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  5. BLACK & BENDIXON, LTD.

BLACK & BENDIXON, LTD.

Company Details

Entity Name: BLACK & BENDIXON, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 24 Jun 1982
Company Number: CORP_52772559
File Number: 52772559
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MUNDELEIN PEDIATRICS, S.C. 401(K) PROFIT SHARING PLAN 2012 363052767 2013-09-19 MUNDELEIN PEDIATRICS, S.C. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-12-01
Business code 541990
Sponsor’s telephone number 8475487337
Plan sponsor’s address 1170 E. BELVIDERE RD, SUITE 106, GRAYSLAKE, IL, 60030

Signature of
Role Plan administrator
Date 2013-09-19
Name of individual signing DR. SHELLY MANN
Valid signature Filed with authorized/valid electronic signature
MUNDELEIN PEDIATRICS, S.C. 401(K) PROFIT SHARING PLAN 2011 363052767 2012-09-11 MUNDELEIN PEDIATRICS, S.C. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-12-01
Business code 541990
Sponsor’s telephone number 8475487337
Plan sponsor’s address 1170 E. BELVIDERE RD, SUITE 106, GRAYSLAKE, IL, 60030

Plan administrator’s name and address
Administrator’s EIN 363052767
Plan administrator’s name MUNDELEIN PEDIATRICS, S.C.
Plan administrator’s address 1170 E. BELVIDERE RD, SUITE 106, GRAYSLAKE, IL, 60030
Administrator’s telephone number 8475487337

Signature of
Role Plan administrator
Date 2012-09-11
Name of individual signing DR. SHELLY MANN
Valid signature Filed with authorized/valid electronic signature
MUNDELEIN PEDIATRICS, S.C. 401(K) PROFIT SHARING PLAN 2010 363052767 2011-10-04 MUNDELEIN PEDIATRICS, S.C. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-12-01
Business code 541990
Sponsor’s telephone number 8475487337
Plan sponsor’s address 1170 E. BELVIDERE RD, SUITE 106, GRAYSLAKE, IL, 60030

Plan administrator’s name and address
Administrator’s EIN 363052767
Plan administrator’s name MUNDELEIN PEDIATRICS, S.C.
Plan administrator’s address 1170 E. BELVIDERE RD, SUITE 106, GRAYSLAKE, IL, 60030
Administrator’s telephone number 8475487337

Signature of
Role Plan administrator
Date 2011-10-04
Name of individual signing DR. SHELLY MANN
Valid signature Filed with authorized/valid electronic signature
MUNDELEIN PEDIATRICS, S.C. 401(K) PROFIT SHARING PLAN 2009 363052767 2010-09-15 MUNDELEIN PEDIATRICS, S.C. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-12-01
Business code 541990
Sponsor’s telephone number 8475487337
Plan sponsor’s address 1170 E. BELVIDERE RD, SUITE 106, GRAYSLAKE, IL, 60030

Plan administrator’s name and address
Administrator’s EIN 363052767
Plan administrator’s name MUNDELEIN PEDIATRICS, S.C.
Plan administrator’s address 1170 E. BELVIDERE RD, SUITE 106, GRAYSLAKE, IL, 60030
Administrator’s telephone number 8475487337

Signature of
Role Plan administrator
Date 2010-09-14
Name of individual signing DR. SHELLY MANN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DANIEL S BENDIXON, 1299 COBBLERS CROSSING, ELGIN, 60120, COOK-NOT IN CITY OF CHICAGO Agent 1993-07-06

President

Name and Address Role
DANIEL S BENDIXON, 1299 COBBLERS, CROSSING, ELGIN, 60120 President

Secretary

Name and Address Role
KARLINE K BENDIXON Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
PLASTIC SERVICES GROUP Assume Name 1995-03-13 No data No data No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 200000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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