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BALUCHI MEDICAL GROUP, LTD.

Company Details

Entity Name: BALUCHI MEDICAL GROUP, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 27 Nov 1979
Date of Dissolution: 29 Sep 2020
Company Number: CORP_51916336
File Number: 51916336
Date Status Change: 29 Sep 2020
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BALUCHI MEDICAL GROUP, LTD. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST 2018 363051380 2019-09-27 BALUCHI MEDICAL GROUP, LTD. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-12-01
Business code 621111
Sponsor’s telephone number 6304957000
Plan sponsor’s address 1 S. 161 SUMMIT, OAK BROOK TERRACE, IL, 60181

Signature of

Role Plan administrator
Date 2019-09-27
Name of individual signing AMJAD KHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-27
Name of individual signing AMJAD KHAN
Valid signature Filed with authorized/valid electronic signature
BALUCHI MEDICAL GROUP, LTD. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST 2017 363051380 2019-08-01 BALUCHI MEDICAL GROUP, LTD. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-12-01
Business code 621111
Sponsor’s telephone number 6309328000
Plan sponsor’s address 1 S. 161 SUMMIT, OAK BROOK TERRACE, IL, 60181

Signature of

Role Plan administrator
Date 2019-08-01
Name of individual signing AMJAD KHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-01
Name of individual signing AMJAD KHAN
Valid signature Filed with authorized/valid electronic signature
BALUCHI MEDICAL GROUP, LTD. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST 2016 363051380 2018-08-30 BALUCHI MEDICAL GROUP, LTD. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-12-01
Business code 621111
Sponsor’s telephone number 6304957000
Plan sponsor’s address 1 S. 161 SUMMIT, OAK BROOK TERRACE, IL, 60181

Signature of

Role Plan administrator
Date 2018-08-30
Name of individual signing AMJAD KHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-08-30
Name of individual signing AMJAD KHAN
Valid signature Filed with authorized/valid electronic signature
BALUCHI MEDICAL GROUP, LTD. CASH OR DEFERRED-PROFIT SHARING PLAN 2015 363051380 2016-09-09 BALUCHI MEDICAL GROUP, LTD. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-12-01
Business code 621111
Sponsor’s telephone number 6309328000
Plan sponsor’s address 1 S. 161 SUMMIT, OAK BROOK TERRACE, IL, 60181
BALUCHI MEDICAL GROUP, LTD. CASH OR DEFERRED PROFIT-SHARING PLAN AND TRUST 2015 363051380 2016-09-09 BALUCHI MEDICAL GROUP, LTD. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-12-01
Business code 621111
Sponsor’s telephone number 6309328000
Plan sponsor’s address 1 S. 161 SUMMIT, OAK BROOK TERRACE, IL, 60181
BALUCHI MEDICAL GROUP, LTD. CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST 2015 363051380 2017-01-30 BALUCHI MEDICAL GROUP, LTD. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-12-01
Business code 621111
Sponsor’s telephone number 6304957000
Plan sponsor’s address 1 S. 161 SUMMIT, OAK BROOK TERRACE, IL, 60181
BALUCHI MEDICAL GROUP, LTD. CASH OR DEFERRED PROFIT-SHARING PLAN AND TRUST 2015 363051380 2016-09-09 BALUCHI MEDICAL GROUP, LTD. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-12-01
Business code 621111
Sponsor’s telephone number 6309328000
Plan sponsor’s address 1 S. 161 SUMMIT, OAK BROOK TERRACE, IL, 60181
BALUCHI MEDICAL GROUP, LTD. CASH OR DEFERRED PROFIT-SHARING PLAN AND TRUST 2014 363051380 2016-09-12 BALUCHI MEDICAL GROUP, LTD. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-12-01
Business code 621111
Sponsor’s telephone number 6304957000
Plan sponsor’s address 1 S. 161 SUMMIT, OAK BROOK TERRACE, IL, 60181
BALUCHI MEDICAL GROUP, LTD. 2013 363051380 2015-04-17 BALUCHI MEDICAL GROUP, LTD. 12
Three-digit plan number (PN) 001
Effective date of plan 1992-12-01
Business code 621111
Sponsor’s telephone number 6304957000
Plan sponsor’s address 1 S. 161 SUMMIT, OAK BROOK TERRACE, IL, 60181
BALUCHI MEDICAL GROUP, LTD. CASH OR DEFERRED PROFIT-SHARING PLAN 2013 363051380 2016-09-12 BALUCHI MEDICAL GROUP, LTD. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-12-01
Business code 621111
Sponsor’s telephone number 6309328000
Plan sponsor’s address 1 S. 161 SUMMIT, OAK BROOK TERRACE, IL, 60181

Agent

Name and Address Role Appointment Date
C T CORPORATION SYSTEM, 208 SO LASALLE ST, SUITE 814, CHICAGO, 60604, COOK-NOT IN CITY OF CHICAGO Agent 2017-01-13

President

Name and Address Role
AMJAD Z KHAN MD 1 SOUTH 161 SUMMIT AVE OAKBROOK TERRACE IL President

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042003918 No data No data REGISTERED MEDICAL CORPORATION No data 1979-12-17 2019-01-15 2022-01-01

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
IMMEDIATE CARE CENTRE OF OAK PARK Assume Name 2016-10-25 No data No data No data

Historical Names

Name Change Date
AMJAD Z. KHAN, M.D., LTD. 1994-08-03

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 1000000 No data

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State