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  5. ROSE GOMEZ, M.D., P.C.

ROSE GOMEZ, M.D., P.C.

Company Details

Entity Name: ROSE GOMEZ, M.D., P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 01 Jun 1982
Date of Dissolution: 13 Nov 2020
Company Number: CORP_52754615
File Number: 52754615
Type of Business: Incorporated under the Professional Service Corporation Act
Date Status Change: 13 Nov 2020
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROSE GOMEZ, M.D., P.C. PROFIT SHARING PLAN & TRUST 2020 363179797 2021-12-03 ROSE GOMEZ, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-06-01
Business code 621111
Sponsor’s telephone number 7084258900
Plan sponsor’s address 132 E. DELAWARE, SUITE 4906, CHICAGO, IL, 60611
ROSE GOMEZ, M.D., P.C. PROFIT SHARING PLAN & TRUST 2019 363179797 2021-03-15 ROSE GOMEZ, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-06-01
Business code 621111
Sponsor’s telephone number 7084258900
Plan sponsor’s address 132 E. DELAWARE, SUITE 4906, CHICAGO, IL, 60611
ROSE GOMEZ, M.D., P.C. PROFIT SHARING PLAN & TRUST 2018 363179797 2020-03-12 ROSE GOMEZ, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-06-01
Business code 621111
Sponsor’s telephone number 7084258900
Plan sponsor’s address 132 E. DELAWARE, SUITE 4906, CHICAGO, IL, 60611
ROSE GOMEZ, M.D., P.C. PROFIT SHARING PLAN & TRUST 2017 363179797 2019-03-12 ROSE GOMEZ, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-06-01
Business code 621111
Sponsor’s telephone number 7084258900
Plan sponsor’s address 132 E. DELAWARE, SUITE 4906, CHICAGO, IL, 60611
ROSE GOMEZ, M.D., P.C. PROFIT SHARING PLAN & TRUST 2016 363179797 2018-02-24 ROSE GOMEZ, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-06-01
Business code 621111
Sponsor’s telephone number 7084258900
Plan sponsor’s address 132 E. DELAWARE, SUITE 4906, CHICAGO, IL, 60611
ROSE GOMEZ, M.D., P.C. PROFIT SHARING PLAN & TRUST 2015 363179797 2016-12-12 ROSE GOMEZ, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-06-01
Business code 621111
Sponsor’s telephone number 7084258900
Plan sponsor’s address 132 E. DELAWARE, SUITE 4906, CHICAGO, IL, 60611
ROSE GOMEZ, M.D., P.C. PROFIT SHARING PLAN & TRUST 2014 363179797 2015-12-11 ROSE GOMEZ, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-06-01
Business code 621111
Sponsor’s telephone number 7084258900
Plan sponsor’s address 132 E. DELAWARE, SUITE 4906, CHICAGO, IL, 60611
ROSE GOMEZ, M.D., P.C. PROFIT SHARING PLAN & TRUST 2013 363179797 2014-12-01 ROSE GOMEZ, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-06-01
Business code 621111
Sponsor’s telephone number 7084258900
Plan sponsor’s address 132 E. DELAWARE, SUITE 4906, CHICAGO, IL, 60611
ROSE GOMEZ, M.D., P.C. PROFIT SHARING PLAN & TRUST 2012 363179797 2013-11-08 ROSE GOMEZ, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-06-01
Business code 621111
Sponsor’s telephone number 7084258900
Plan sponsor’s address 132 E. DELAWARE, SUITE 4906, CHICAGO, IL, 60611

Signature of
Role Plan administrator
Date 2013-11-08
Name of individual signing ROSE GOMEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-11-08
Name of individual signing ROSE GOMEZ
Valid signature Filed with authorized/valid electronic signature
ROSE GOMEZ, M.D., P.C. DEFINED BENEFIT PENSION PLAN AND TRUST 2011 363179797 2012-03-13 ROSE GOMEZ, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-06-01
Business code 621111
Sponsor’s telephone number 3126424864
Plan sponsor’s address 132 E. DELAWARE PLACE, #4906, CHICAGO, IL, 60611

Plan administrator’s name and address
Administrator’s EIN 363179797
Plan administrator’s name ROSE GOMEZ, M.D., P.C.
Plan administrator’s address 132 E. DELAWARE PLACE, #4906, CHICAGO, IL, 60611
Administrator’s telephone number 3126424864

Signature of
Role Plan administrator
Date 2012-03-13
Name of individual signing RICHARD HERDRICH
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
C T CORPORATION SYSTEM, 208 SO LASALLE ST, SUITE 814, CHICAGO, 60604, COOK-NOT IN CITY OF CHICAGO Agent 2017-09-08

President

Name and Address Role
ROSE GOMEZ MD, 875 N MICHIGANAVE/#3710, CHICAGO, IL, 60611 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COM No data Voting Rights 10000 1000000 1

Related by officers

C T CORPORATION SYSTEM, 208 SO LASALLE ST, SUITE 814, CHICAGO, 60604, COOK-NOT IN CITY OF CHICAGO

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Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State

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