| Entity Name: | ANDY AGEN DAVIS, M.D., S.C. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 14 Jan 1981 |
| Date of Dissolution: | 14 Jun 2013 |
| Company Number: | CORP_52274958 |
| File Number: | 52274958 |
| Type of Business: | Business Corporations |
| Date Status Change: | 14 Jun 2013 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| M. AND S. ARAIN, M.D.S, S.C. EMPLOYEES' RETIREMENT PLAN | 2011 | 362985303 | 2013-03-19 | M. AND S. ARAIN, M.D.S, S.C. | 1 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 362985303 |
| Plan administrator’s name | M. AND S. ARAIN, M.D.S, S.C. |
| Plan administrator’s address | 4121 FAIRVIEW, SUITE 103, DOWNERS GROVE, IL, 60515 |
| Administrator’s telephone number | 6309682700 |
Signature of
| Role | Plan administrator |
| Date | 2013-03-19 |
| Name of individual signing | MOHAMMAD ARAIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-03-19 |
| Name of individual signing | MOHAMMAD ARAIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ROBERT I WERTHEIMER, 2 N LASALLE ST #1300, CHICAGO, 60602, COOK-NOT IN CITY OF CHICAGO | Agent | 2011-01-11 |
| Name and Address | Role |
|---|---|
| ANDY AGEN DAVIS, 8541 S STATE ST STE 8, CHICAGO 60619 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM | No data | Voting Rights | 1000 | 1000000 | No data |
Date of last update: 16 Jan 2025
