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MIDWEST GASTROENTEROLOGY ASSOCIATES, LTD.

Company Details

Entity Name: MIDWEST GASTROENTEROLOGY ASSOCIATES, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 01 Aug 1980
Company Number: CORP_52124379
File Number: 52124379
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIDWEST GASTROENTEROLOGY ASSOCIATES, LTD. 401(K) PLAN 2019 363086193 2020-02-11 MIDWEST GASTROENTEROLOGY ASSOCIATES, LTD 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-08-01
Business code 621111
Sponsor’s telephone number 7736125080
Plan sponsor’s address 56 DERBY COURT, OAK BROOK, IL, 605232650

Signature of

Role Plan administrator
Date 2020-02-01
Name of individual signing DHRUVA TILWALLI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-02-01
Name of individual signing DHRUVA TILWALLI
Valid signature Filed with authorized/valid electronic signature
MIDWEST GASTROENTEROLOGY ASSOCIATES, LTD. 401(K) PLAN 2018 363086193 2020-02-11 MIDWEST GASTROENTEROLOGY ASSOCIATES, LTD 11
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-08-01
Business code 621111
Sponsor’s telephone number 7736125080
Plan sponsor’s address 56 DERBY COURT, OAK BROOK, IL, 605232650

Signature of

Role Plan administrator
Date 2020-01-30
Name of individual signing DHRUVA TILWALLI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-01-30
Name of individual signing DHRUVA TILWALLI
Valid signature Filed with authorized/valid electronic signature
MIDWEST GASTROENTEROLOGY ASSOCIATES, LTD. 401(K) PLAN 2017 363086193 2019-05-10 MIDWEST GASTROENTEROLOGY ASSOCIATES, LTD 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-08-01
Business code 621111
Sponsor’s telephone number 7736125080
Plan sponsor’s address 56 DERBY COURT, OAK BROOK, IL, 605232650

Signature of

Role Plan administrator
Date 2019-05-10
Name of individual signing DHRUVA TILWALLI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-10
Name of individual signing DHRUVA TILWALLI
Valid signature Filed with authorized/valid electronic signature
MIDWEST GASTROENTEROLOGY ASSOCIATES, LTD. 401(K) PLAN 2016 363086193 2018-04-15 MIDWEST GASTROENTEROLOGY ASSOCIATES, LTD 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-08-01
Business code 621111
Sponsor’s telephone number 7736125080
Plan sponsor’s address 56 DERBY COURT, OAK BROOK, IL, 605232650

Signature of

Role Plan administrator
Date 2018-03-31
Name of individual signing DHRUVA TILWALLI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-31
Name of individual signing DHRUVA TILWALLI
Valid signature Filed with authorized/valid electronic signature
MIDWEST GASTROENTEROLOGY ASSOCIATES, LTD. 401(K) PLAN 2015 363086193 2017-05-10 MIDWEST GASTROENTEROLOGY ASSOCIATES, LTD 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-08-01
Business code 621111
Sponsor’s telephone number 7736125080
Plan sponsor’s address 56 DERBY COURT, OAK BROOK, IL, 605232650

Signature of

Role Plan administrator
Date 2017-05-06
Name of individual signing DHRUVA TILWALLI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-06
Name of individual signing DHRUVA TILWALLI
Valid signature Filed with authorized/valid electronic signature
MIDWEST GASTROENTEROLOGY ASSOCIATES, LTD. 401(K) PLAN 2014 363086193 2016-01-06 MIDWEST GASTROENTEROLOGY ASSOCIATES, LTD 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-08-01
Business code 621111
Sponsor’s telephone number 7736125080
Plan sponsor’s address 56 DERBY COURT, OAK BROOK, IL, 605232650

Signature of

Role Plan administrator
Date 2015-12-28
Name of individual signing DHRUVA TILWALLI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-12-28
Name of individual signing DHRUVA TILWALLI
Valid signature Filed with authorized/valid electronic signature
MIDWEST GASTROENTEROLOGY ASSOCIATES, LTD. 401(K) PLAN 2013 363086193 2015-05-06 MIDWEST GASTROENTEROLOGY ASSOCIATES, LTD 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-08-01
Business code 621111
Sponsor’s telephone number 6309861622
Plan sponsor’s address 56 DERBY COURT, OAK BROOK, IL, 605232650

Signature of

Role Plan administrator
Date 2015-05-04
Name of individual signing DHRUVA. TILWALLI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-04
Name of individual signing DHRUVA. TILWALLI
Valid signature Filed with authorized/valid electronic signature
MIDWEST GASTROENTEROLOGY ASSOCIATES, LTD. 401(K) PLAN 2012 363086193 2014-02-12 MIDWEST GASTROENTEROLOGY ASSOCIATES, LTD 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-08-01
Business code 621111
Sponsor’s telephone number 6309861622
Plan sponsor’s address 56 DERBY COURT, OAKBROOK, IL, 605232650

Signature of

Role Plan administrator
Date 2014-02-08
Name of individual signing DHRUVA TILWALLI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-02-08
Name of individual signing DHRUVA TILWALLI
Valid signature Filed with authorized/valid electronic signature
MIDWEST GASTROENTEROLOGY ASSOCIATES, LTD. 401(K) PLAN 2011 363086193 2013-04-26 MIDWEST GASTROENTEROLOGY ASSOCIATES, LTD 11
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-08-01
Business code 621111
Sponsor’s telephone number 6309861622
Plan sponsor’s address 56 DERBY COURT, OAKBROOK, IL, 605232650

Plan administrator’s name and address

Administrator’s EIN 363086193
Plan administrator’s name MIDWEST GASTROENTEROLOGY ASSOCIATES, LTD
Plan administrator’s address 56 DERBY COURT, OAKBROOK, IL, 605232650
Administrator’s telephone number 6309861622

Signature of

Role Plan administrator
Date 2013-04-24
Name of individual signing DHRUVA TILWALLI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-24
Name of individual signing DHRUVA TILWALLI
Valid signature Filed with authorized/valid electronic signature
MIDWEST GASTROENTEROLOGY ASSOCIATES, LTD. 401(K) PLAN 2010 363086193 2012-05-14 MIDWEST GASTROENTEROLOGY ASSOCIATES, LTD 11
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-08-01
Business code 621111
Sponsor’s telephone number 6309861622
Plan sponsor’s address 56 DERBY COURT, OAKBROOK, IL, 605232650

Plan administrator’s name and address

Administrator’s EIN 363086193
Plan administrator’s name MIDWEST GASTROENTEROLOGY ASSOCIATES, LTD
Plan administrator’s address 56 DERBY COURT, OAKBROOK, IL, 605232650
Administrator’s telephone number 6309861622

Signature of

Role Plan administrator
Date 2012-05-12
Name of individual signing DHRUVA TILWALLI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-12
Name of individual signing DHRUVA TILWALLI
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DHRUVA TILWALLI, 56 DERBY CT, OAK BROOK, 60523, DU PAGE Agent 2021-08-06

President

Name and Address Role
DHRUVA R TILWALLI M.D. (DI) 56 DERBY CT. OAK BROOK IL 60523 President

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042004192 No data No data REGISTERED MEDICAL CORPORATION No data 1980-08-05 2017-04-20 2018-01-01

Historical Names

Name Change Date
DHRUVA R. TILWALLI, M.D., S.C. 1993-10-05

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 100000 2000000 1

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State