| Entity Name: | LIFE CENTER CHURCH OF DELIVERANCE |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Not-for-Profit |
| Status: | Goodstanding |
| Date Formed: | 15 Jun 1983 |
| Company Number: | CORP_53119506 |
| File Number: | 53119506 |
| Type of Business: | Not for Profit |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FIRDAUSI F. MAZDA, M.D., S.C. RETIREMENT PLAN AND TRUST | 2011 | 363107745 | 2012-10-02 | FIRDAUSI F. MAZDA, M.D., S.C. | 1 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 363107745 |
| Plan administrator’s name | FIRDAUSI F. MAZDA, M.D., S.C. |
| Plan administrator’s address | 1714 MIDWEST CLUB PARKWAY, OAK BROOK, IL, 60521 |
| Administrator’s telephone number | 6309412646 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-02 |
| Name of individual signing | FIRDAUSI F. MAZDA |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-10-02 |
| Name of individual signing | FIRDAUSI F. MAZDA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| LORENZO IRVING, 855 N MONTICELLO ST, CHICAGO, 60651, COOK-NOT IN CITY OF CHICAGO | Agent | 2013-01-08 |
Date of last update: 27 Jan 2025
