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DOWNERS GROVE FAMILY PRACTICE, P.C.

Company Details

Entity Name: DOWNERS GROVE FAMILY PRACTICE, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 27 Aug 1980
Date of Dissolution: 14 Jan 2022
Company Number: CORP_52147425
File Number: 52147425
Date Status Change: 14 Jan 2022
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DOWNERS GROVE FAMILY PRACTICE PC PROFIT SHARING PLAN 2014 363082235 2015-10-14 DOWNERS GROVE FAMILY PRACTICE, P.C. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6309635440
Plan sponsor’s address 4900 MAIN STREET, DOWNERS GROVE, IL, 60515
DOWNERS GROVE FAMILY PRACTICE PC PROFIT SHARING PLAN 2013 363082235 2014-10-15 DOWNERS GROVE FAMILY PRACTICE, P.C. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6309635440
Plan sponsor’s address 4900 MAIN STREET, DOWNERS GROVE, IL, 60515

Signature of

Role Plan administrator
Date 2014-10-15
Name of individual signing WILLIAM HULESCH
Valid signature Filed with authorized/valid electronic signature
DOWNERS GROVE FAMILY PRACTICE PC PROFIT SHARING PLAN 2012 363082235 2013-06-17 DOWNERS GROVE FAMILY PRACTICE, P.C. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6308093800
Plan sponsor’s address 4900 MAIN STREET, DOWNERS GROVE, IL, 60515

Signature of

Role Plan administrator
Date 2013-06-17
Name of individual signing JOSEPH SIEBERT
Valid signature Filed with authorized/valid electronic signature
DOWNERS GROVE FAMILY PRACTICE PC PROFIT SHARING PLAN 2011 363082235 2012-05-25 DOWNERS GROVE FAMILY PRACTICE, P.C. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6309635440
Plan sponsor’s address 4900 MAIN STREET, DOWNERS GROVE, IL, 60515

Plan administrator’s name and address

Administrator’s EIN 363082235
Plan administrator’s name DOWNERS GROVE FAMILY PRACTICE, P.C.
Plan administrator’s address 4900 MAIN STREET, DOWNERS GROVE, IL, 60515
Administrator’s telephone number 6309635440

Signature of

Role Plan administrator
Date 2012-05-25
Name of individual signing WILLIAM S HULESCH
Valid signature Filed with authorized/valid electronic signature
DOWNERS GROVE FAMILY PRACTICE PC PROFIT SHARING PLAN 2010 363082235 2011-05-09 DOWNERS GROVE FAMILY PRACTICE, P.C. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6309635440
Plan sponsor’s address 4900 MAIN STREET, DOWNERS GROVE, IL, 60515

Plan administrator’s name and address

Administrator’s EIN 363082235
Plan administrator’s name DOWNERS GROVE FAMILY PRACTICE, P.C.
Plan administrator’s address 4900 MAIN STREET, DOWNERS GROVE, IL, 60515
Administrator’s telephone number 6309635440

Signature of

Role Plan administrator
Date 2011-05-09
Name of individual signing WILLIAM S HULESCH
Valid signature Filed with authorized/valid electronic signature
DOWNERS GROVE FAMILY PRACTICE PC PROFIT SHARING PLAN 2009 363082235 2010-07-08 DOWNERS GROVE FAMILY PRACTICE, P.C. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6309635440
Plan sponsor’s address 4900 MAIN STREET, DOWNERS GROVE, IL, 60515

Plan administrator’s name and address

Administrator’s EIN 363082235
Plan administrator’s name DOWNERS GROVE FAMILY PRACTICE, P.C.
Plan administrator’s address 4900 MAIN STREET, DOWNERS GROVE, IL, 60515
Administrator’s telephone number 6309635440

Signature of

Role Plan administrator
Date 2010-07-08
Name of individual signing WILLIAM S HULESCH
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MICHAEL PHILIPP, 5201 WASHINGTON ST STE 2, DOWNERS GROVE, 60515, DU PAGE Agent 2020-05-07

President

Name and Address Role
WILLIAM S HULESCH, 4900 MAIN ST, DOWNERS GROVE IL 60515 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 4000 4000000 No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State