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  5. RONALD E. KURZEJKA, M.D., P.C.

RONALD E. KURZEJKA, M.D., P.C.

Company Details

Entity Name: RONALD E. KURZEJKA, M.D., P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 06 Dec 1983
Date of Dissolution: 14 May 2010
Company Number: CORP_53281796
File Number: 53281796
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 14 May 2010
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. SECTION 401(K) PLAN 2012 363130217 2013-08-22 OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-06-01
Business code 621111
Sponsor’s telephone number 8476803400
Plan sponsor’s address 801 S. MILWAUKEE AVENUE, SUITE 100, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2013-08-22
Name of individual signing EILEEN MORRISON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-08-22
Name of individual signing EILEEN MORRISON
Valid signature Filed with authorized/valid electronic signature
OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. SECTION 401(K) PLAN 2011 363130217 2012-07-25 OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-06-01
Business code 621111
Sponsor’s telephone number 8476803400
Plan sponsor’s address 801 S. MILWAUKEE AVENUE, SUITE 100, LIBERTYVILLE, IL, 60048

Plan administrator’s name and address
Administrator’s EIN 363130217
Plan administrator’s name OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C.
Plan administrator’s address 801 S. MILWAUKEE AVENUE, SUITE 100, LIBERTYVILLE, IL, 60048
Administrator’s telephone number 8476803400

Signature of
Role Plan administrator
Date 2012-07-25
Name of individual signing EILEEN MORRISON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-25
Name of individual signing EILEEN MORRISON
Valid signature Filed with authorized/valid electronic signature
OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. SECTION 401(K) PLAN 2010 363130217 2011-07-27 OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-06-01
Business code 621111
Sponsor’s telephone number 8476803400
Plan sponsor’s address 801 S. MILWAUKEE AVENUE, SUITE 100, LIBERTYVILLE, IL, 60048

Plan administrator’s name and address
Administrator’s EIN 363130217
Plan administrator’s name OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C.
Plan administrator’s address 801 S. MILWAUKEE AVENUE, SUITE 100, LIBERTYVILLE, IL, 60048
Administrator’s telephone number 8476803400

Signature of
Role Plan administrator
Date 2011-07-27
Name of individual signing EILEEN MORRISON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-27
Name of individual signing EILEEN MORRISON
Valid signature Filed with authorized/valid electronic signature
OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. SECTION 401(K) PLAN 2010 363130217 2011-07-27 OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. 18
Three-digit plan number (PN) 002
Effective date of plan 1991-06-01
Business code 621111
Sponsor’s telephone number 8476803400
Plan sponsor’s address 801 S. MILWAUKEE AVENUE, SUITE 100, LIBERTYVILLE, IL, 60048

Plan administrator’s name and address
Administrator’s EIN 363130217
Plan administrator’s name OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C.
Plan administrator’s address 801 S. MILWAUKEE AVENUE, SUITE 100, LIBERTYVILLE, IL, 60048
Administrator’s telephone number 8476803400

Signature of
Role Plan administrator
Date 2011-07-27
Name of individual signing EILEEN MORRISON
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-07-27
Name of individual signing EILEEN MORRISON
Valid signature Filed with incorrect/unrecognized electronic signature
OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. SECTION 401(K) PLAN 2009 363130217 2010-09-30 OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-06-01
Business code 621111
Sponsor’s telephone number 8476803400
Plan sponsor’s address 801 S. MILWAUKEE AVENUE, SUITE 100, LIBERTYVILLE, IL, 60048

Plan administrator’s name and address
Administrator’s EIN 363130217
Plan administrator’s name OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C.
Plan administrator’s address 801 S. MILWAUKEE AVENUE, SUITE 100, LIBERTYVILLE, IL, 60048
Administrator’s telephone number 8476803400

Signature of
Role Plan administrator
Date 2010-09-30
Name of individual signing EILEEN MORRISON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-30
Name of individual signing EILEEN MORRISON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
RONALD EDWARD KURZEJKA, 2483 POTTER TURN, KANKAKEE, 60901, KANKAKEE Agent 1991-12-02

President

Name and Address Role
RONALD E KURZEJKA, 2483 POTTER TURN, KANKAKEE 60901 President

Historical Names

Name Change Date
RONALD EDWARD KURZEJKA, M.D., P.C. 1984-07-11

Shares

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