorized/valid electronic signature
GURNEE RADIOLOGY CENTER 401(K) PROFIT SHARING PLAN 2009 364407031 2010-09-14 GLOBAL MEDICAL IMAGING, S.C. 106
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621510
Sponsor’s telephone number 8472493700
Plan sponsor’s address 25 TOWER COURT, SUITE A, GURNEE, IL, 60031

Plan administrator’s name and address
Administrator’s EIN 364407031
Plan administrator’s name GLOBAL MEDICAL IMAGING, S.C.
Plan administrator’s address 25 TOWER COURT, SUITE A, GURNEE, IL, 60031
Administrator’s telephone number 8472493700

Signature of
Role Plan administrator
Date 2010-09-14
Name of individual signing MARIA CORONA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-14
Name of individual signing MARIA CORONA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
AMIT M PATEL, 1616 CAMP JACKSON ROAD, CAHOKIA, 62206, ST. CLAIR Agent 2008-07-18

President

Name and Address Role
AMIT M PATEL, 1616 CAMP JACKSON RD, CAHOKIA 62206 President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
Q MART GROCERY No data 2013-04-18 2015-10-01 Involuntary Cancellation No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 250000 10000000 No data

Related by officers

No related officers

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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