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  5. C.T. CHEN, M.D.,S.C.

C.T. CHEN, M.D.,S.C.

Company Details

Entity Name: C.T. CHEN, M.D.,S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 25 Aug 1975
Date of Dissolution: 11 Jan 2019
Company Number: CORP_50722384
File Number: 50722384
Date Status Change: 11 Jan 2019
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
C. T. CHEN, M.D., S.C., DEFINED BENEFIT PENSION PLAN 2016 362840131 2018-01-27 C. T. CHEN, M.D., S.C. 1
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 8472727480
Plan sponsor’s address 2220 ALLEN DR, NORTHBROOK, IL, 600627603

Signature of
Role Plan administrator
Date 2018-01-27
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-01-27
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
C. T. CHEN, M.D., S.C., DEFINED BENEFIT PENSION PLAN 2015 362840131 2017-07-13 C. T. CHEN, M.D., S.C. 1
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 8472727480
Plan sponsor’s address 2220 ALLEN DR, NORTHBROOK, IL, 600627603

Signature of
Role Plan administrator
Date 2017-07-13
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-13
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
C. T. CHEN, M.D., S.C., DEFINED BENEFIT PENSION PLAN 2014 362840131 2016-07-15 C. T. CHEN, M.D., S.C. 1
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 8472727480
Plan sponsor’s address 2220 ALLEN DRIVE, NORTHBROOK, IL, 60062

Signature of
Role Plan administrator
Date 2016-07-15
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-15
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
C. T. CHEN, M.D., S.C., DEFINED BENEFIT PENSION PLAN 2013 362840131 2015-06-03 C. T. CHEN, M.D., S.C. 1
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 8472727460
Plan sponsor’s address 2220 ALLEN DRIVE, NORTHBROOK, IL, 60062

Signature of
Role Plan administrator
Date 2015-06-03
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-03
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
C. T. CHEN, M.D., S.C., DEFINED BENEFIT PENSION PLAN 2012 362840131 2014-07-15 C. T. CHEN, M.D., S.C. 1
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 8472727460
Plan sponsor’s address 2220 ALLEN DRIVE, NORTHBROOK, IL, 60062

Signature of
Role Plan administrator
Date 2014-07-15
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-15
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
C. T. CHEN, M.D., S.C., DEFINED BENEFIT PENSION PLAN 2011 362840131 2013-07-08 C. T. CHEN, M.D., S.C. 1
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 8472727460
Plan sponsor’s address 2220 ALLEN DRIVE, NORTHBROOK, IL, 60062

Plan administrator’s name and address
Administrator’s EIN 362840131
Plan administrator’s name C. T. CHEN, M.D., S.C.
Plan administrator’s address 2220 ALLEN DRIVE, NORTHBROOK, IL, 60062
Administrator’s telephone number 8472727460

Signature of
Role Plan administrator
Date 2013-07-08
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
C. T. CHEN, M.D., S.C., DEFINED BENEFIT PENSION PLAN 2010 362840131 2012-07-13 C. T. CHEN, M.D., S.C. 1
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 8472727460
Plan sponsor’s address 2220 ALLEN DRIVE, NORTHBROOK, IL, 60062

Plan administrator’s name and address
Administrator’s EIN 362840131
Plan administrator’s name C. T. CHEN, M.D., S.C.
Plan administrator’s address 2220 ALLEN DRIVE, NORTHBROOK, IL, 60062
Administrator’s telephone number 8472727460

Signature of
Role Plan administrator
Date 2012-07-13
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
C. T. CHEN, M.D., S.C., DEFINED BENEFIT PENSION PLAN 2009 362840131 2011-07-19 C. T. CHEN, M.D., S.C. 1
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 8472727460
Plan sponsor’s address 2220 ALLEN DRIVE, NORTHBROOK, IL, 60062

Plan administrator’s name and address
Administrator’s EIN 362840131
Plan administrator’s name C. T. CHEN, M.D., S.C.
Plan administrator’s address 2220 ALLEN DRIVE, NORTHBROOK, IL, 60062
Administrator’s telephone number 8472727460

Signature of
Role Plan administrator
Date 2011-07-19
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
CHAO T CHEN, 2220 ALLEN DR, NORTHBROOK, 60062, COOK-NOT IN CITY OF CHICAGO Agent 2017-05-08

President

Name and Address Role
C T CHEN, 2200 ALLEN DR, NORTHBROOK 60062 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 5000 1000000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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