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JAGDISH & SHOBHA SHAH, M.D. S.C.

Company Details

Entity Name: JAGDISH & SHOBHA SHAH, M.D. S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 18 Sep 1979
Date of Dissolution: 07 Jun 2017
Company Number: CORP_51856716
File Number: 51856716
Date Status Change: 07 Jun 2017
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JAGDISH & SHOBHA SHAH, M.D., S.C. PROFIT SHARING PLAN AND TRUST 2015 363030799 2016-06-30 JAGDISH & SHOBHA SHAH, M.D., S.C. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1989-07-01
Business code 621111
Sponsor’s telephone number 6303250111
Plan sponsor’s address 1722 MIDWEST CLUB, OAK BROOK, IL, 60521
JAGDISH & SHOBHA SHAH M.D., S.C. PROFIT SHARING PLAN AND TRUST 2014 363030799 2015-03-03 JAGDISH & SHOBHA SHAH M.D., S.C. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1989-07-01
Business code 621111
Sponsor’s telephone number 6303250111
Plan sponsor’s address 1722 MIDWEST CLUB, OAK BROOK, IL, 60521
JAGDISH & SHOBHA SHAH M.D., S.C. PROFIT SHARING PLAN AND TRUST 2012 363030799 2013-10-10 JAGDISH & SHOBHA SHAH M.D., S.C. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1989-07-01
Business code 621111
Sponsor’s telephone number 6303250111
Plan sponsor’s address 1722 MIDWEST CLUB, OAK BROOK, IL, 60521

Signature of

Role Plan administrator
Date 2013-10-10
Name of individual signing JAGDISH SHAH, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-10
Name of individual signing JAGDISH SHAH, M.D.
Valid signature Filed with authorized/valid electronic signature
JAGDISH & SHOBHA SHAH M.D., S.C. PROFIT SHARING PLAN AND TRUST 2011 363030799 2012-09-18 JAGDISH & SHOBHA SHAH M.D., S.C. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1989-07-01
Business code 621111
Sponsor’s telephone number 6303250111
Plan sponsor’s address 1722 MIDWEST CLUB, OAK BROOK, IL, 60521

Plan administrator’s name and address

Administrator’s EIN 363030799
Plan administrator’s name JAGDISH & SHOBHA SHAH M.D., S.C.
Plan administrator’s address 1722 MIDWEST CLUB, OAK BROOK, IL, 60521
Administrator’s telephone number 6303250111

Signature of

Role Plan administrator
Date 2012-09-18
Name of individual signing JAGDISH SHAH, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-18
Name of individual signing JAGDISH SHAH, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DAVID J HOCHMAN, 7250 N CICERO AVE, LINCOLNWOOD, 60712, COOK-NOT IN CITY OF CHICAGO Agent 2004-08-16

President

Name and Address Role
SHOBHA SHAH, M.D., 1722 MIDWEST CLUB PKWY., OAK BROOK 60521 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 1000000 No data

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State