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  5. DOLTON MEDICAL ASSOCIATES, LTD.

DOLTON MEDICAL ASSOCIATES, LTD.

Company Details

Entity Name: DOLTON MEDICAL ASSOCIATES, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 06 Jul 1982
Company Number: CORP_52784581
File Number: 52784581
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DOLTON MEDICAL ASSOCIATES LTD PENSION PLAN 2011 363192815 2012-10-15 DOLTON MEDICAL ASSOCIATES LTD. No data
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 7088682300
Plan sponsor’s mailing address 1851 SIBLEY BLVD., CALUMET CITY, IL, 60409
Plan sponsor’s address 1851 SIBLEY BLVD., CALUMET CITY, IL, 60409

Plan administrator’s name and address
Administrator’s EIN 363192815
Plan administrator’s name DOLTON MEDICAL ASSOCIATES LTD.
Plan administrator’s address 1851 SIBLEY BLVD., CALUMET CITY, IL, 60409
Administrator’s telephone number 7088682300

Number of participants as of the end of the plan year
Active participants 0
Other retired or separated participants entitled to future benefits 5
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing EVANS FIAKPUI
Valid signature Filed with authorized/valid electronic signature
DOLTON MEDICAL ASSOCIATES LTD PENSION PLAN 2010 363192815 2011-10-14 DOLTON MEDICAL ASSOCIATES LTD. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 7088682300
Plan sponsor’s mailing address 1851 SIBLEY BLVD., CALUMET CITY, IL, 60409
Plan sponsor’s address 1851 SIBLEY BLVD., CALUMET CITY, IL, 60409

Plan administrator’s name and address
Administrator’s EIN 363192815
Plan administrator’s name DOLTON MEDICAL ASSOCIATES LTD.
Plan administrator’s address 1851 SIBLEY BLVD., CALUMET CITY, IL, 60409
Administrator’s telephone number 7088682300

Number of participants as of the end of the plan year
Active participants 5
Number of participants with account balances as of the end of the plan year 5

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing EVANS FIAKPUI
Valid signature Filed with authorized/valid electronic signature
DOLTON MEDICAL ASSOCIATES LTD PENSION PLAN 2010 363192815 2011-10-14 DOLTON MEDICAL ASSOCIATES LTD. 5
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 7088682300
Plan sponsor’s mailing address 1851 SIBLEY BLVD., CALUMET CITY, IL, 60409
Plan sponsor’s address 1851 SIBLEY BLVD., CALUMET CITY, IL, 60409

Plan administrator’s name and address
Administrator’s EIN 363192815
Plan administrator’s name DOLTON MEDICAL ASSOCIATES LTD.
Plan administrator’s address 1851 SIBLEY BLVD., CALUMET CITY, IL, 60409
Administrator’s telephone number 7088682300

Number of participants as of the end of the plan year
Active participants 5
Number of participants with account balances as of the end of the plan year 5

Signature of
Role Employer/plan sponsor
Date 2011-10-14
Name of individual signing EVANS FIAKPUI
Valid signature Filed with authorized/valid electronic signature
DOLTON MEDICAL ASSOCIATES LTD PENSION PLAN 2009 363192815 2011-10-14 DOLTON MEDICAL ASSOCIATES LTD. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 7088682300
Plan sponsor’s mailing address 1851 SIBLEY BLVD., CALUMET CITY, IL, 60409
Plan sponsor’s address 1851 SIBLEY BLVD., CALUMET CITY, IL, 60409

Plan administrator’s name and address
Administrator’s EIN 363192815
Plan administrator’s name DOLTON MEDICAL ASSOCIATES LTD.
Plan administrator’s address 1851 SIBLEY BLVD., CALUMET CITY, IL, 60409
Administrator’s telephone number 7088682300

Number of participants as of the end of the plan year
Active participants 5
Number of participants with account balances as of the end of the plan year 5

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing EVANS FIAKPUI
Valid signature Filed with authorized/valid electronic signature
DOLTON MEDICAL ASSOCIATES LTD PENSION PLAN 2009 363192815 2010-10-04 DOLTON MEDICAL ASSOCIATES LTD. 5
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 7088682300
Plan sponsor’s mailing address 1851 SIBLEY BLVD., CALUMET CITY, IL, 60409
Plan sponsor’s address 1851 SIBLEY BLVD., CALUMET CITY, IL, 60409

Plan administrator’s name and address
Administrator’s EIN 363192815
Plan administrator’s name DOLTON MEDICAL ASSOCIATES LTD.
Plan administrator’s address 1851 SIBLEY BLVD., CALUMET CITY, IL, 60409
Administrator’s telephone number 7088682300

Number of participants as of the end of the plan year
Active participants 5
Number of participants with account balances as of the end of the plan year 5

Signature of
Role Employer/plan sponsor
Date 2010-10-04
Name of individual signing EVANS FIAKPUI
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
RAMA R MEDAVARAM, 1851 SIBLEY BLVD, CALUMET CITY, 60409, COOK-NOT IN CITY OF CHICAGO Agent 2024-05-28

President

Name and Address Role
R MEDAVARAM, 1851 SIBLEY BLVDCALUMET CITY IL 60409 President

Secretary

Name and Address Role
H GANDHI Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 500000 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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