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  5. KIDNEY SPECIALISTS OF KANKAKEE, LTD.

KIDNEY SPECIALISTS OF KANKAKEE, LTD.

Company Details

Entity Name: KIDNEY SPECIALISTS OF KANKAKEE, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 23 Jan 1976
Date of Dissolution: 10 Dec 2018
Company Number: CORP_50812995
File Number: 50812995
Date Status Change: 10 Dec 2018
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KIDNEY SPECIALISTS OF KANKAKEE, LTD 401(K) PROFIT SHARING PLAN 2018 362853407 2019-04-30 KIDNEY SPECIALISTS OF KANKAKEE, LTD. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8159334422
Plan sponsor’s address 455 W. COURT STREET, SUITE 304, KANKAKEE, IL, 60901

Signature of
Role Plan administrator
Date 2019-04-30
Name of individual signing MIGUEL HIZON, MD
Valid signature Filed with authorized/valid electronic signature
KIDNEY SPECIALISTS OF KANKAKEE, LTD 401(K) PROFIT SHARING PLAN 2017 362853407 2018-09-10 KIDNEY SPECIALISTS OF KANKAKEE, LTD 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8159334422
Plan sponsor’s address 455 W. COURT STREET, SUITE 304, KANKAKEE, IL, 60901

Signature of
Role Plan administrator
Date 2018-09-10
Name of individual signing MIGUEL HIZON, MD
Valid signature Filed with authorized/valid electronic signature
KIDNEY SPECIALISTS OF KANKAKEE, LTD 401(K) PROFIT SHARING PLAN 2016 362853407 2017-10-16 KIDNEY SPECIALISTS OF KANKAKEE, LTD 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8159334422
Plan sponsor’s address 455 W. COURT STREET, SUITE 304, KANKAKEE, IL, 60901

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing MIGUEL L. HIZON M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-16
Name of individual signing MIGUEL L. HIZON M.D.
Valid signature Filed with authorized/valid electronic signature
KIDNEY SPECIALISTS OF KANKAKEE, LTD 401(K) PROFIT SHARING PLAN 2015 362853407 2016-09-14 KIDNEY SPECIALISTS OF KANKAKEE, LTD 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8159334422
Plan sponsor’s address 455 W. COURT STREET, SUITE 304, KANKAKEE, IL, 60901

Signature of
Role Plan administrator
Date 2016-09-14
Name of individual signing MIGUEL HIZON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-14
Name of individual signing MIGUEL HIZON
Valid signature Filed with authorized/valid electronic signature
KIDNEY SPECIALISTS OF KANKAKEE, LTD 401(K) PROFIT SHARING PLAN 2014 362853407 2015-06-24 KIDNEY SPECIALISTS OF KANKAKEE, LTD 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8159334422
Plan sponsor’s address 455 W. COURT STREET, SUITE 304, KANKAKEE, IL, 60901

Signature of
Role Plan administrator
Date 2015-06-24
Name of individual signing MIGUEL HIZON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-24
Name of individual signing MIGUEL HIZON
Valid signature Filed with authorized/valid electronic signature
KIDNEY SPECIALISTS OF KANKAKEE, LTD 401(K) PROFIT SHARING PLAN 2013 362853407 2014-09-10 KIDNEY SPECIALISTS OF KANKAKEE, LTD 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8159334422
Plan sponsor’s address 455 W. COURT STREET, SUITE 304, KANKAKEE, IL, 60901

Signature of
Role Plan administrator
Date 2014-09-10
Name of individual signing MIGUEL HIZON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-10
Name of individual signing MIGUEL HIZON
Valid signature Filed with authorized/valid electronic signature
KIDNEY SPECIALISTS OF KANKAKEE, LTD 401(K) PROFIT SHARING PLAN 2012 362853407 2013-10-04 KIDNEY SPECIALISTS OF KANKAKEE, LTD 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8159334422
Plan sponsor’s address 455 W. COURT STREET, SUITE 304, KANKAKEE, IL, 60901

Signature of
Role Plan administrator
Date 2013-10-04
Name of individual signing MIGUEL HIZON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-04
Name of individual signing MIGUEL HIZON
Valid signature Filed with authorized/valid electronic signature
KIDNEY SPECIALISTS OF KANKAKEE, LTD 401(K) PROFIT SHARING PLAN 2011 362853407 2012-06-29 KIDNEY SPECIALISTS OF KANKAKEE, LTD 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8159334422
Plan sponsor’s address 455 W. COURT STREET, SUITE 304, KANKAKEE, IL, 60901

Plan administrator’s name and address
Administrator’s EIN 362853407
Plan administrator’s name KIDNEY SPECIALISTS OF KANKAKEE, LTD
Plan administrator’s address 455 W. COURT STREET, SUITE 304, KANKAKEE, IL, 60901
Administrator’s telephone number 8159334422

Signature of
Role Plan administrator
Date 2012-06-29
Name of individual signing MIGUEL HIZON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-29
Name of individual signing MIGUEL HIZON
Valid signature Filed with authorized/valid electronic signature
KIDNEY SPECIALISTS OF KANKAKEE, LTD 401(K) PROFIT SHARING PLAN 2010 362853407 2011-07-19 KIDNEY SPECIALISTS OF KANKAKEE, LTD 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8159334422
Plan sponsor’s address 455 W. COURT STREET, SUITE 304, KANKAKEE, IL, 60901

Plan administrator’s name and address
Administrator’s EIN 362853407
Plan administrator’s name KIDNEY SPECIALISTS OF KANKAKEE, LTD
Plan administrator’s address 455 W. COURT STREET, SUITE 304, KANKAKEE, IL, 60901
Administrator’s telephone number 8159334422

Signature of
Role Plan administrator
Date 2011-07-18
Name of individual signing MIGUEL HIZON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-18
Name of individual signing MIGUEL HIZON
Valid signature Filed with authorized/valid electronic signature
KIDNEY SPECIALISTS OF KANKAKEE, LTD 401(K) PROFIT SHARING PLAN 2009 362853407 2010-10-08 KIDNEY SPECIALISTS OF KANKAKEE, LTD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8159334422
Plan sponsor’s address 455 W. COURT STREET, SUITE 304, KANKAKEE, IL, 60901

Plan administrator’s name and address
Administrator’s EIN 362853407
Plan administrator’s name KIDNEY SPECIALISTS OF KANKAKEE, LTD
Plan administrator’s address 455 W. COURT STREET, SUITE 304, KANKAKEE, IL, 60901
Administrator’s telephone number 8159334422

Signature of
Role Plan administrator
Date 2010-10-08
Name of individual signing MIGUEL HIZON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-08
Name of individual signing MIGUEL HIZON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
GLEN R BARMANN, 200 E COURT ST #602, KANKAKEE, 60901, KANKAKEE Agent 2004-03-02

President

Name and Address Role
MIGUEL HIZON, 350 BARRINGTON DR BOURBONNAIS 60914 President

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042002609 No data No data REGISTERED MEDICAL CORPORATION No data 1976-02-16 2017-03-31 2018-01-01

Historical Names

Name Change Date
TAPENDU BASU, M. D., S. C. 2001-12-19

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 100000 1000000 1

Related by officers

GLEN R BARMANN, 200 E COURT ST #602, KANKAKEE, 60901, KANKAKEE

KENNETH R. HARTMAN, INC. JOHN P. HUNG, M.D., S.C. KANKAKEE DAYBREAK, INC. O.C. SHREFFLER, INC. UNITED PRODUCTION SERVICES, INC. KUTEMEIER BROS., INC. L.C.J. TRUCKING, INC. REIKI MEND ONE, INC. ILLINOIS AESTHETIC TECHNOLOGY, LTD. LINDEN HILLS NURSERY, INC.

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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