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  5. RICHARD M. MRUZ AND TIMOTHY C. ALBION, M.D., S.C.

RICHARD M. MRUZ AND TIMOTHY C. ALBION, M.D., S.C.

Company Details

Entity Name: RICHARD M. MRUZ AND TIMOTHY C. ALBION, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 16 Feb 1979
Date of Dissolution: 01 Jul 2004
Company Number: CORP_51673565
File Number: 51673565
Date Status Change: 01 Jul 2004
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RICHARD M. MRUZ, M.D., S.C. PROFIT SHARING PLAN 2011 320001351 2014-04-28 RICHARD M. MRUZ, M.D., S.C. 18
Three-digit plan number (PN) 001
Effective date of plan 1979-07-01
Business code 621111
Sponsor’s telephone number 8473640040
Plan sponsor’s address 1859 PRESTWICK DR., INVERNESS, IL, 60067

Plan administrator’s name and address
Administrator’s EIN 320001351
Plan administrator’s name RICHARD M. MRUZ, M.D., S.C.
Plan administrator’s address 1859 PRESTWICK DR., INVERNESS, IL, 60067
Administrator’s telephone number 8473640040

Signature of
Role Plan administrator
Date 2014-04-23
Name of individual signing RICHARD MRUZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-23
Name of individual signing RICHARD MRUZ
Valid signature Filed with authorized/valid electronic signature
RICHARD M. MRUZ, M.D., S.C. PROFIT SHARING PLAN 2011 320001351 2013-04-15 RICHARD M. MRUZ, M.D., S.C. 18
Three-digit plan number (PN) 001
Effective date of plan 1979-07-01
Business code 621111
Sponsor’s telephone number 8473640040
Plan sponsor’s address 1859 PRESTWICK DR., INVERNESS, IL, 60067

Plan administrator’s name and address
Administrator’s EIN 320001351
Plan administrator’s name RICHARD M. MRUZ, M.D., S.C.
Plan administrator’s address 1859 PRESTWICK DR., INVERNESS, IL, 60067
Administrator’s telephone number 8473640040

Signature of
Role Plan administrator
Date 2013-04-15
Name of individual signing RICHARD MRUZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-15
Name of individual signing RICHARD MRUZ
Valid signature Filed with authorized/valid electronic signature
RICHARD M. MRUZ, M.D., S.C. PROFIT SHARING PLAN 2010 320001351 2012-04-12 RICHARD M. MRUZ, M.D., S.C. 20
Three-digit plan number (PN) 001
Effective date of plan 1979-07-01
Business code 621111
Sponsor’s telephone number 8473640040
Plan sponsor’s address 1859 PRESTWICK DR., INVERNESS, IL, 60067

Plan administrator’s name and address
Administrator’s EIN 320001351
Plan administrator’s name RICHARD M. MRUZ, M.D., S.C.
Plan administrator’s address 1859 PRESTWICK DR., INVERNESS, IL, 60067
Administrator’s telephone number 8473640040

Signature of
Role Plan administrator
Date 2012-04-12
Name of individual signing RICHARD MRUZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-12
Name of individual signing RICHARD MRUZ
Valid signature Filed with authorized/valid electronic signature
RICHARD M. MRUZ, M.D., S.C. PROFIT SHARING PLAN 2009 363023644 2011-01-20 RICHARD M. MRUZ, M.D., S.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-07-01
Business code 621111
Sponsor’s telephone number 8473640040
Plan sponsor’s address 1859 PRESTWICK DR., INVERNESS, IL, 60067

Plan administrator’s name and address
Administrator’s EIN 363023644
Plan administrator’s name RICHARD M. MRUZ, M.D., S.C.
Plan administrator’s address 1859 PRESTWICK DR., INVERNESS, IL, 60067
Administrator’s telephone number 8473640040

Signature of
Role Plan administrator
Date 2011-01-18
Name of individual signing RICHARD MRUZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-01-18
Name of individual signing RICHARD MRUZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
IRA D LEAVITT, 675 N COURT STE 360, PALATINE, 60067, COOK-NOT IN CITY OF CHICAGO Agent 1993-01-22

President

Name and Address Role
RICHARD M MRUZ, 810 BIESTERFIELD RD #102, ELK GROVE 60007 President

Historical Names

Name Change Date
RICHARD M. MRUZ, M.D., S.C. 1995-11-22

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 100000 No data

Related by officers

IRA D LEAVITT, 675 N COURT STE 360, PALATINE, 60067, COOK-NOT IN CITY OF CHICAGO

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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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