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BELVIDERE OKTOBERFEST, INC.

Company Details

Entity Name: BELVIDERE OKTOBERFEST, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Dissolved
Date Formed: 28 Dec 1979
Date of Dissolution: 01 May 2003
Company Number: CORP_51942205
File Number: 51942205
Date Status Change: 01 May 2003
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH SHORE NEPHROLOGY, LTD. PROFIT SHARING PLAN 2011 362933759 2013-07-15 NORTH SHORE NEPHROLOGY, LTD. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-10-01
Business code 621111
Sponsor’s telephone number 8474327222
Plan sponsor’s address 767 PARK AVENUE WEST, SUITE 260, HIGHLAND PARK, IL, 60035

Plan administrator’s name and address

Administrator’s EIN 362933759
Plan administrator’s name NORTH SHORE NEPHROLOGY, LTD.
Plan administrator’s address 767 PARK AVENUE WEST, SUITE 260, HIGHLAND PARK, IL, 60035
Administrator’s telephone number 8474327222

Signature of

Role Plan administrator
Date 2013-07-15
Name of individual signing SHALINI PATEL, M.D.
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE NEPHROLOGY, LTD. PROFIT SHARING PLAN 2010 362933759 2012-04-30 NORTH SHORE NEPHROLOGY, LTD. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-10-01
Business code 621111
Sponsor’s telephone number 8474327222
Plan sponsor’s address 767 PARK AVENUE WEST, SUITE 260, HIGHLAND PARK, IL, 60035

Plan administrator’s name and address

Administrator’s EIN 362933759
Plan administrator’s name NORTH SHORE NEPHROLOGY, LTD.
Plan administrator’s address 767 PARK AVENUE WEST, SUITE 260, HIGHLAND PARK, IL, 60035
Administrator’s telephone number 8474327222

Signature of

Role Plan administrator
Date 2012-04-30
Name of individual signing LEE JENNINGS
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE NEPHROLOGY, LTD. PROFIT SHARING PLAN 2009 362933759 2011-03-10 NORTH SHORE NEPHROLOGY, LTD. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-10-01
Business code 621111
Sponsor’s telephone number 8474327222
Plan sponsor’s address 767 PARK AVENUE WEST, SUITE 260, HIGHLAND PARK, IL, 60035

Plan administrator’s name and address

Administrator’s EIN 362933759
Plan administrator’s name NORTH SHORE NEPHROLOGY, LTD.
Plan administrator’s address 767 PARK AVENUE WEST, SUITE 260, HIGHLAND PARK, IL, 60035
Administrator’s telephone number 8474327222

Signature of

Role Plan administrator
Date 2011-03-10
Name of individual signing DR. SHALINI PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-03-10
Name of individual signing DR. SHALINI PATEL
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE NEPHROLOGY, LTD. PROFIT SHARING PLAN 2009 362933759 2011-03-10 NORTH SHORE NEPHROLOGY, LTD. 7
Three-digit plan number (PN) 001
Effective date of plan 1984-10-01
Business code 621111
Sponsor’s telephone number 8474327222
Plan sponsor’s address 767 PARK AVENUE WEST, SUITE 260, HIGHLAND PARK, IL, 60035

Plan administrator’s name and address

Administrator’s EIN 362933759
Plan administrator’s name NORTH SHORE NEPHROLOGY, LTD.
Plan administrator’s address 767 PARK AVENUE WEST, SUITE 260, HIGHLAND PARK, IL, 60035
Administrator’s telephone number 8474327222

Agent

Name and Address Role Appointment Date
KENNETH E NETTLETON, 618 PEARL ST, BELVIDERE, 61008, BOONE Agent 1990-12-06

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State