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  5. V. SUSARLA, M.D., S.C.

V. SUSARLA, M.D., S.C.

Company Details

Entity Name: V. SUSARLA, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 23 Aug 1979
Company Number: CORP_51832817
File Number: 51832817
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
V. SUSARLA, M.D., S.C. EMPLOYEES PROFIT SHARING PLAN & TRUST 2023 363034600 2024-05-27 V. SUSARLA, M.D., S.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 8477410026
Plan sponsor’s address 860 SUMMIT STREET, #123, ELGIN, IL, 60120
V. SUSARLA, M.D., S.C. EMPLOYEES PROFIT SHARING PLAN & TRUST 2022 363034600 2023-10-06 V. SUSARLA, M.D., S.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 8477410026
Plan sponsor’s address 860 SUMMIT STREET, #123, ELGIN, IL, 60120
V. SUSARLA, M.D., S.C. EMPLOYEES PROFIT SHARING PLAN & TRUST 2021 363034600 2022-10-09 V. SUSARLA, M.D., S.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 8477410026
Plan sponsor’s address 860 SUMMIT STREET, #123, ELGIN, IL, 60120
V. SUSARLA, M.D., S.C. EMPLOYEES PROFIT SHARING PLAN & TRUST 2020 363034600 2021-04-08 V. SUSARLA, M.D., S.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 8477410026
Plan sponsor’s address 860 SUMMIT STREET, #123, ELGIN, IL, 60120
V. SUSARLA, M.D., S.C. EMPLOYEES PROFIT SHARING PLAN & TRUST 2019 363034600 2020-02-23 V. SUSARLA, M.D., S.C. 12
Three-digit plan number (PN) 002
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 8477410026
Plan sponsor’s address 860 SUMMIT STREET, #123, ELGIN, IL, 60123
V. SUSARLA, M.D., S.C. EMPLOYEES PROFIT SHARING PLAN & TRUST 2019 363034600 2020-07-15 V. SUSARLA, M.D., S.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 8477410026
Plan sponsor’s address 860 SUMMIT STREET, #123, ELGIN, IL, 60120
V. SUSARLA, M.D., S.C. EMPLOYEES PROFIT SHARING PLAN & TRUST 2018 363034600 2019-08-20 V. SUSARLA, M.D., S.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 8477410026
Plan sponsor’s address 860 SUMMIT STREET, #123, ELGIN, IL, 60123
V. SUSARLA, M.D., S.C. EMPLOYEES PROFIT SHARING PLAN & TRUST 2017 363034600 2018-10-11 V. SUSARLA, M.D., S.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 8477410026
Plan sponsor’s address 860 SUMMIT STREET, #123, ELGIN, IL, 60123

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing VIS SUSARLA
Valid signature Filed with authorized/valid electronic signature
V. SUSARLA, M.D., S.C. EMPLOYEES PROFIT SHARING PLAN & TRUST 2016 363034600 2017-07-21 V. SUSARLA, M.D., S.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 8477410026
Plan sponsor’s address 860 SUMMIT STREET, #123, ELGIN, IL, 60123

Signature of
Role Plan administrator
Date 2017-07-21
Name of individual signing VIS SUSARLA
Valid signature Filed with authorized/valid electronic signature
V. SUSARLA, M.D., S.C. EMPLOYEES PROFIT SHARING PLAN & TRUST 2015 363034600 2016-07-08 V. SUSARLA, M.D., S.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 8477410026
Plan sponsor’s address 860 SUMMIT STREET, #123, ELGIN, IL, 60123

Signature of
Role Plan administrator
Date 2016-07-08
Name of individual signing VIS SUSARLA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
EDWIN J BROOKS, 2560 FOXFIELD RD STE 300, ST CHARLES, 60174, KANE Agent 2015-08-18

President

Name and Address Role
DR V SUSARLA, 22 ROLLING HILLSDR BARRINGTON HILLS IL 60110 President

Secretary

Name and Address Role
VIDYA SUSARLA, 22 ROLLING HILLS DR BARRINGTON HILLS IL 60110 Secretary

Shares

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