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  5. MORTON S. BALABAN, INC.

MORTON S. BALABAN, INC.

Company Details

Entity Name: MORTON S. BALABAN, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 17 Feb 1981
Date of Dissolution: 01 Jul 2003
Company Number: CORP_52299748
File Number: 52299748
Date Status Change: 01 Jul 2003
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
STAUNTON CLINIC LLC RETIREMENT SAVINGS PLAN 2011 202573179 2012-06-13 STAUNTON CLINIC LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6186353800
Plan sponsor’s address 444 N. EDWARDSVILLE ST., STAUNTON, IL, 62088

Plan administrator’s name and address
Administrator’s EIN 202573179
Plan administrator’s name STAUNTON CLINIC LLC
Plan administrator’s address 444 N. EDWARDSVILLE ST., STAUNTON, IL, 62088
Administrator’s telephone number 6186353800

Signature of
Role Plan administrator
Date 2012-06-12
Name of individual signing BRYAN SIEGFRIED
Valid signature Filed with authorized/valid electronic signature
STAUNTON CLINIC LLC RETIREMENT SAVINGS PLAN 2010 202573179 2011-07-29 STAUNTON CLINIC LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6186353800
Plan sponsor’s address 444 N. EDWARDSVILLE ST., STAUNTON, IL, 62088

Plan administrator’s name and address
Administrator’s EIN 202573179
Plan administrator’s name STAUNTON CLINIC LLC
Plan administrator’s address 444 N. EDWARDSVILLE ST., STAUNTON, IL, 62088
Administrator’s telephone number 6186353800

Signature of
Role Plan administrator
Date 2011-07-28
Name of individual signing BRYAN SIEGFRIED
Valid signature Filed with authorized/valid electronic signature
STAUNTON CLINIC LLC RETIREMENT SAVINGS PLAN 2009 202573179 2010-07-28 STAUNTON CLINIC LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6186353800
Plan sponsor’s address 444 N. EDWARDSVILLE ST., STAUNTON, IL, 62088

Plan administrator’s name and address
Administrator’s EIN 202573179
Plan administrator’s name STAUNTON CLINIC LLC
Plan administrator’s address 444 N. EDWARDSVILLE ST., STAUNTON, IL, 62088
Administrator’s telephone number 6186353800

Signature of
Role Plan administrator
Date 2010-07-28
Name of individual signing BRYAN SIEGFRIED
Valid signature Filed with authorized/valid electronic signature
STAUNTON CLINIC LLC RETIREMENT SAVINGS PLAN 2009 202573179 2010-06-29 STAUNTON CLINIC LLC 15
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6186353800
Plan sponsor’s address 444 N. EDWARDSVILLE ST., STAUNTON, IL, 62088

Plan administrator’s name and address
Administrator’s EIN 202573179
Plan administrator’s name STAUNTON CLINIC LLC
Plan administrator’s address 444 N. EDWARDSVILLE ST., STAUNTON, IL, 62088
Administrator’s telephone number 6186353800

Signature of
Role Employer/plan sponsor
Date 2010-06-29
Name of individual signing BRYAN SIEGFRIED
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MORTON S BALABAN, 2518 W PETERSON, CHICAGO, 60659, COOK-NOT IN CITY OF CHICAGO Agent 1984-03-19

President

Name and Address Role
MORTON S BALABAN, 2518 W PETERSON AVE CHICAGO 60659 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 100000 1000000 1

Related by officers

MORTON S BALABAN, 2518 W PETERSON AVE CHICAGO 60659

BUILDING DEVELOPMENT CORPORATION

MORTON S BALABAN, 2518 W PETERSON, CHICAGO, 60659, COOK-NOT IN CITY OF CHICAGO

BUILDING DEVELOPMENT CORPORATION

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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