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MARK S. FELDMAN, M.D., P.C.

Company Details

Entity Name: MARK S. FELDMAN, M.D., P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 27 Jan 1983
Date of Dissolution: 18 Oct 2021
Company Number: CORP_52981484
File Number: 52981484
Date Status Change: 18 Oct 2021
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MARK S. FELDMAN, M.D., P.C. 401K PLAN 2019 371123307 2020-12-29 MARK S. FELDMAN, M.D., P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 6182333661
Plan sponsor’s address 311 W LINCOLN STREET, SUITE 100, BELLEVILLE, IL, 622201902

Plan administrator’s name and address

Administrator’s EIN 371123307
Plan administrator’s name MARK S. FELDMAN, M.D., P.C.
Plan administrator’s address 311 W. LINCOLN ST. STE 100, BELLEVILLE, IL, 622201902
Administrator’s telephone number 6182333661
MARK S. FELDMAN, M.D., P.C. 401K PLAN 2019 371123307 2020-07-01 MARK S. FELDMAN, M.D., P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 6182333661
Plan sponsor’s address 311 W LINCOLN ST STE 100, BELLEVILLE, IL, 622201902

Plan administrator’s name and address

Administrator’s EIN 371123307
Plan administrator’s name MARK S. FELDMAN, M.D., P.C.
Plan administrator’s address 311 W LINCOLN ST STE 100, BELLEVILLE, IL, 622201902
Administrator’s telephone number 6182333661

Signature of

Role Plan administrator
Date 2020-07-01
Name of individual signing MARK FELDMAN
Valid signature Filed with authorized/valid electronic signature
MARK S. FELDMAN, M.D., P.C. 401K PLAN 2018 371123307 2019-08-21 MARK S. FELDMAN, M.D., P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 6182333661
Plan sponsor’s address 311 W LINCOLN ST STE 100, BELLEVILLE, IL, 622201902

Plan administrator’s name and address

Administrator’s EIN 371123307
Plan administrator’s name MARK S. FELDMAN, M.D., P.C.
Plan administrator’s address 311 W LINCOLN ST STE 100, BELLEVILLE, IL, 622201902
Administrator’s telephone number 6182333661

Signature of

Role Plan administrator
Date 2019-08-21
Name of individual signing MARK FELDMAN
Valid signature Filed with authorized/valid electronic signature
MARK S. FELDMAN, M.D., P.C. 401K PLAN 2017 371123307 2018-07-18 MARK S. FELDMAN, M.D., P.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 6182333661
Plan sponsor’s address 311 W LINCOLN ST STE 100, BELLEVILLE, IL, 622201902

Plan administrator’s name and address

Administrator’s EIN 371123307
Plan administrator’s name MARK S. FELDMAN, M.D., P.C.
Plan administrator’s address 311 W LINCOLN ST STE 100, BELLEVILLE, IL, 622201902
Administrator’s telephone number 6182333661

Signature of

Role Plan administrator
Date 2018-07-18
Name of individual signing MARK FELDMAN
Valid signature Filed with authorized/valid electronic signature
MARK S. FELDMAN, M.D., P.C. 401K PLAN 2016 371123307 2017-09-04 MARK S. FELDMAN, M.D., P.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 6182333661
Plan sponsor’s address 311 W LINCOLN ST STE 100, BELLEVILLE, IL, 622201902

Plan administrator’s name and address

Administrator’s EIN 371123307
Plan administrator’s name MARK S. FELDMAN, M.D., P.C.
Plan administrator’s address 311 W LINCOLN ST STE 100, BELLEVILLE, IL, 622201902
Administrator’s telephone number 6182333661

Signature of

Role Plan administrator
Date 2017-09-04
Name of individual signing MARK FELDMAN
Valid signature Filed with authorized/valid electronic signature
MARK S. FELDMAN, M.D., P.C. 401K PLAN 2015 371123307 2016-08-14 MARK S. FELDMAN, M.D., P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 6182333661
Plan sponsor’s address 311 W LINCOLN ST STE 100, BELLEVILLE, IL, 622201902

Plan administrator’s name and address

Administrator’s EIN 371123307
Plan administrator’s name MARK S. FELDMAN, M.D., P.C.
Plan administrator’s address 311 W LINCOLN ST STE 100, BELLEVILLE, IL, 622201902
Administrator’s telephone number 6182333661

Signature of

Role Plan administrator
Date 2016-08-14
Name of individual signing MARK FELDMAN
Valid signature Filed with authorized/valid electronic signature
MARK S. FELDMAN, M.D., P.C. 401K PLAN 2014 371123307 2015-07-18 MARK S. FELDMAN, M.D., P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 6182333661
Plan sponsor’s address 311 W LINCOLN ST STE 100, BELLEVILLE, IL, 622201902

Plan administrator’s name and address

Administrator’s EIN 371123307
Plan administrator’s name MARK S. FELDMAN, M.D., P.C.
Plan administrator’s address 311 W LINCOLN ST STE 100, BELLEVILLE, IL, 622201902
Administrator’s telephone number 6182333661

Signature of

Role Plan administrator
Date 2015-07-18
Name of individual signing MARK FELDMAN
Valid signature Filed with authorized/valid electronic signature
MARK S. FELDMAN, M.D., P.C. 401K PLAN 2013 371123307 2014-06-21 MARK S. FELDMAN, M.D., P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 6182333661
Plan sponsor’s address 311 W LINCOLN ST STE 100, BELLEVILLE, IL, 622201902

Plan administrator’s name and address

Administrator’s EIN 371123307
Plan administrator’s name MARK S. FELDMAN, M.D., P.C.
Plan administrator’s address 311 W LINCOLN ST STE 100, BELLEVILLE, IL, 622201902
Administrator’s telephone number 6182333661

Signature of

Role Plan administrator
Date 2014-06-21
Name of individual signing MARK FELDMAN
Valid signature Filed with authorized/valid electronic signature
MARK S. FELDMAN, M.D., P.C. 401K PLAN 2012 371123307 2013-04-13 MARK S. FELDMAN, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 6182333661
Plan sponsor’s address 311 W LINCOLN ST STE 100, BELLEVILLE, IL, 622201902

Plan administrator’s name and address

Administrator’s EIN 371123307
Plan administrator’s name MARK S. FELDMAN, M.D., P.C.
Plan administrator’s address 311 W LINCOLN ST STE 100, BELLEVILLE, IL, 622201902
Administrator’s telephone number 6182333661

Signature of

Role Plan administrator
Date 2013-04-13
Name of individual signing MARK FELDMAN
Valid signature Filed with authorized/valid electronic signature
MARK S. FELDMAN, M.D., P.C. 401K PLAN 2011 371123307 2012-05-17 MARK S. FELDMAN, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1989-01-01
Business code 621111
Plan sponsor’s address 311 W LINCOLN ST STE 100, BELLEVILLE, IL, 622201902

Plan administrator’s name and address

Administrator’s EIN 371123307
Plan administrator’s name MARK S. FELDMAN, M.D., P.C.
Plan administrator’s address 311 W LINCOLN ST STE 100, BELLEVILLE, IL, 622201902
Administrator’s telephone number 6182333661

Signature of

Role Plan administrator
Date 2012-05-17
Name of individual signing MARK FELDMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BCRA CO, 161 NORTH CLARK ST SUITE 4300, CHICAGO, 60601, COOK-NOT IN CITY OF CHICAGO Agent 2011-07-18

President

Name and Address Role
MARK FELDMAN MD, 311 WEST LINCOLN, BELLEVILLE, IL, 62220 President

Shares

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

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State