| Entity Name: | RICHARD O. BURNS JR., M.D., ROBERT A. BEATTY, M.D., S.C. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 31 Oct 1969 |
| Date of Dissolution: | 09 Mar 2012 |
| Company Number: | CORP_49576552 |
| File Number: | 49576552 |
| Type of Business: | Incorporated under the Medical Corporation Act |
| Date Status Change: | 09 Mar 2012 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MACK INTERNATIONAL LLC 401 K PROFIT SHARING PLAN TRUST | 2012 | 300078236 | 2013-05-21 | MACK INTERNATIONAL LLC | 2 | |||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2013-05-21 |
| Name of individual signing | MACK INTERNATIONAL LLC |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2010-01-01 |
| Business code | 541600 |
| Sponsor’s telephone number | 3129537809 |
| Plan sponsor’s address | 1100 N LAKE SHORE DR APT 28B, CHICAGO, IL, 606115203 |
Plan administrator’s name and address
| Administrator’s EIN | 300078236 |
| Plan administrator’s name | MACK INTERNATIONAL LLC |
| Plan administrator’s address | 1100 N LAKE SHORE DR APT 28B, CHICAGO, IL, 606115203 |
| Administrator’s telephone number | 3129537809 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-10 |
| Name of individual signing | MACK INTERNATIONAL LLC |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2010-01-01 |
| Business code | 541600 |
| Sponsor’s telephone number | 3129537809 |
| Plan sponsor’s address | 1100 N LAKE SHORE DRIVE # 28B, CHICAGO, IL, 60611 |
Plan administrator’s name and address
| Administrator’s EIN | 300078236 |
| Plan administrator’s name | MACK INTERNATIONAL LLC |
| Plan administrator’s address | 1100 N LAKE SHORE DRIVE # 28B, CHICAGO, IL, 60611 |
| Administrator’s telephone number | 3129537809 |
Signature of
| Role | Plan administrator |
| Date | 2011-05-23 |
| Name of individual signing | MACK INTERNATIONAL LLC |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| RICHARD O BURNS JR, 8300 KEARNEY RD, DOWNERS GROVE, 60516, COOK-NOT IN CITY OF CHICAGO | Agent | 1988-09-30 |
| Name and Address | Role |
|---|---|
| RICHARD O BURNS JR, 8300 KEARNEY RD DOWNERS GROVE 60516 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM | No data | Voting Rights | 10000 | 1000000 | 1 |
Date of last update: 13 Jan 2025
