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  5. JERROLD SHAPIRO, M.D., LTD.

JERROLD SHAPIRO, M.D., LTD.

Company Details

Entity Name: JERROLD SHAPIRO, M.D., LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 28 Dec 1978
Date of Dissolution: 24 Nov 2020
Company Number: CORP_51640691
File Number: 51640691
Date Status Change: 24 Nov 2020
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JERROLD SHAPIRO, M.D., LTD. PROFIT SHARING PLAN 2018 363000901 2019-04-26 JERROLD SHAPIRO, M.D., LTD. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 7735885900
Plan sponsor’s address 6374 N. LINCOLN AVE., SUITE 303, CHICAGO, IL, 606591283

Signature of
Role Plan administrator
Date 2019-04-26
Name of individual signing JERROLD E SHAPIRO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-26
Name of individual signing JERROLD E SHAPIRO
Valid signature Filed with authorized/valid electronic signature
JERROLD SHAPIRO, M.D., LTD. PROFIT SHARING PLAN 2017 363000901 2018-03-29 JERROLD SHAPIRO, M.D., LTD. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 7735885900
Plan sponsor’s address 6374 N. LINCOLN AVE., SUITE 303, CHICAGO, IL, 606591283

Signature of
Role Plan administrator
Date 2018-03-29
Name of individual signing JERROLD SHAPIRO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-29
Name of individual signing JERROLD SHAPIRO
Valid signature Filed with authorized/valid electronic signature
JERROLD SHAPIRO, M.D., LTD. PROFIT SHARING PLAN 2016 363000901 2017-05-11 JERROLD SHAPIRO, M.D., LTD. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 7735885900
Plan sponsor’s address 6374 N. LINCOLN AVE., SUITE 303, CHICAGO, IL, 606591283

Signature of
Role Plan administrator
Date 2017-05-11
Name of individual signing JERROLD SHAPIRO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-11
Name of individual signing JERROLD SHAPIRO
Valid signature Filed with authorized/valid electronic signature
JERROLD SHAPIRO, M.D., LTD. PROFIT SHARING PLAN 2015 363000901 2016-10-17 JERROLD SHAPIRO, M.D., LTD. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 7735885900
Plan sponsor’s address 6374 N. LINCOLN AVE, SUITE 303, CHICAGO, IL, 606591283

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing JERROLD SHAPIRO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-17
Name of individual signing JERROLD SHAPIRO
Valid signature Filed with authorized/valid electronic signature
JERROLD SHAPIRO, M.D., LTD. PROFIT SHARING PLAN 2014 363000901 2015-04-27 JERROLD SHAPIRO, M.D., LTD. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 7732835900
Plan sponsor’s address 6374 N. LINCOLN AVENUE, SUITE 303, CHICAGO, IL, 606591283

Signature of
Role Plan administrator
Date 2015-04-27
Name of individual signing JERROLD SHAPIRO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-27
Name of individual signing JERROLD SHAPIRO
Valid signature Filed with authorized/valid electronic signature
JERROLD SHAPIRO, M.D., LTD. PROFIT SHARING PLAN 2013 363000901 2014-04-09 JERROLD SHAPIRO, M.D., LTD. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 7732835900
Plan sponsor’s address 4801 W. PETERSON AVENUE, SUITE 610, CHICAGO, IL, 606465728

Signature of
Role Plan administrator
Date 2014-04-09
Name of individual signing JERROLD SHAPIRO MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-09
Name of individual signing JERROLD SHAPIRO MD
Valid signature Filed with authorized/valid electronic signature
JERROLD SHAPIRO, M.D., LTD. PROFIT SHARING PLAN 2012 363000901 2013-05-22 JERROLD SHAPIRO, M.D., LTD. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 7732835900
Plan sponsor’s address 4801 W. PETERSON AVENUE, SUITE 610, CHICAGO, IL, 606465728

Signature of
Role Plan administrator
Date 2013-05-22
Name of individual signing JERROLD SHAPIRO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-22
Name of individual signing JERROLD SHAPIRO
Valid signature Filed with authorized/valid electronic signature
JERROLD SHAPIRO, M.D., LTD. PROFIT SHARING PLAN 2011 363000901 2012-04-13 JERROLD SHAPIRO, M.D., LTD. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 7732835900
Plan sponsor’s address 4801 W. PETERSON AVENUE, SUITE 610, CHICAGO, IL, 606465728

Plan administrator’s name and address
Administrator’s EIN 363000901
Plan administrator’s name JERROLD SHAPIRO, M.D., LTD.
Plan administrator’s address 4801 W. PETERSON AVENUE, SUITE 610, CHICAGO, IL, 606465728
Administrator’s telephone number 7732835900

Signature of
Role Plan administrator
Date 2012-04-13
Name of individual signing JERROLD SHAPIRO MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-13
Name of individual signing JERROLD SHAPIRO MD
Valid signature Filed with authorized/valid electronic signature
JERROLD SHAPIRO, M.D., LTD. PROFIT SHARING PLAN 2010 363000901 2011-06-30 JERROLD SHAPIRO, M.D., LTD. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 7732835900
Plan sponsor’s address 4801 W. PETERSON AVENUE, SUITE 610, CHICAGO, IL, 606465728

Plan administrator’s name and address
Administrator’s EIN 363000901
Plan administrator’s name JERROLD SHAPIRO, M.D., LTD.
Plan administrator’s address 4801 W. PETERSON AVENUE, SUITE 610, CHICAGO, IL, 606465728
Administrator’s telephone number 7732835900

Signature of
Role Plan administrator
Date 2011-06-30
Name of individual signing JERROLD SHAPIRO, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-30
Name of individual signing JERROLD SHAPIRO, M.D.
Valid signature Filed with authorized/valid electronic signature
JERROLD SHAPIRO, M.D., LTD. PROFIT SHARING PLAN 2009 363000901 2010-09-29 JERROLD SHAPIRO, M.D., LTD. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 7732835900
Plan sponsor’s address 4801 WEST PETERSON AVENUE, SUITE 61, CHICAGO, IL, 606465728

Plan administrator’s name and address
Administrator’s EIN 363000901
Plan administrator’s name JERROLD SHAPIRO, M.D., LTD.
Plan administrator’s address 4801 WEST PETERSON AVENUE, SUITE 61, CHICAGO, IL, 606465728
Administrator’s telephone number 7732835900

Signature of
Role Plan administrator
Date 2010-09-29
Name of individual signing JERROLD SHAPIRO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-29
Name of individual signing JERROLD SHAPIRO
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JERROLD SHAPIRO, 416 WILSHIRE DR WEST, WILMETTE, 60091, COOK-NOT IN CITY OF CHICAGO Agent 2018-11-29

President

Name and Address Role
JERROLD SHAPIRO, 416 WILSHIRE DR WEST, WILMETTE, 60091 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: 20 Jan 2025

Sources: Illinois Office of the Secretary of State

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