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  5. AMERICAN DIAGNOSTIC MEDICINE, INC.

AMERICAN DIAGNOSTIC MEDICINE, INC.

Headquarter

Company Details

Entity Name: AMERICAN DIAGNOSTIC MEDICINE, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 18 Jan 1985
Date of Dissolution: 12 Jun 2015
Company Number: CORP_53715893
File Number: 53715893
Type of Business: Business Corporations
Date Status Change: 12 Jun 2015
Place of Formation: ILLINOIS

Links between entities

Type Company Name Company Number State
Headquarter of AMERICAN DIAGNOSTIC MEDICINE, INC., FLORIDA F01000000029 FLORIDA
Headquarter of AMERICAN DIAGNOSTIC MEDICINE, INC., MINNESOTA cf3dac03-b7d4-e011-a886-001ec94ffe7f MINNESOTA
Headquarter of AMERICAN DIAGNOSTIC MEDICINE, INC., KENTUCKY 0403210 KENTUCKY
Headquarter of AMERICAN DIAGNOSTIC MEDICINE, INC., KENTUCKY 0509760 KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMERICAN DIAGNOSTIC MEDICINE, INC. 401(K) PROFIT SHARING PLAN 2019 363351715 2020-04-08 AMERICAN DIAGNOSTIC MEDICINE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621510
Sponsor’s telephone number 6308347100
Plan sponsor’s address 167 OSWALD AVE, BATAVIA, IL, 605109309

Signature of
Role Plan administrator
Date 2020-04-08
Name of individual signing RICK NASSENSTEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-08
Name of individual signing RICK NASSENSTEIN
Valid signature Filed with authorized/valid electronic signature
AMERICAN DIAGNOSTIC MEDICINE, INC. 401(K) PROFIT SHARING PLAN 2018 363351715 2019-07-17 AMERICAN DIAGNOSTIC MEDICINE 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621510
Sponsor’s telephone number 6308347100
Plan sponsor’s address 167 OSWALD AVE, BATAVIA, IL, 605109309

Signature of
Role Plan administrator
Date 2019-07-17
Name of individual signing RICK NASSENSTEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-17
Name of individual signing RICK NASSENSTEIN
Valid signature Filed with authorized/valid electronic signature
AMERICAN DIAGNOSTIC MEDICINE, INC. 401(K) PROFIT SHARING PLAN 2017 363351715 2019-07-16 AMERICAN DIAGNOSTIC MEDICINE 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621510
Sponsor’s telephone number 6308347100
Plan sponsor’s address 167 OSWALD AVE, BATAVIA, IL, 605109309

Signature of
Role Plan administrator
Date 2019-07-16
Name of individual signing RICK NASSENSTEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-16
Name of individual signing RICK NASSENSTEIN
Valid signature Filed with authorized/valid electronic signature
AMERICAN DIAGNOSTIC MEDICINE, INC. 401(K) PROFIT SHARING PLAN 2016 363351715 2017-07-31 AMERICAN DIAGNOSTIC MEDICINE 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621510
Sponsor’s telephone number 6308347100
Plan sponsor’s address 167 OSWALD AVE, BATAVIA, IL, 605109309

Signature of
Role Plan administrator
Date 2017-07-31
Name of individual signing SAM KANCHERLAPALLI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-31
Name of individual signing SAM KANCHERLAPALLI
Valid signature Filed with authorized/valid electronic signature
AMERICAN DIAGNOSTIC MEDICINE, INC. 401(K) PROFIT SHARING PLAN 2015 363351715 2016-03-01 AMERICAN DIAGNOSTIC MEDICINE 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621510
Sponsor’s telephone number 6308347100
Plan sponsor’s address 167 OSWALD AVE, BATAVIA, IL, 605109309

Signature of
Role Plan administrator
Date 2016-03-01
Name of individual signing SAM KANCHERLAPALLI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-01
Name of individual signing SAM KANCHERLAPALLI
Valid signature Filed with authorized/valid electronic signature
AMERICAN DIAGNOSTIC MEDICINE, INC. 401(K) PROFIT SHARING PLAN 2014 363351715 2015-02-25 AMERICAN DIAGNOSTIC MEDICINE 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621510
Sponsor’s telephone number 6308347100
Plan sponsor’s address 167 OSWALD AVE, BATAVIA, IL, 605109309

Signature of
Role Plan administrator
Date 2015-02-25
Name of individual signing SAM KANCHERLAPALLI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-02-25
Name of individual signing SAM KANCHERLAPALLI
Valid signature Filed with authorized/valid electronic signature
AMERICAN DIAGNOSTIC MEDICINE, INC. 401(K) PROFIT SHARING PLAN 2013 363351715 2014-07-03 AMERICAN DIAGNOSTIC MEDICINE 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621510
Sponsor’s telephone number 6308347100
Plan sponsor’s address 167 OSWALD AVE, BATAVIA, IL, 605109309

Signature of
Role Plan administrator
Date 2014-07-03
Name of individual signing SAM KANCHERLAPALLI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-03
Name of individual signing SAM KANCHERLAPALLI
Valid signature Filed with authorized/valid electronic signature
AMERICAN DIAGNOSTIC MEDICINE, INC. 401(K) PROFIT SHARING PLAN 2012 363351715 2013-02-11 AMERICAN DIAGNOSTIC MEDICINE 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621510
Sponsor’s telephone number 6308347100
Plan sponsor’s address 512 KINGSLAND DRIVE, BATAVIA, IL, 605102299

Signature of
Role Plan administrator
Date 2013-02-11
Name of individual signing SAM KANCHERLAPALLI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-02-11
Name of individual signing SAM KANCHERLAPALLI
Valid signature Filed with authorized/valid electronic signature
AMERICAN DIAGNOSTIC MEDICINE, INC. 401(K) PROFIT SHARING PLAN 2011 363351715 2012-06-07 AMERICAN DIAGNOSTIC MEDICINE 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621510
Sponsor’s telephone number 6308347100
Plan sponsor’s address 512 KINGSLAND DRIVE, BATAVIA, IL, 605102299

Plan administrator’s name and address
Administrator’s EIN 363351715
Plan administrator’s name AMERICAN DIAGNOSTIC MEDICINE
Plan administrator’s address 512 KINGSLAND DRIVE, BATAVIA, IL, 605102299
Administrator’s telephone number 6308347100

Signature of
Role Plan administrator
Date 2012-06-07
Name of individual signing SAM KANCHERLAPALLI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-07
Name of individual signing SAM KANCHERLAPALLI
Valid signature Filed with authorized/valid electronic signature
AMERICAN DIAGNOSTIC MEDICINE, INC. 401(K) PROFIT SHARING PLAN 2010 363351715 2011-06-28 AMERICAN DIAGNOSTIC MEDICINE 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621510
Sponsor’s telephone number 6308347100
Plan sponsor’s address 512 KINGSLAND DRIVE, BATAVIA, IL, 605102299

Plan administrator’s name and address
Administrator’s EIN 363351715
Plan administrator’s name AMERICAN DIAGNOSTIC MEDICINE
Plan administrator’s address 512 KINGSLAND DRIVE, BATAVIA, IL, 605102299
Administrator’s telephone number 6308347100

Signature of
Role Plan administrator
Date 2011-06-28
Name of individual signing SAM KANCHERLAPALLI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-28
Name of individual signing SAM KANCHERLAPALLI
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JAMES K SCHERZINGER, 806 W WASHINGTON BLVD #201, CHICAGO, 60607, COOK-NOT IN CITY OF CHICAGO Agent 2005-03-14

President

Name and Address Role
SAM KANCHERLAPALLI 100 W ROOSEVELT RD,A1201 WHEATON IL 60187 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 100000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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