GNG X, INC.

Company Details

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

MOHIN TISSA SAMARAWEERA, M.D., S.C. PROFIT SHARING PLAN

2012

363075818

2013-06-03

MOHIN TISSA SAMARAWEERA, M.D., S.C.

Plan administrator’s name and address

Administrator’s EIN	363075818
Plan administrator’s name	MOHIN TISSA SAMARAWEERA, M.D., S.C.
Plan administrator’s address	24016 W MAIN ST, PLAINFIELD, IL, 605442232
Administrator’s telephone number	8154367303

Signature of

Role	Plan administrator
Date	2013-06-03
Name of individual signing	MOHIN TISSA SAMARAWEERA, M.D.
Valid signature	Filed with authorized/valid electronic signature

MOHIN TISSA SAMARAWEERA, M.D., S.C. PROFIT SHARING PLAN

2011

363075818

2012-08-16

MOHIN TISSA SAMARAWEERA, M.D., S.C.

Plan administrator’s name and address

Administrator’s EIN	363075818
Plan administrator’s name	MOHIN TISSA SAMARAWEERA, M.D., S.C.
Plan administrator’s address	24016 W MAIN ST, PLAINFIELD, IL, 605442232
Administrator’s telephone number	8154367303

Signature of

Role	Plan administrator
Date	2012-08-16
Name of individual signing	MOHIN TISSA SAMARAWEERA, M.D.
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role	Appointment Date
M JOANN NEWELL, 637 HILLSBORO ST, EDWARDSVILLE, 62025, MADISON	Agent	1989-04-10

Name and Address	Role
JAMES R VAN LAANE, 100 N BROADWAY #1201, ST LOUIS MO 63102	President

Class	Series	Voting Rights	Authorized Shares	Issued Shares	Par Value
COMM	No data	Voting Rights	1000000	2000000	No data

Date of last update: 13 Jan 2025