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  5. MARI LEE FABRICS, INC.

MARI LEE FABRICS, INC.

Company Details

Entity Name: MARI LEE FABRICS, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 08 Jun 1966
Date of Dissolution: 07 Dec 1988
Company Number: CORP_46634829
File Number: 46634829
Date Status Change: 07 Dec 1988
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AFFILIATED SURGEONS OF ROCKFORD, LLC RETIREMENT PLAN 2011 364476217 2012-04-25 AFFILIATED SURGEONS OF ROCKFORD, LLC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-06-01
Business code 621111
Sponsor’s telephone number 8159643333
Plan sponsor’s address 2300 N. ROCKTON AVENUE STE 304, ROCKFORD, IL, 61103

Plan administrator’s name and address
Administrator’s EIN 364476217
Plan administrator’s name AFFILIATED SURGEONS OF ROCKFORD, LLC
Plan administrator’s address 2300 N. ROCKTON AVENUE STE 304, ROCKFORD, IL, 61103
Administrator’s telephone number 8159643333

Signature of
Role Plan administrator
Date 2012-04-25
Name of individual signing DR. PAUL KLAZURA
Valid signature Filed with authorized/valid electronic signature
AFFILIATED SURGEONS OF ROCKFORD, LLC RETIREMENT PLAN 2010 364476217 2011-04-13 AFFILIATED SURGEONS OF ROCKFORD, LLC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-06-01
Business code 621111
Sponsor’s telephone number 8159643333
Plan sponsor’s address 2300 N. ROCKTON AVENUE STE 304, ROCKFORD, IL, 61103

Plan administrator’s name and address
Administrator’s EIN 364476217
Plan administrator’s name AFFILIATED SURGEONS OF ROCKFORD, LLC
Plan administrator’s address 2300 N. ROCKTON AVENUE STE 304, ROCKFORD, IL, 61103
Administrator’s telephone number 8159643333

Signature of
Role Plan administrator
Date 2011-04-13
Name of individual signing DR. PAUL KLAZURA
Valid signature Filed with authorized/valid electronic signature
AFFILIATED SURGEONS OF ROCKFORD, LLC RETIREMENT PLAN 2009 364476217 2010-05-07 AFFILIATED SURGEONS OF ROCKFORD, LLC 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-06-01
Business code 621111
Sponsor’s telephone number 8159643333
Plan sponsor’s address 2300 N. ROCKTON AVENUE STE 304, ROCKFORD, IL, 61103

Plan administrator’s name and address
Administrator’s EIN 364476217
Plan administrator’s name AFFILIATED SURGEONS OF ROCKFORD, LLC
Plan administrator’s address 2300 N. ROCKTON AVENUE STE 304, ROCKFORD, IL, 61103
Administrator’s telephone number 8159643333

Signature of
Role Plan administrator
Date 2010-05-07
Name of individual signing DR. PAUL KLAZURA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-05-07
Name of individual signing DR. PAUL KLAZURA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MARILYN MOIST, 10055 W ROOSEVELT ROAD, WESTCHESTER, 60153, COOK-NOT IN CITY OF CHICAGO Agent 1982-03-12

President

Name and Address Role
VIOLET M POLLACK, 3140 FOREST GROVE LANE DOWNERS GROVE President

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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