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GEORGE R. KAPUSTA, M.D., S.C.

Company Details

Entity Name: GEORGE R. KAPUSTA, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 07 Oct 1980
Date of Dissolution: 09 Mar 2012
Company Number: CORP_52182417
File Number: 52182417
Date Status Change: 09 Mar 2012
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GEORGE R. KAPUSTA, M.D., S.C. MONEY PURCHASE PLAN AND TRUST 2009 363097437 2010-02-11 GEORGE R. KAPUSTA, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-11-01
Business code 621111
Sponsor’s telephone number 6306553432
Plan sponsor’s address 422 BIRCHWOOD ROAD, HINSDALE, IL, 60521

Plan administrator’s name and address

Administrator’s EIN 363097437
Plan administrator’s name GEORGE R. KAPUSTA, M.D., S.C.
Plan administrator’s address 422 BIRCHWOOD ROAD, HINSDALE, IL, 60521
Administrator’s telephone number 6306553432

Signature of

Role Plan administrator
Date 2010-02-11
Name of individual signing GEORGE KAPUSTA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role
EDMUND G URBAN, 5320 W 159TH ST, OAK FOREST, 60452, COOK-NOT IN CITY OF CHICAGO Agent

President

Name and Address Role
GEORGE R KAPUSTA MD, 422 BIRCHWOOD RD HINSDALE 60521 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 100000 No data

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State