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  5. JEFFREY T. FIERSTEIN, M.D., P.C.

JEFFREY T. FIERSTEIN, M.D., P.C.

Company Details

Entity Name: JEFFREY T. FIERSTEIN, M.D., P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 13 Aug 1980
Date of Dissolution: 14 Jan 2022
Company Number: CORP_52135494
File Number: 52135494
Type of Business: Incorporated under the Professional Service Corporation Act
Date Status Change: 14 Jan 2022
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ILLINOIS EAR, NOSE & THROAT ASSOCIATES, P.C. PROFIT SHARING PLAN 2020 371086908 2021-07-28 ILLINOIS EAR, NOSE & THROAT ASSOCIATES, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6184511800
Plan sponsor’s address 9 GLEN ED PROFESSIONAL PARK, GLEN CARBON, IL, 62034

Signature of
Role Plan administrator
Date 2021-07-28
Name of individual signing JEFFREY T. FIERSTEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-28
Name of individual signing JEFFREY T. FIERSTEIN
Valid signature Filed with authorized/valid electronic signature
ILLINOIS EAR, NOSE & THROAT ASSOCIATES, P.C. 2019 371086908 2020-07-29 ILLINOIS EAR, NOSE & THROAT ASSOCIATES, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6184511800
Plan sponsor’s address 9 GLEN ED PROFESSIONAL PARK, GLEN CARBON, IL, 62034

Signature of
Role Plan administrator
Date 2020-07-29
Name of individual signing JEFFREY T. FIERSTEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-29
Name of individual signing JEFFREY T. FIERSTEIN
Valid signature Filed with authorized/valid electronic signature
ILLINOIS EAR, NOSE & THROAT ASSOCIATES, P.C. 2018 371086908 2019-07-31 ILLINOIS EAR, NOSE & THROAT ASSOCIATES, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6184511800
Plan sponsor’s address 9 GLEN ED PROFESSIONAL PARK, GLEN CARBON, IL, 62034

Signature of
Role Plan administrator
Date 2019-07-31
Name of individual signing JEFFREY T. FIERSTEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-31
Name of individual signing JEFFREY T. FIERSTEIN
Valid signature Filed with authorized/valid electronic signature
ILLINOIS EAR, NOSE & THROAT ASSOCIATES, P.C. 2017 371086908 2018-07-12 ILLINOIS EAR, NOSE & THROAT ASSOCIATES, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6184511800
Plan sponsor’s address 2120 MADISON AVENUE, SUITE 200, GRANITE CITY, IL, 62040

Signature of
Role Plan administrator
Date 2018-07-12
Name of individual signing JEFFREY T. FIERSTEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-12
Name of individual signing JEFFREY T. FIERSTEIN
Valid signature Filed with authorized/valid electronic signature
ILLINOIS EAR, NOSE & THROAT ASSOCIATES, P.C. 2016 371086908 2017-07-11 ILLINOIS EAR, NOSE & THROAT ASSOCIATES, P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6184511800
Plan sponsor’s address 2120 MADISON AVENUE, SUITE 200, GRANITE CITY, IL, 62040

Signature of
Role Plan administrator
Date 2017-07-11
Name of individual signing JEFFREY T. FIERSTEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-11
Name of individual signing JEFFREY T. FIERSTEIN
Valid signature Filed with authorized/valid electronic signature
ILLINOIS EAR, NOSE & THROAT ASSOCIATES, P.C. 2015 371086908 2016-07-14 ILLINOIS EAR, NOSE & THROAT ASSOCIATES, P.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6184511800
Plan sponsor’s address 2120 MADISON AVENUE, SUITE 200, GRANITE CITY, IL, 62040

Signature of
Role Plan administrator
Date 2016-07-14
Name of individual signing JEFFREY T. FIERSTEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-14
Name of individual signing JEFFREY T. FIERSTEIN
Valid signature Filed with authorized/valid electronic signature
ILLINOIS EAR NOSE THROAT ASSOCIATES PC 2014 371086908 2015-08-11 ILLINOIS EAR, NOSE & THROAT ASSOCIATES, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6184511800
Plan sponsor’s address 2120 MADISON AVENUE, SUITE 200, GRANITE CITY, IL, 62040

Signature of
Role Plan administrator
Date 2015-08-11
Name of individual signing JEFFREY T. FIERSTEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-11
Name of individual signing JEFFREY T. FIERSTEIN
Valid signature Filed with authorized/valid electronic signature
ILLINOIS EAR, NOSE & THROAT ASSOCIATES, P.C. PROFIT SHARING PLAN 2013 371086908 2014-07-24 ILLINOIS EAR, NOSE & THROAT ASSOCIATES, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6184511800
Plan sponsor’s address 2120 MADISON AVENUE, SUITE 200, GRANITE CITY, IL, 62040

Signature of
Role Plan administrator
Date 2014-07-24
Name of individual signing JEFFREY T. FIERSTEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-24
Name of individual signing JEFFREY T. FIERSTEIN
Valid signature Filed with authorized/valid electronic signature
ILLINOIS EAR, NOSE & THROAT ASSOCIATES, P.C. PROFIT SHARING PLAN 2012 371086908 2013-05-29 ILLINOIS EAR, NOSE & THROAT ASSOCIATES, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6184511800
Plan sponsor’s address 2120 MADISON AVENUE, SUITE 200, GRANITE CITY, IL, 62040

Signature of
Role Plan administrator
Date 2013-05-29
Name of individual signing JEFFREY T. FIERSTEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-29
Name of individual signing JEFFREY T. FIERSTEIN
Valid signature Filed with authorized/valid electronic signature
ILLINOIS EAR, NOSE & THROAT ASSOCIATES, P.C. PROFIT SHARING PLAN 2011 371086908 2012-07-25 ILLINOIS EAR, NOSE & THROAT ASSOCIATES, P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6184511800
Plan sponsor’s address 2120 MADISON AVENUE, SUITE 200, GRANITE CITY, IL, 62040

Plan administrator’s name and address
Administrator’s EIN 371086908
Plan administrator’s name ILLINOIS EAR, NOSE & THROAT ASSOCIATES, P.C.
Plan administrator’s address 2120 MADISON AVENUE, SUITE 200, GRANITE CITY, IL, 62040
Administrator’s telephone number 6184511800

Signature of
Role Plan administrator
Date 2012-07-25
Name of individual signing JEFFREY T. FIERSTEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-25
Name of individual signing JEFFREY T. FIERSTEIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MIKE WENZEL, 2810 FRANK SCOTT PKWY W #700, BELLEVILLE, 62223, ST. CLAIR Agent 2010-07-30

President

Name and Address Role
JEFFREY T FIERSTEIN, 24 THE BOULEVARD ST LOUIS MO 63117 President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
ILLINOIS EAR, NOSE & THROAT ASSOCIATES, P.C. No data 1988-01-29 2021-01-02 Involuntary Cancellation No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 100 100000 10

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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