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V.R. KUCHIPUDI, M.D. S.C.

Company Details

Entity Name: V.R. KUCHIPUDI, M.D. S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 19 Sep 1979
Date of Dissolution: 08 Feb 2019
Company Number: CORP_51858883
File Number: 51858883
Date Status Change: 08 Feb 2019
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
V. R. KUCHIPUDI, M.D., S.C., PROFIT SHARING PLAN 2016 363046082 2017-10-01 V. R. KUCHIPUDI, M.D., S.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8472914856
Plan sponsor’s mailing address 18 HAMILTON LN, OAK BROOK, IL, 605231753
Plan sponsor’s address 18 HAMILTON LN, OAK BROOK, IL, 605231753

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2017-10-01
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-01
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
V. R. KUCHIPUDI, M.D., S.C., PENSION PLAN 2016 363046082 2017-08-15 V. R. KUCHIPUDI, M.D., S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6302722324
Plan sponsor’s address 18 HAMILTON LN, OAK BROOK, IL, 605231753

Signature of

Role Plan administrator
Date 2017-08-15
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-15
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
V. R. KUCHIPUDI, M.D., S.C., PROFIT SHARING PLAN 2015 363046082 2016-10-17 V. R. KUCHIPUDI, M.D., S.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 7083870121
Plan sponsor’s mailing address 3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513
Plan sponsor’s address 3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513

Number of participants as of the end of the plan year

Active participants 3
Number of participants with account balances as of the end of the plan year 3

Signature of

Role Plan administrator
Date 2016-10-17
Name of individual signing DEBI BERG
Valid signature Filed with authorized/valid electronic signature
V. R. KUCHIPUDI, M.D., S.C., PENSION PLAN 2015 363046082 2016-10-17 V. R. KUCHIPUDI, M.D., S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 7083870121
Plan sponsor’s mailing address 3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513
Plan sponsor’s address 3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513

Number of participants as of the end of the plan year

Active participants 2

Signature of

Role Plan administrator
Date 2016-10-17
Name of individual signing DEBI BERG
Valid signature Filed with authorized/valid electronic signature
V. R. KUCHIPUDI, M.D., S.C., PENSION PLAN 2014 363046082 2015-10-15 V. R. KUCHIPUDI, M.D., S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 7083870121
Plan sponsor’s mailing address 3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513
Plan sponsor’s address 3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513

Number of participants as of the end of the plan year

Active participants 2
V. R. KUCHIPUDI, M.D., S.C., PROFIT SHARING PLAN 2014 363046082 2015-10-15 V. R. KUCHIPUDI, M.D., S.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 7083870121
Plan sponsor’s mailing address 3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513
Plan sponsor’s address 3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513

Number of participants as of the end of the plan year

Active participants 3
Number of participants with account balances as of the end of the plan year 3
V. R. KUCHIPUDI, M.D., S.C., PROFIT SHARING PLAN 2013 363046082 2014-10-15 V. R. KUCHIPUDI, M.D., S.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 7083870121
Plan sponsor’s mailing address 3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513
Plan sponsor’s address 3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513

Number of participants as of the end of the plan year

Active participants 3
Number of participants with account balances as of the end of the plan year 3

Signature of

Role Plan administrator
Date 2014-10-15
Name of individual signing DEBI BERG
Valid signature Filed with authorized/valid electronic signature
V. R. KUCHIPUDI, M.D., S.C., PENSION PLAN 2013 363046082 2014-10-15 V. R. KUCHIPUDI, M.D., S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 7083870121
Plan sponsor’s mailing address 3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513
Plan sponsor’s address 3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513

Number of participants as of the end of the plan year

Active participants 2

Signature of

Role Plan administrator
Date 2014-10-15
Name of individual signing DEBI BERG
Valid signature Filed with authorized/valid electronic signature
V. R. KUCHIPUDI, M.D., S.C., PROFIT SHARING PLAN 2012 363046082 2013-10-15 V. R. KUCHIPUDI, M.D., S.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 7083870121
Plan sponsor’s mailing address 3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513
Plan sponsor’s address 3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513

Number of participants as of the end of the plan year

Active participants 3

Signature of

Role Plan administrator
Date 2013-10-14
Name of individual signing DEBI BERG
Valid signature Filed with authorized/valid electronic signature
V. R. KUCHIPUDI, M.D., S.C., PENSION PLAN 2012 363046082 2013-10-15 V. R. KUCHIPUDI, M.D., S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 7083870121
Plan sponsor’s mailing address 3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513
Plan sponsor’s address 3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513

Number of participants as of the end of the plan year

Active participants 2

Signature of

Role Plan administrator
Date 2013-10-15
Name of individual signing DEBI BERG
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
V R KUCHIPUDI MD, 3101 S MAPLE, BROOKFIELD, 60513, COOK-NOT IN CITY OF CHICAGO Agent 1983-04-29

President

Name and Address Role
VR KUCHIPUDI, 18 HAMILTON BLVD, OAK BROOK 60523 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
A No data Voting Rights 100 10000 No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State