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  5. MEDICAL CARE CENTER OF LAKE VILLA, S.C.

MEDICAL CARE CENTER OF LAKE VILLA, S.C.

Company Details

Entity Name: MEDICAL CARE CENTER OF LAKE VILLA, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 31 Mar 1981
Company Number: CORP_52342961
File Number: 52342961
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDICAL CARE CENTER OF LAKE VILLA, S.C. 401(K) PLAN 2023 363116466 2024-10-15 MEDICAL CARE CENTER OF LAKE VILLA, S.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8476026277
Plan sponsor’s address 213 S. MILWAUKEE AVE., LAKE VILLA, IL, 60046

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing MOHAMED NASR
Valid signature Filed with authorized/valid electronic signature
MEDICAL CARE CENTER OF LAKE VILLA, S.C. PENSION PLAN 2023 363116466 2024-10-04 MEDICAL CARE CENTER OF LAKE VILLA, S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8473569009
Plan sponsor’s address 213 S. MILWAUKEE AVE, LAKE VILLA, IL, 60046
MEDICAL CARE CENTER OF LAKE VILLA, S.C. 401(K) PLAN 2022 363116466 2023-10-13 MEDICAL CARE CENTER OF LAKE VILLA, S.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8476026277
Plan sponsor’s address 213 S. MILWAUKEE AVE., LAKE VILLA, IL, 60046

Signature of
Role Plan administrator
Date 2023-10-13
Name of individual signing MOHAMED NASR
Valid signature Filed with authorized/valid electronic signature
MEDICAL CARE CENTER OF LAKE VILLA, S.C. PENSION PLAN 2022 363116466 2023-08-15 MEDICAL CARE CENTER OF LAKE VILLA, S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8473569009
Plan sponsor’s address 213 S. MILWAUKEE AVE, LAKE VILLA, IL, 60046
MEDICAL CARE CENTER OF LAKE VILLA, S.C. PENSION PLAN 2021 363116466 2022-10-07 MEDICAL CARE CENTER OF LAKE VILLA, S.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8473569009
Plan sponsor’s address 213 S. MILWAUKEE AVE, LAKE VILLA, IL, 60046
MEDICAL CARE CENTER OF LAKE VILLA, S. C. 401(K) PLAN 2021 363116466 2022-10-11 MEDICAL CARE CENTER OF LAKE VILLA S.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8476026277
Plan sponsor’s address 213 S. MILWAUKEE AVE., LAKE VILLA, IL, 60046

Signature of
Role Plan administrator
Date 2022-10-11
Name of individual signing MOHAMED NASR
Valid signature Filed with authorized/valid electronic signature
MEDICAL CARE CENTER OF LAKE VILLA, S. C. 401(K) PLAN 2020 363116466 2021-10-13 MEDICAL CARE CENTER OF LAKE VILLA S.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8476026277
Plan sponsor’s address 213 S. MILWAUKEE AVE., LAKE VILLA, IL, 60046
MEDICAL CARE CENTER OF LAKE VILLA, S.C. PENSION PLAN 2020 363116466 2021-10-04 MEDICAL CARE CENTER OF LAKE VILLA, S.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8473569009
Plan sponsor’s address 213 S. MILWAUKEE AVE, LAKE VILLA, IL, 60046
MEDICAL CARE CENTER OF LAKE VILLA, S.C. 401(K) PLAN 2019 363116466 2020-10-02 MEDICAL CARE CENTER OF LAKE VILLA, S.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8473569009
Plan sponsor’s address 213 S. MILWAUKEE AVE, LAKE VILLA, IL, 60046
MEDICAL CARE CENTER OF LAKE VILLA, S.C. PENSION PLAN 2019 363116466 2020-10-07 MEDICAL CARE CENTER OF LAKE VILLA, S.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 8473569009
Plan sponsor’s address 213 S. MILWAUKEE AVE, LAKE VILLA, IL, 60046

Agent

Name and Address Role
M E NASR, 1431 TELEGRAPH RD, LAKE FOREST, 60045, LAKE Agent

President

Name and Address Role
MOHAMED NASR, 1431 TELEGRAPH ROAD, LAKE FOREST, IL, 60045 President

Historical Names

Name Change Date
M.E. NASR, M.D., S.C. 2010-03-18

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 5000 1000000 No data

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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