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  5. ROY Y. KUROTSUCHI M.D., S.C.

ROY Y. KUROTSUCHI M.D., S.C.

Company Details

Entity Name: ROY Y. KUROTSUCHI M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 06 Feb 1984
Date of Dissolution: 28 Mar 1989
Company Number: CORP_53344674
File Number: 53344674
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 28 Mar 1989
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CUSTOM CASE MANAGEMENT, LLC 401K PLAN 2012 205062791 2013-06-25 CUSTOM CASE MANAGEMENT, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541600
Sponsor’s telephone number 6307422151
Plan sponsor’s address P.O. BOX 266, BATAVIA, IL, 60510

Signature of
Role Plan administrator
Date 2013-06-25
Name of individual signing TRACEY BILUT
Valid signature Filed with authorized/valid electronic signature
CUSTOM CASE MANAGEMENT 401(K) PLAN 2011 205062791 2012-06-26 CUSTOM CASE MANAGEMENT, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541600
Sponsor’s telephone number 6307422151
Plan sponsor’s address 38 W 557 BLACKBERRY WAY, GENEVA, IL, 601343524

Plan administrator’s name and address
Administrator’s EIN 205062791
Plan administrator’s name CUSTOM CASE MANAGEMENT, LLC
Plan administrator’s address 38 W 557 BLACKBERRY WAY, GENEVA, IL, 601343524
Administrator’s telephone number 6307422151

Signature of
Role Plan administrator
Date 2012-06-26
Name of individual signing TRACEY BILUT
Valid signature Filed with authorized/valid electronic signature
CUSTOM CASE MANAGEMENT 401(K) PLAN 2010 205062791 2011-06-29 CUSTOM CASE MANAGEMENT, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541600
Sponsor’s telephone number 6307422151
Plan sponsor’s address 38 W 557 BLACKBERRY WAY, GENEVA, IL, 601343524

Plan administrator’s name and address
Administrator’s EIN 205062791
Plan administrator’s name CUSTOM CASE MANAGEMENT, LLC
Plan administrator’s address 38 W 557 BLACKBERRY WAY, GENEVA, IL, 601343524
Administrator’s telephone number 6307422151

Signature of
Role Plan administrator
Date 2011-06-29
Name of individual signing TRACEY BILUT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-29
Name of individual signing TRACEY BILUT
Valid signature Filed with authorized/valid electronic signature
CUSTOM CASE MANAGEMENT 401(K) PLAN 2009 205062791 2010-07-21 CUSTOM CASE MANAGEMENT, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541600
Sponsor’s telephone number 6307422151
Plan sponsor’s address 38 W 557 BLACKBERRY WAY, GENEVA, IL, 601343524

Plan administrator’s name and address
Administrator’s EIN 205062791
Plan administrator’s name CUSTOM CASE MANAGEMENT, LLC
Plan administrator’s address 38 W 557 BLACKBERRY WAY, GENEVA, IL, 601343524
Administrator’s telephone number 6307422151

Signature of
Role Plan administrator
Date 2010-07-21
Name of individual signing TRACEY BILUT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-21
Name of individual signing TRACEY BILUT
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ROY Y KUROTSUCHI, 1323 COMMUNITY MEMORIAL DRIVE, LA GRANGE, 60525, COOK-NOT IN CITY OF CHICAGO Agent 1984-02-06

President

Name and Address Role
ROY Y KUROTSUCHI, 1323 COMMUNITY MEMORIAL DR LA GRANGE 60525 President

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: 20 Jan 2025

Sources: Illinois Office of the Secretary of State

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