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  5. FIRDAUSI F. MAZDA, M.D., S.C.

FIRDAUSI F. MAZDA, M.D., S.C.

Company Details

Entity Name: FIRDAUSI F. MAZDA, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 19 Dec 1980
Date of Dissolution: 10 May 2019
Company Number: CORP_52249325
File Number: 52249325
Date Status Change: 10 May 2019
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FIRDAUSI F. MAZDA, M.D., S.C. 401(K) PROFIT SHARING PLAN 2018 363107745 2019-04-25 FIRDAUSI F. MAZDA, M.D., S.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6309412646
Plan sponsor’s address 1714 MIDWEST CLUB PARKWAY, OAK BROOK, IL, 60521
FIRDAUSI F. MAZDA, M.D., S.C. 401(K) PROFIT SHARING PLAN 2017 363107745 2018-10-10 FIRDAUSI F. MAZDA, M.D., S.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6309412646
Plan sponsor’s address 1714 MIDWEST CLUB PARKWAY, OAK BROOK, IL, 60521
FIRDAUSI F. MAZDA, M.D., S.C. 401(K) PROFIT SHARING PLAN 2016 363107745 2017-10-16 FIRDAUSI F. MAZDA, M.D., S.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6309412646
Plan sponsor’s address 1714 MIDWEST CLUB PARKWAY, OAK BROOK, IL, 60521
FIRDAUSI F. MAZDA, M.D., S.C. 401(K) PROFIT SHARING PLAN 2015 363107745 2016-10-09 FIRDAUSI F. MAZDA, M.D., S.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6309412646
Plan sponsor’s address 1714 MIDWEST CLUB PARKWAY, OAK BROOK, IL, 60521
FIRDAUSI F. MAZDA, M.D., S.C. 401(K) PROFIT SHARING PLAN 2014 363107745 2015-10-14 FIRDAUSI F. MAZDA, M.D., S.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6309412646
Plan sponsor’s address 1714 MIDWEST CLUB PARKWAY, OAK BROOK, IL, 60521
FIRDAUSI F. MAZDA, M.D., S.C. RETIREMENT PLAN AND TRUST 2013 363107745 2014-10-11 FIRDAUSI F. MAZDA, M.D., S.C. 0
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6309412646
Plan sponsor’s address 1714 MIDWEST CLUB PARKWAY, OAK BROOK, IL, 60521
FIRDAUSI F. MAZDA, M.D., S.C. 401(K) PROFIT SHARING PLAN 2013 363107745 2014-10-11 FIRDAUSI F. MAZDA, M.D., S.C. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6309412646
Plan sponsor’s address 1714 MIDWEST CLUB PARKWAY, OAK BROOK, IL, 60521
FIRDAUSI F. MAZDA, M.D., S.C. RETIREMENT PLAN AND TRUST 2012 363107745 2013-10-13 FIRDAUSI F. MAZDA, M.D., S.C. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6309412646
Plan sponsor’s address 1714 MIDWEST CLUB PARKWAY, OAK BROOK, IL, 60521

Signature of
Role Plan administrator
Date 2013-10-13
Name of individual signing FIRDAUSI F. MAZDA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-13
Name of individual signing FIRDAUSI F. MAZDA
Valid signature Filed with authorized/valid electronic signature
FIRDAUSI F. MAZDA, M.D., S.C. 401(K) PROFIT SHARING PLAN 2012 363107745 2013-10-13 FIRDAUSI F. MAZDA, M.D., S.C. 1
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6309412646
Plan sponsor’s address 1714 MIDWEST CLUB PARKWAY, OAK BROOK, IL, 60521

Signature of
Role Plan administrator
Date 2013-10-13
Name of individual signing FIRDAUSI F. MAZDA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-13
Name of individual signing FIRDAUSI F. MAZDA
Valid signature Filed with authorized/valid electronic signature
FIRDAUSI F. MAZDA, M.D., S.C. RETIREMENT PLAN AND TRUST 2011 363107745 2012-10-02 FIRDAUSI F. MAZDA, M.D., S.C. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6309412646
Plan sponsor’s address 1714 MIDWEST CLUB PARKWAY, OAK BROOK, IL, 60521

Plan administrator’s name and address
Administrator’s EIN 363107745
Plan administrator’s name FIRDAUSI F. MAZDA, M.D., S.C.
Plan administrator’s address 1714 MIDWEST CLUB PARKWAY, OAK BROOK, IL, 60521
Administrator’s telephone number 6309412646

Signature of
Role Plan administrator
Date 2012-10-02
Name of individual signing FIRDAUSI F. MAZDA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-02
Name of individual signing FIRDAUSI F. MAZDA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MARVIN KAMENSKY, 7250 N CICERO AVE STE 200, LINCOLNWOOD, 60712, COOK-NOT IN CITY OF CHICAGO Agent 1991-05-09

President

Name and Address Role
FIRDAUSI F MAZDA, 1714 MIDWEST CLUB OAK BROOK 60523 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 1000000 No data

Related by officers

MARVIN KAMENSKY, 7250 N CICERO AVE STE 200, LINCOLNWOOD, 60712, COOK-NOT IN CITY OF CHICAGO

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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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