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MDM BUILDING VENTURE, LLC

Company Details

Entity Name: MDM BUILDING VENTURE, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Involuntary Dissolution
Date Formed: 21 Jul 2005
Company Number: LLC_01574787
File Number: 01574787
Type of Management: Member Managed
Date Status Change: 12 Jan 2024
Expiration Date: 31 Dec 2055
Address 27900 CONCRETE DRIVE, UNIT F, INGLESIDE, 60041, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HCT CONSULTING 401(K) PLAN 2012 260887705 2013-07-22 HEALTHCARE TRANSFORMATION LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3122147216
Plan sponsor’s address 70 W MADISON ST, CHICAGO, IL, 606024252

Signature of

Role Plan administrator
Date 2013-07-22
Name of individual signing JACOB KUPIETZKY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-22
Name of individual signing JACOB KUPIETZKY
Valid signature Filed with authorized/valid electronic signature
HCT CONSULTING 401(K) PLAN 2011 260887705 2012-07-12 HEALTHCARE TRANSFORMATION LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3122147216
Plan sponsor’s address 70 W MADISON ST, CHICAGO, IL, 606024252

Plan administrator’s name and address

Administrator’s EIN 260887705
Plan administrator’s name HEALTHCARE TRANSFORMATION LLC
Plan administrator’s address 70 W MADISON ST, CHICAGO, IL, 606024252
Administrator’s telephone number 3122147216

Signature of

Role Plan administrator
Date 2012-07-12
Name of individual signing JACOB KUPIETZKY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-12
Name of individual signing JACOB KUPIETZKY
Valid signature Filed with authorized/valid electronic signature
HCT CONSULTING 401(K) PLAN 2010 554452359 2011-02-01 HEALTHCARE TRANSFORMATION LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3122147216
Plan sponsor’s address 70 W MADISON ST, CHICAGO, IL, 606024252

Plan administrator’s name and address

Administrator’s EIN 554452359
Plan administrator’s name HEALTHCARE TRANSFORMATION LLC
Plan administrator’s address 70 W MADISON ST, CHICAGO, IL, 606024252
Administrator’s telephone number 3122147216

Signature of

Role Plan administrator
Date 2011-02-01
Name of individual signing JACOB KUPIETZKY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-02-01
Name of individual signing JACOB KUPIETZKY
Valid signature Filed with authorized/valid electronic signature
HCT CONSULTING 401(K) PLAN 2010 260887705 2011-05-23 HEALTHCARE TRANSFORMATION LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3122147216
Plan sponsor’s address 70 W MADISON ST, CHICAGO, IL, 606024252

Plan administrator’s name and address

Administrator’s EIN 260887705
Plan administrator’s name HEALTHCARE TRANSFORMATION LLC
Plan administrator’s address 70 W MADISON ST, CHICAGO, IL, 606024252
Administrator’s telephone number 3122147216

Signature of

Role Plan administrator
Date 2011-05-20
Name of individual signing JACOB KUPIETZKY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-20
Name of individual signing JACOB KUPIETZKY
Valid signature Filed with authorized/valid electronic signature
HCT CONSULTING 401(K) PLAN 2009 554452359 2010-07-21 HEALTHCARE TRANSFORMATION LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3122147216
Plan sponsor’s address 70 W MADISON ST, CHICAGO, IL, 606024252

Plan administrator’s name and address

Administrator’s EIN 554452359
Plan administrator’s name HEALTHCARE TRANSFORMATION LLC
Plan administrator’s address 70 W MADISON ST, CHICAGO, IL, 606024252
Administrator’s telephone number 3122147216

Signature of

Role Plan administrator
Date 2010-07-21
Name of individual signing JACOB KUPIETZKY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-21
Name of individual signing JACOB KUPIETZKY
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DANIEL E. BOSTON, 27900 CONCRETE DRIVE, UNIT F, INGLESIDE, 60041, LAKE Agent 2005-07-21

Manager

Name and Address Role Appointment Date
BOSTON, DANIEL E., 27900 CONCRETE DRIVE, INGLESIDE, IL, 60041 Manager 2022-09-25
BOSTON, MICHAEL A., 27900 CONCRETE DRIVE, INGLESIDE, IL, 60041 Manager 2022-09-25
BOSTON, MARIA A., 27900 CONCRETE DRIVE, INGLESIDE, IL, 60041 Manager 2022-09-25

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State