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  5. JAMES A. NEVIACKAS, M.D., LTD.

JAMES A. NEVIACKAS, M.D., LTD.

Company Details

Entity Name: JAMES A. NEVIACKAS, M.D., LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 18 Nov 1981
Date of Dissolution: 01 Apr 1997
Company Number: CORP_52571782
File Number: 52571782
Date Status Change: 01 Apr 1997
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVIS HARRISON DION, INC. PROFIT SHARING PLAN 2011 363030044 2013-03-07 DAVIS HARRISON DION, INC. 29
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 541800
Sponsor’s telephone number 3123320808
Plan sponsor’s address 333 NORTH MICHIGAN AVENUE, SUITE 2300, CHICAGO, IL, 60601

Plan administrator’s name and address
Administrator’s EIN 363030044
Plan administrator’s name DAVIS HARRISON DION, INC.
Plan administrator’s address 333 NORTH MICHIGAN AVENUE, SUITE 2300, CHICAGO, IL, 60601
Administrator’s telephone number 3123320808

Signature of
Role Plan administrator
Date 2013-03-07
Name of individual signing DOUGLAS D. DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-03-07
Name of individual signing DOUGLAS D. DAVIS
Valid signature Filed with authorized/valid electronic signature
DAVIS HARRISON DION, INC. PROFIT SHARING PLAN 2011 363030044 2013-03-12 DAVIS HARRISON DION, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 541800
Sponsor’s telephone number 3123320808
Plan sponsor’s address 333 NORTH MICHIGAN AVENUE, SUITE 2300, CHICAGO, IL, 60601

Plan administrator’s name and address
Administrator’s EIN 363030044
Plan administrator’s name DAVIS HARRISON DION, INC.
Plan administrator’s address 333 NORTH MICHIGAN AVENUE, SUITE 2300, CHICAGO, IL, 60601
Administrator’s telephone number 3123320808

Signature of
Role Plan administrator
Date 2013-03-12
Name of individual signing DOUGLAS D . DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-03-12
Name of individual signing DOUGLAS D . DAVIS
Valid signature Filed with authorized/valid electronic signature
DAVIS HARRISON DION, INC. PROFIT SHARING PLAN 2010 363030044 2012-02-29 DAVIS HARRISON DION, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 541800
Sponsor’s telephone number 3123320808
Plan sponsor’s address 333 NORTH MICHIGAN AVENUE, SUITE 2300, CHICAGO, IL, 60601

Plan administrator’s name and address
Administrator’s EIN 363030044
Plan administrator’s name DAVIS HARRISON DION, INC.
Plan administrator’s address 333 NORTH MICHIGAN AVENUE, SUITE 2300, CHICAGO, IL, 60601
Administrator’s telephone number 3123320808

Signature of
Role Plan administrator
Date 2012-02-29
Name of individual signing DOUGLAS D. DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-02-29
Name of individual signing DOUGLAS D. DAVIS
Valid signature Filed with authorized/valid electronic signature
DAVIS HARRISON DION, INC. PROFIT SHARING PLAN 2009 363030044 2011-03-14 DAVIS HARRISON DION, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 541800
Sponsor’s telephone number 3123320808
Plan sponsor’s address 333 NORTH MICHIGAN AVENUE, SUITE 2300, CHICAGO, IL, 60601

Plan administrator’s name and address
Administrator’s EIN 363030044
Plan administrator’s name DAVIS HARRISON DION, INC.
Plan administrator’s address 333 NORTH MICHIGAN AVENUE, SUITE 2300, CHICAGO, IL, 60601
Administrator’s telephone number 3123320808

Signature of
Role Plan administrator
Date 2011-03-14
Name of individual signing DOUGLAS D. DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-03-14
Name of individual signing DOUGLAS D. DAVIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JAMES A NEVIACKAS, 2487 N MONROE, DECATUR, 62526, MACON Agent 1993-11-16

President

Name and Address Role
JAMES A NEVIACKAS, 2487 N MONROE, DECATUR 62526 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 9000000 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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