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ALLIV CORPORATION

Company Details

Entity Name: ALLIV CORPORATION
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 12 Dec 1984
Date of Dissolution: 13 May 2011
Company Number: CORP_53677223
File Number: 53677223
Type of Business: Restaurant and Lounge
Date Status Change: 13 May 2011
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SANDRA HOROWITZ, M.D., S.C. CASH BALANCE PENSION PLAN & TRUST 2011 363210987 2013-03-28 SANDRA HOROWITZ, M.D., S.C. 5
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2007-07-01
Business code 621111
Sponsor’s telephone number 7089573661
Plan sponsor’s address 1825 SYLVAN COURT, FLOSSMOOR, IL, 60422

Plan administrator’s name and address

Administrator’s EIN 363210987
Plan administrator’s name SANDRA HOROWITZ, M.D., S.C.
Plan administrator’s address 1825 SYLVAN COURT, FLOSSMOOR, IL, 60422
Administrator’s telephone number 7089573661

Signature of

Role Plan administrator
Date 2013-03-27
Name of individual signing SANDRA HOROWITZ
Valid signature Filed with authorized/valid electronic signature
SANDRA HOROWITZ, M.D., S.C. CASH BALANCE PENSION PLAN & TRUST 2010 363210987 2011-10-04 SANDRA HOROWITZ, M.D., S.C. 5
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2007-07-01
Business code 621111
Sponsor’s telephone number 7089573661
Plan sponsor’s address 1825 SYLVAN COURT, FLOSSMOOR, IL, 60422

Plan administrator’s name and address

Administrator’s EIN 363210987
Plan administrator’s name SANDRA HOROWITZ, M.D., S.C.
Plan administrator’s address 1825 SYLVAN COURT, FLOSSMOOR, IL, 60422
Administrator’s telephone number 7089573661

Signature of

Role Plan administrator
Date 2011-10-04
Name of individual signing SANDRA HOROWITZ
Valid signature Filed with authorized/valid electronic signature
SANDRA HOROWITZ, M.D., S.C. CASH BALANCE PENSION PLAN & TRUST 2009 363210987 2010-11-15 SANDRA HOROWITZ, M.D., S.C. 5
Three-digit plan number (PN) 004
Effective date of plan 2007-07-01
Business code 621111
Sponsor’s telephone number 7089573661
Plan sponsor’s address 1825 SYLVAN COURT, FLOSSMOOR, IL, 60422

Plan administrator’s name and address

Administrator’s EIN 363210987
Plan administrator’s name SANDRA HOROWITZ, M.D., S.C.
Plan administrator’s address 1825 SYLVAN COURT, FLOSSMOOR, IL, 60422
Administrator’s telephone number 7089573661

Signature of

Role Plan administrator
Date 2010-11-14
Name of individual signing SANDRA HOROWITZ
Valid signature Filed with authorized/valid electronic signature
SANDRA HOROWITZ, M.D., S.C. CASH BALANCE PENSION PLAN & TRUST 2009 363210987 2010-11-19 SANDRA HOROWITZ, M.D., S.C. 5
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2007-07-01
Business code 621111
Sponsor’s telephone number 7089573661
Plan sponsor’s address 1825 SYLVAN COURT, FLOSSMOOR, IL, 60422

Plan administrator’s name and address

Administrator’s EIN 363210987
Plan administrator’s name SANDRA HOROWITZ, M.D., S.C.
Plan administrator’s address 1825 SYLVAN COURT, FLOSSMOOR, IL, 60422
Administrator’s telephone number 7089573661

Signature of

Role Plan administrator
Date 2010-11-14
Name of individual signing SANDRA HOROWITZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
RONALD N PRIMACK, 18401 MAPLE CREEK DR STE 100, TINLEY PARK, 60477, WILL Agent 2005-04-19

President

Name and Address Role
ANDREW KAPTUR, 11921 HOMESTEAD HEIGHTS DR, ST JOHN IN President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
VILLA DE BRUNO No data 1985-10-11 2011-05-02 Involuntary Cancellation No data

Shares

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

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State