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  5. S. S. KURELLA, M.D., P.C.

S. S. KURELLA, M.D., P.C.

Company Details

Entity Name: S. S. KURELLA, M.D., P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 29 Oct 1980
Date of Dissolution: 24 Jan 2013
Company Number: CORP_52204631
File Number: 52204631
Date Status Change: 24 Jan 2013
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
S.S. KURELLA, M.D., P.C. 2009 371090446 2010-06-20 S.S. KURELLA, M.D., P.C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-11-11
Business code 621111
Sponsor’s telephone number 6184989502
Plan sponsor’s mailing address 270 MAPLE SUMMIT RD, JERSEYVILLE, IL, 62052
Plan sponsor’s address 270 MAPLE SUMMIT RD, JERSEYVILLE, IL, 62052

Plan administrator’s name and address
Administrator’s EIN 371090446
Plan administrator’s name S.S. KURELLA, M.D., P.C
Plan administrator’s address 270 MAPLE SUMMIT RD, JERSEYVILLE, IL, 62052
Administrator’s telephone number 6184989502

Number of participants as of the end of the plan year
Active participants 4
Number of participants with account balances as of the end of the plan year 4
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-06-20
Name of individual signing SRIRAMA KURELLA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-20
Name of individual signing SRIRAMA KURELLA
Valid signature Filed with authorized/valid electronic signature
S.S. KURELLA, M.D., P.C 2009 371090446 2010-06-20 S.S. KURELLA, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-11-11
Business code 621111
Sponsor’s telephone number 6184989502
Plan sponsor’s mailing address 270 MAPLE SUMMIT RD, JERSEYVILLE, IL, 62052
Plan sponsor’s address 270 MAPLE SUMMIT RD, JERSEYVILLE, IL, 62052

Plan administrator’s name and address
Administrator’s EIN 371090446
Plan administrator’s name S.S. KURELLA, M.D., P.C.
Plan administrator’s address 270 MAPLE SUMMIT RD, JERSEYVILLE, IL, 62052
Administrator’s telephone number 6184989502

Number of participants as of the end of the plan year
Active participants 4
Number of participants with account balances as of the end of the plan year 4

Signature of
Role Plan administrator
Date 2010-06-20
Name of individual signing SRIRAMA KURELLA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-20
Name of individual signing SRIRAMA KURELLA
Valid signature Filed with authorized/valid electronic signature
S.S. KURELLA, M.D., P.C 2009 371090446 2010-06-20 S.S. KURELLA, M.D., P.C. 3
Three-digit plan number (PN) 002
Effective date of plan 1980-11-11
Business code 621111
Sponsor’s telephone number 6184989502
Plan sponsor’s mailing address 270 MAPLE SUMMIT RD, JERSEYVILLE, IL, 62052
Plan sponsor’s address 270 MAPLE SUMMIT RD, JERSEYVILLE, IL, 62052

Plan administrator’s name and address
Administrator’s EIN 371090446
Plan administrator’s name S.S. KURELLA, M.D., P.C.
Plan administrator’s address 270 MAPLE SUMMIT RD, JERSEYVILLE, IL, 62052
Administrator’s telephone number 6184989502

Number of participants as of the end of the plan year
Active participants 4
Number of participants with account balances as of the end of the plan year 4

Signature of
Role Plan administrator
Date 2010-06-20
Name of individual signing SRIRAMA KURELLA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-20
Name of individual signing SRIRAMA KURELLA
Valid signature Filed with authorized/valid electronic signature
S.S. KURELLA, M.D., P.C 2009 371090446 2010-06-20 S.S. KURELLA, M.D., P.C. 3
Three-digit plan number (PN) 002
Effective date of plan 1980-11-11
Business code 621111
Sponsor’s telephone number 6184989502
Plan sponsor’s mailing address 270 MAPLE SUMMIT RD, JERSEYVILLE, IL, 62052
Plan sponsor’s address 270 MAPLE SUMMIT RD, JERSEYVILLE, IL, 62052

Plan administrator’s name and address
Administrator’s EIN 371090446
Plan administrator’s name S.S. KURELLA, M.D., P.C.
Plan administrator’s address 270 MAPLE SUMMIT RD, JERSEYVILLE, IL, 62052
Administrator’s telephone number 6184989502

Number of participants as of the end of the plan year
Active participants 4
Number of participants with account balances as of the end of the plan year 4

Signature of
Role Employer/plan sponsor
Date 2010-06-20
Name of individual signing SRIRAMA KURELLA
Valid signature Filed with authorized/valid electronic signature
S.S. KURELLA, M.D., P.C. 2009 371090446 2010-06-20 S.S. KURELLA, M.D., P.C 3
Three-digit plan number (PN) 001
Effective date of plan 1980-11-11
Business code 621111
Sponsor’s telephone number 6184989502
Plan sponsor’s mailing address 270 MAPLE SUMMIT RD, JERSEYVILLE, IL, 62052
Plan sponsor’s address 270 MAPLE SUMMIT RD, JERSEYVILLE, IL, 62052

Plan administrator’s name and address
Administrator’s EIN 371090446
Plan administrator’s name S.S. KURELLA, M.D., P.C
Plan administrator’s address 270 MAPLE SUMMIT RD, JERSEYVILLE, IL, 62052
Administrator’s telephone number 6184989502

Number of participants as of the end of the plan year
Active participants 4
Number of participants with account balances as of the end of the plan year 4
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Employer/plan sponsor
Date 2010-06-20
Name of individual signing SRIRAMA KURELLA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role
S S KURELLA, MAPLE SUMMIT RD MCDOW MED CLIN, JERSEYVILLE, 62052, JERSEY Agent

President

Name and Address Role
S S KURELLA, 270 MAPLE SUMMIT ROAD JERSEYVILLE 62052 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Rights Unknown 25000 1000000 1

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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