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  5. FOX VALLEY INTERNAL MEDICINE ASSOCIATES, S.C.

FOX VALLEY INTERNAL MEDICINE ASSOCIATES, S.C.

Company Details

Entity Name: FOX VALLEY INTERNAL MEDICINE ASSOCIATES, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 08 Nov 1984
Date of Dissolution: 13 Apr 2012
Company Number: CORP_53642586
File Number: 53642586
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 13 Apr 2012
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FOX VALLEY INTERNAL MEDICINE ASSOCIATES, S.C. PROFIT SHARING PLAN 2012 363328642 2013-04-30 FOX VALLEY INTERNAL MEDICINE ASSOCIATES, S.C. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-12-01
Business code 621111
Sponsor’s telephone number 6308301900
Plan sponsor’s address 403 WEST IRVING PARK ROAD, STREAMWOOD, IL, 60107

Signature of
Role Plan administrator
Date 2013-04-30
Name of individual signing ALAN BRONGIEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-30
Name of individual signing ALAN BRONGIEL
Valid signature Filed with authorized/valid electronic signature
FOX VALLEY INTERNAL MEDICINE ASSOCIATES, S.C. PROFIT SHARING PLAN 2011 363328642 2013-04-30 FOX VALLEY INTERNAL MEDICINE ASSOCIATES, S.C. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-12-01
Business code 621111
Sponsor’s telephone number 6308301900
Plan sponsor’s address 403 WEST IRVING PARK ROAD, STREAMWOOD, IL, 60107

Plan administrator’s name and address
Administrator’s EIN 363328642
Plan administrator’s name FOX VALLEY INTERNAL MEDICINE ASSOCIATES, S.C.
Plan administrator’s address 403 WEST IRVING PARK ROAD, STREAMWOOD, IL, 60107
Administrator’s telephone number 6308301900

Signature of
Role Plan administrator
Date 2013-04-30
Name of individual signing ALAN BRONGIEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-30
Name of individual signing ALAN BRONGIEL
Valid signature Filed with authorized/valid electronic signature
FOX VALLEY INTERNAL MEDICINE ASSOCIATES, S.C. PROFIT SHARING PLAN 2010 363328642 2012-09-07 FOX VALLEY INTERNAL MEDICINE ASSOCIATES, S.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-12-01
Business code 621111
Sponsor’s telephone number 6308301900
Plan sponsor’s address 403 WEST IRVING PARK ROAD, STREAMWOOD, IL, 60107

Plan administrator’s name and address
Administrator’s EIN 363328642
Plan administrator’s name FOX VALLEY INTERNAL MEDICINE ASSOCIATES, S.C.
Plan administrator’s address 403 WEST IRVING PARK ROAD, STREAMWOOD, IL, 60107
Administrator’s telephone number 6308301900

Signature of
Role Plan administrator
Date 2012-09-07
Name of individual signing ALAN BRONGIEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-07
Name of individual signing ALAN BRONGIEL
Valid signature Filed with authorized/valid electronic signature
FOX VALLEY INTERNAL MEDICINE ASSOCIATES, S.C. PROFIT SHARING PLAN 2009 363328642 2011-09-12 FOX VALLEY INTERNAL MEDICINE ASSOCIATES, S.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-12-01
Business code 621111
Sponsor’s telephone number 6308301900
Plan sponsor’s address 403 WEST IRVING PARK ROAD, STREAMWOOD, IL, 60107

Plan administrator’s name and address
Administrator’s EIN 363328642
Plan administrator’s name FOX VALLEY INTERNAL MEDICINE ASSOCIATES, S.C.
Plan administrator’s address 403 WEST IRVING PARK ROAD, STREAMWOOD, IL, 60107
Administrator’s telephone number 6308301900

Signature of
Role Plan administrator
Date 2011-09-12
Name of individual signing ALAN BRONGIEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-12
Name of individual signing ALAN BRONGIEL
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ALAN J BRONGIEL, 403 W IRVING PK RD, STREAMWOOD, 60103, COOK-NOT IN CITY OF CHICAGO Agent 1984-11-08

President

Name and Address Role
ALAN J BRONGIEL, 339 BOSTON COURT, SOUTH ELGIN, 60177 President

Historical Names

Name Change Date
ALAN J. BRONGIEL M.D. SC 1988-12-28

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 5000000 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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