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  5. HARSHAD M. MEHTA, M.D., S.C.

HARSHAD M. MEHTA, M.D., S.C.

Company Details

Entity Name: HARSHAD M. MEHTA, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 04 Feb 1982
Company Number: CORP_52639735
File Number: 52639735
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HARSHAD M. MEHTA, M.D., S.C. DEFINED CONTRIBUTION PENSION PLAN 2023 363158287 2024-02-22 HARSHAD M. MEHTA, M.D., S.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-02-04
Business code 621112
Sponsor’s telephone number 7088607270
Plan sponsor’s address 14142 WEST 131ST STREET, LEMONT, IL, 604396707

Signature of
Role Plan administrator
Date 2024-02-22
Name of individual signing HARSHAD MEHTA
Valid signature Filed with authorized/valid electronic signature
HARSHAD M. MEHTA, M.D., S.C. DEFINED CONTRIBUTION PENSION PLAN 2022 363158287 2023-05-18 HARSHAD M. MEHTA, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-02-04
Business code 621112
Sponsor’s telephone number 6303611208
Plan sponsor’s address 14142 WEST 131ST STREET, LEMONT, IL, 604396707

Signature of
Role Plan administrator
Date 2023-05-18
Name of individual signing HARSHAD MEHTA
Valid signature Filed with authorized/valid electronic signature
HARSHAD M. MEHTA, M.D., S.C. DEFINED CONTRIBUTION PENSION PLAN 2021 363158287 2022-03-05 HARSHAD M. MEHTA, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-02-04
Business code 621112
Sponsor’s telephone number 6303611208
Plan sponsor’s address 14142 WEST 131ST STREET, LEMONT, IL, 604396707

Signature of
Role Plan administrator
Date 2022-03-05
Name of individual signing HARSHAD MEHTA
Valid signature Filed with authorized/valid electronic signature
HARSHAD M. MEHTA, M.D., S.C. DEFINED CONTRIBUTION PENSION PLAN 2020 363158287 2021-03-09 HARSHAD M. MEHTA, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-02-04
Business code 621112
Sponsor’s telephone number 6303611208
Plan sponsor’s address 14142 WEST 131ST STREET, LEMONT, IL, 604396707

Signature of
Role Plan administrator
Date 2021-03-09
Name of individual signing HARSHAD MEHTA
Valid signature Filed with authorized/valid electronic signature
HARSHAD M. MEHTA, M.D., S.C. DEFINED CONTRIBUTION PENSION PLAN 2019 363158287 2020-05-19 HARSHAD M. MEHTA, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-02-04
Business code 621112
Sponsor’s telephone number 6303611208
Plan sponsor’s address 14142 WEST 131ST STREET, LEMONT, IL, 604396707

Signature of
Role Plan administrator
Date 2020-05-19
Name of individual signing HARSHAD MEHTA
Valid signature Filed with authorized/valid electronic signature
HARSHAD M. MEHTA, M.D., S.C. DEFINED CONTRIBUTION PENSION PLAN 2018 363158287 2019-08-04 HARSHAD M. MEHTA, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-02-04
Business code 621112
Sponsor’s telephone number 6303611208
Plan sponsor’s address 14142 WEST 131ST STREET, LEMONT, IL, 604396707

Signature of
Role Plan administrator
Date 2019-08-04
Name of individual signing HARSHAD MEHTA
Valid signature Filed with authorized/valid electronic signature
HARSHAD M. MEHTA, M.D., S.C. DEFINED CONTRIBUTION PENSION PLAN 2017 363158287 2018-04-21 HARSHAD M. MEHTA, M.D., S.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-02-04
Business code 621112
Sponsor’s telephone number 6303611208
Plan sponsor’s address 14142 WEST 131ST STREET, LEMONT, IL, 604396707

Signature of
Role Plan administrator
Date 2018-04-21
Name of individual signing HARSHAD MEHTA
Valid signature Filed with authorized/valid electronic signature
HARSHAD M. MEHTA, M.D., S.C. DEFINED CONTRIBUTION PENSION PLAN 2016 363158287 2017-08-19 HARSHAD M. MEHTA, M.D., S.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-02-04
Business code 621112
Sponsor’s telephone number 6303611208
Plan sponsor’s address 14142 WEST 131ST STREET, LEMONT, IL, 604396707

Signature of
Role Plan administrator
Date 2017-08-19
Name of individual signing HARSHAD MEHTA
Valid signature Filed with authorized/valid electronic signature
HARSHAD M. MEHTA, M.D., S.C. DEFINED CONTRIBUTION PENSION PLAN 2015 363158287 2016-07-27 HARSHAD M. MEHTA, M.D., S.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-02-04
Business code 621112
Sponsor’s telephone number 6303611208
Plan sponsor’s address 14142 WEST 131ST STREET, LEMONT, IL, 604396707

Plan administrator’s name and address
Administrator’s EIN 363158287
Plan administrator’s name HARSHAD M. MEHTA, M.D., S.C.
Plan administrator’s address 14142 WEST 131ST STREET, LEMONT, IL, 604396707
Administrator’s telephone number 6303611208

Signature of
Role Plan administrator
Date 2016-07-27
Name of individual signing HARSHAD MEHTA
Valid signature Filed with authorized/valid electronic signature
HARSHAD M. MEHTA, M.D., S.C. DEFINED CONTRIBUTION PENSION PLAN 2014 363158287 2015-08-12 HARSHAD M. MEHTA, M.D., S.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-02-04
Business code 621112
Sponsor’s telephone number 6303611208
Plan sponsor’s address 14142 WEST 131ST STREET, LEMONT, IL, 604396707

Plan administrator’s name and address
Administrator’s EIN 363158287
Plan administrator’s name HARSHAD M. MEHTA, M.D., S.C.
Plan administrator’s address 14142 WEST 131ST STREET, LEMONT, IL, 604396707
Administrator’s telephone number 6303611208

Signature of
Role Plan administrator
Date 2015-08-12
Name of individual signing HARSHAD MEHTA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
HARSHAD M MEHTA, 14142 W 131ST ST, LEMONT, 60439, COOK-NOT IN CITY OF CHICAGO Agent 1992-02-07

President

Name and Address Role
HARSHAD M MEHTA, 14142 W 131ST ST, LEMONT 60439 President

Secretary

Name and Address Role
HARSHAD M MEHTA Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 10000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 30 Jan 2025

Sources: Illinois Office of the Secretary of State

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