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  5. JAROSLAUS IWANETZ, M.D., S.C.

JAROSLAUS IWANETZ, M.D., S.C.

Company Details

Entity Name: JAROSLAUS IWANETZ, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 10 Jul 1979
Date of Dissolution: 14 Dec 2018
Company Number: CORP_51796586
File Number: 51796586
Date Status Change: 14 Dec 2018
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JAROSLAUS IWANETZ, M.D., S.C. PROFIT SHARING PLAN 2019 363028121 2020-01-21 JAROSLAUS IWANETZ, M.D., S.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 7082754911
Plan sponsor’s address 7516 DREW AVE., BURR RIDGE, IL, 605276969

Plan administrator’s name and address
Administrator’s EIN 363028121
Plan administrator’s name JAROSLAUS IWANETZ, M.D., S.C.
Plan administrator’s address 7516 DREW AVE., BURR RIDGE, IL, 605276969
Administrator’s telephone number 7082754911
JAROSLAUS IWANETZ, M.D., S.C. PROFIT SHARING PLAN 2018 363028121 2019-02-22 JAROSLAUS IWANETZ, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 7082754911
Plan sponsor’s address 7516 DREW AVE., BURR RIDGE, IL, 605276969

Plan administrator’s name and address
Administrator’s EIN 363028121
Plan administrator’s name JAROSLAUS IWANETZ, M.D., S.C.
Plan administrator’s address 7516 DREW AVE., BURR RIDGE, IL, 605276969
Administrator’s telephone number 7082754911
JAROSLAUS IWANETZ, M.D., S.C. PROFIT SHARING PLAN 2017 363028121 2018-04-02 JAROSLAUS IWANETZ, M.D., S.C. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 7085668182
Plan sponsor’s address 1600 167TH STREET, SUITE 150, CALUMET CITY, IL, 60409

Plan administrator’s name and address
Administrator’s EIN 363028121
Plan administrator’s name JAROSLAUS IWANETZ, M.D., S.C.
Plan administrator’s address 1600 167TH STREET, SUITE 150, CALUMET CITY, IL, 60419
Administrator’s telephone number 7085668182

Signature of
Role Plan administrator
Date 2018-04-02
Name of individual signing ROBERT PONSONBY
Valid signature Filed with authorized/valid electronic signature
JAROSLAUS IWANETZ, M.D., S.C. PROFIT SHARING PLAN 2016 363028121 2017-05-20 JAROSLAUS IWANETZ, M.D., S.C. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 7085668182
Plan sponsor’s address 1600 167TH STREET, SUITE 150, CALUMET CITY, IL, 60409

Plan administrator’s name and address
Administrator’s EIN 363028121
Plan administrator’s name JAROSLAUS IWANETZ, M.D., S.C.
Plan administrator’s address 1600 167TH STREET, SUITE 150, CALUMET CITY, IL, 60419
Administrator’s telephone number 7085668182

Signature of
Role Plan administrator
Date 2017-05-20
Name of individual signing ROBERT PONSONBY
Valid signature Filed with authorized/valid electronic signature
JAROSLAUS IWANETZ, M.D., S.C. PROFIT SHARING PLAN 2015 363028121 2016-09-28 JAROSLAUS IWANETZ, M.D., S.C. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 7085668182
Plan sponsor’s address 1600 167TH STREET, SUITE 150, CALUMET CITY, IL, 60409

Plan administrator’s name and address
Administrator’s EIN 363028121
Plan administrator’s name JAROSLAUS IWANETZ, M.D., S.C.
Plan administrator’s address 1600 167TH STREET, SUITE 150, CALUMET CITY, IL, 60419
Administrator’s telephone number 7085668182

Signature of
Role Plan administrator
Date 2016-09-28
Name of individual signing ROBERT PONSONBY
Valid signature Filed with authorized/valid electronic signature
JAROSLAUS IWANETZ, M.D., S.C. PROFIT SHARING PLAN 2014 363028121 2015-10-14 JAROSLAUS IWANETZ, M.D., S.C. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 7085668182
Plan sponsor’s address 1600 167TH STREET, SUITE 150, CALUMET CITY, IL, 60409

Plan administrator’s name and address
Administrator’s EIN 363028121
Plan administrator’s name JAROSLAUS IWANETZ, M.D., S.C.
Plan administrator’s address 1600 167TH STREET, SUITE 150, CALUMET CITY, IL, 60419
Administrator’s telephone number 7085668182

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing ROBERT PONSONBY
Valid signature Filed with authorized/valid electronic signature
JAROSLAUS IWANETZ, M.D., S.C. PROFIT SHARING PLAN 2013 363028121 2014-04-22 JAROSLAUS IWANETZ, M.D., S.C. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 7085668182
Plan sponsor’s address 1600 167TH STREET, SUITE 150, CALUMET CITY, IL, 60409

Plan administrator’s name and address
Administrator’s EIN 363028121
Plan administrator’s name JAROSLAUS IWANETZ, M.D., S.C.
Plan administrator’s address 1600 167TH STREET, SUITE 150, CALUMET CITY, IL, 60419
Administrator’s telephone number 7085668182

Signature of
Role Plan administrator
Date 2014-04-22
Name of individual signing BOHDAN IWANETZ, M. D.
Valid signature Filed with authorized/valid electronic signature
JAROSLAUS IWANETZ, M.D., S.C. PROFIT SHARING PLAN 2012 363028121 2013-08-12 JAROSLAUS IWANETZ, M.D., S.C. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 7085668182
Plan sponsor’s address 1600 167TH STREET, SUITE 150, CALUMET CITY, IL, 60409

Plan administrator’s name and address
Administrator’s EIN 363028121
Plan administrator’s name JAROSLAUS IWANETZ, M.D., S.C.
Plan administrator’s address 1600 167TH STREET, SUITE 150, CALUMET CITY, IL, 60419
Administrator’s telephone number 7085668182

Signature of
Role Plan administrator
Date 2013-08-12
Name of individual signing BOHDAN IWANETZ, M. D.
Valid signature Filed with authorized/valid electronic signature
JAROSLAUS IWANETZ, M.D., S.C. PROFIT SHARING PLAN 2011 363028121 2012-09-06 JAROSLAUS IWANETZ, M.D., S.C. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 7085668182
Plan sponsor’s address 1600 167TH STREET, SUITE 150, CALUMET CITY, IL, 60409

Plan administrator’s name and address
Administrator’s EIN 363028121
Plan administrator’s name JAROSLAUS IWANETZ, M.D., S.C.
Plan administrator’s address 1600 167TH STREET, SUITE 150, CALUMET CITY, IL, 60419
Administrator’s telephone number 7085668182

Signature of
Role Plan administrator
Date 2012-09-06
Name of individual signing BOHDAN IWANETZ, M. D.
Valid signature Filed with authorized/valid electronic signature
JAROSLAUS IWANETZ, M.D., S.C. PROFIT SHARING PLAN 2010 363028121 2011-10-11 JAROSLAUS IWANETZ, M.D., S.C. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 7085668182
Plan sponsor’s address 1600 167TH STREET, SUITE 150, CALUMET CITY, IL, 60409

Plan administrator’s name and address
Administrator’s EIN 363028121
Plan administrator’s name JAROSLAUS IWANETZ, M.D., S.C.
Plan administrator’s address 1600 167TH STREET, SUITE 150, CALUMET CITY, IL, 60419
Administrator’s telephone number 7085668182

Signature of
Role Plan administrator
Date 2011-10-11
Name of individual signing BOHDAN IWANETZ, M. D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BOHDAN IWANETZ, 1600 167TH ST, CALUMET, 60409, COOK-NOT IN CITY OF CHICAGO Agent 2013-03-29

President

Name and Address Role
BOHDAN A IWANETZ 7516 DREW AVE BURR RIDGE IL 60527 President

Shares

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