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  5. J. G. PANCHUK, M.D., S.C.

J. G. PANCHUK, M.D., S.C.

Company Details

Entity Name: J. G. PANCHUK, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 27 May 1970
Date of Dissolution: 01 Oct 1991
Company Number: CORP_49669232
File Number: 49669232
Date Status Change: 01 Oct 1991
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
H2W8ZRX9VMH6 2024-02-17 409 N SPRINGER ST, CARBONDALE, IL, 62901, 1429, USA 409 N. SPRINGER ST., CARBONDALE, IL, 62901, 1429, USA

Business Information
Congressional District 12
State/Country of Incorporation IL, USA
Activation Date 2023-02-21
Initial Registration Date 2010-06-25
Entity Start Date 1969-04-09
Fiscal Year End Close Date Sep 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name PATRICK H LAWS
Role EXECUTIVE DIRECTOR
Address 409 N. SPRINGER ST., CARBONDALE, IL, 62901, 1429, USA
Title ALTERNATE POC
Name BENJAMIN T SIMPSON
Role ADMIN. ASSIST
Address 409 N. SPRINGER ST., CARBONDALE, IL, 62901, 1429, USA
Government Business
Title PRIMARY POC
Name PATRICK H LAWS
Role EXECUTIVE DIRECTOR
Address 409 N. SPRINGER ST., CARBONDALE, IL, 62901, 1429, USA
Title ALTERNATE POC
Name BENJAMIN T SIMPSON
Role ADMIN. ASSIST
Address 409 N. SPRINGER ST., CARBONDALE, IL, 62901, 1429, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SENIOR ADULT SERVICES PENSION BENEFIT PLAN 2011 370951208 2013-11-19 SENIOR ADULT SERVICES 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-02-24
Business code 624100
Sponsor’s telephone number 6184574151
Plan sponsor’s address 409 N. SPRINGER STREET, CARBONDALE, IL, 629011429

Plan administrator’s name and address
Administrator’s EIN 370951208
Plan administrator’s name SENIOR ADULT SERVICES
Plan administrator’s address 409 N. SPRINGER STREET, CARBONDALE, IL, 629011429
Administrator’s telephone number 6184574151

Signature of
Role Plan administrator
Date 2013-11-19
Name of individual signing HENRY LONG
Valid signature Filed with authorized/valid electronic signature
SENIOR ADULT SERVICES PENSION BENEFIT PLAN 2010 370951208 2012-04-30 SENIOR ADULT SERVICES 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-02-24
Business code 624100
Sponsor’s telephone number 6184574151
Plan sponsor’s address 409 N. SPRINGER STREET, CARBONDALE, IL, 629011429

Plan administrator’s name and address
Administrator’s EIN 370951208
Plan administrator’s name SENIOR ADULT SERVICES
Plan administrator’s address 409 N. SPRINGER STREET, CARBONDALE, IL, 629011429
Administrator’s telephone number 6184574151

Signature of
Role Plan administrator
Date 2012-04-30
Name of individual signing HENRY LONG
Valid signature Filed with authorized/valid electronic signature
SENIOR ADULT SERVICES PENSION BENEFIT PLAN 2009 370951208 2011-04-27 SENIOR ADULT SERVICES 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-02-24
Business code 624100
Sponsor’s telephone number 6184574151
Plan sponsor’s address SENIOR ADULT SERVICES, 409 N. SPRINGER STREET, CARBONDALE, IL, 629011429

Plan administrator’s name and address
Administrator’s EIN 370951208
Plan administrator’s name SENIOR ADULT SERVICES
Plan administrator’s address SENIOR ADULT SERVICES, 409 N. SPRINGER STREET, CARBONDALE, IL, 629011429
Administrator’s telephone number 6184574151

Signature of
Role Plan administrator
Date 2011-04-27
Name of individual signing HENRY LONG
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role
J G PANCHUK, 6720 NORT EDGEBROOK TERRACE, CHICAGO, 60646, COOK-NOT IN CITY OF CHICAGO Agent

President

Name and Address Role
J G PANCHUK, 6720 EDGEBROOK TERR CHICAGO President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 100000 1000000 No data

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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