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  5. A.N. SHAH, INC.

A.N. SHAH, INC.

Company Details

Entity Name: A.N. SHAH, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 19 Feb 1982
Date of Dissolution: 11 Jul 2014
Company Number: CORP_52652243
File Number: 52652243
Type of Business: All Inclusive Purpose
Date Status Change: 11 Jul 2014
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
A. N. SHAH, INC. MONEY PURCHASE PENSION PLAN AND TRUST 2012 363170977 2013-07-17 A. N. SHAH, INC. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-02-01
Business code 621399
Sponsor’s telephone number 7734689000
Plan sponsor’s address 3040 SCOTT CRESCENT COURT, FLOSSMOOR, IL, 604221728

Signature of
Role Plan administrator
Date 2013-07-16
Name of individual signing ASHVIN SHAH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-16
Name of individual signing ASHVIN SHAH
Valid signature Filed with authorized/valid electronic signature
A. N. SHAH, INC. MONEY PURCHASE PENSION PLAN AND TRUST 2011 363170977 2012-10-23 A. N. SHAH, INC. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-02-01
Business code 621399
Sponsor’s telephone number 7087999449
Plan sponsor’s address 3040 SCOTT CRESCENT COURT, FLOSSMOOR, IL, 604221728

Plan administrator’s name and address
Administrator’s EIN 363170977
Plan administrator’s name A. N. SHAH, INC.
Plan administrator’s address 3040 SCOTT CRESCENT COURT, FLOSSMOOR, IL, 604221728
Administrator’s telephone number 7087999449

Signature of
Role Plan administrator
Date 2012-10-23
Name of individual signing ASHVIN SHAH
Valid signature Filed with authorized/valid electronic signature
A. N. SHAH, INC. MONEY PURCHASE PENSION PLAN AND TRUST 2010 363170977 2011-11-10 A. N. SHAH, INC. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-02-01
Business code 621399
Sponsor’s telephone number 7087999449
Plan sponsor’s address 3040 SCOTT CRESCENT COURT, FLOSSMOOR, IL, 604221728

Plan administrator’s name and address
Administrator’s EIN 363170977
Plan administrator’s name A. N. SHAH, INC.
Plan administrator’s address 3040 SCOTT CRESCENT COURT, FLOSSMOOR, IL, 604221728
Administrator’s telephone number 7087999449

Signature of
Role Plan administrator
Date 2011-11-10
Name of individual signing ASHVIN SHAH
Valid signature Filed with authorized/valid electronic signature
A. N. SHAH, INC. MONEY PURCHASE PENSION PLAN AND TRUST 2009 363170977 2010-10-26 A. N. SHAH, INC. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-02-01
Business code 621399
Sponsor’s telephone number 7087999449
Plan sponsor’s address 3040 SCOTT CRESCENT COURT, FLOSSMOOR, IL, 604221728

Plan administrator’s name and address
Administrator’s EIN 363170977
Plan administrator’s name A. N. SHAH, INC.
Plan administrator’s address 3040 SCOTT CRESCENT COURT, FLOSSMOOR, IL, 604221728
Administrator’s telephone number 7087999449

Signature of
Role Plan administrator
Date 2010-10-26
Name of individual signing ASHVIN SHAH
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
A N SHAH, 3040 SCOTT CRESCENT, FLOSSMOOR, 60422, COOK-NOT IN CITY OF CHICAGO Agent 1995-02-23

President

Name and Address Role
ASHVIN SHAH, 3040 SCOTT CRESCENT FLOSSMOOR 60422 President

Historical Names

Name Change Date
A.N. SHAH M.D. S.C. 1994-02-24

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COM No data Voting Rights 2000 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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