| Entity Name: | WILLIAM H. GROS, M.D., S.C. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 10 Dec 1985 |
| Date of Dissolution: | 11 May 2012 |
| Company Number: | CORP_54073372 |
| File Number: | 54073372 |
| Type of Business: | Incorporated under the Medical Corporation Act |
| Date Status Change: | 11 May 2012 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM H. GROS, M.D., S.C. PROFIT SHARING PLAN & TRUST | 2012 | 363413585 | 2013-04-29 | WILLIAM H. GROS, M.D., S.C. | 8 | |||||||||||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2013-04-29 |
| Name of individual signing | WILLIAM H. GROS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1985-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7085794801 |
| Plan sponsor’s address | 512 BURLINGTON AVENUE, SUITE 100, LAGRANGE, IL, 60525 |
Plan administrator’s name and address
| Administrator’s EIN | 363413585 |
| Plan administrator’s name | WILLIAM H. GROS, M.D., S.C. |
| Plan administrator’s address | 512 BURLINGTON AVENUE, SUITE 100, LAGRANGE, IL, 60525 |
| Administrator’s telephone number | 7085794801 |
Signature of
| Role | Plan administrator |
| Date | 2012-09-05 |
| Name of individual signing | WILLIAM H. GROS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-09-05 |
| Name of individual signing | WILLIAM H. GROS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| WILLIAM H GROS, 512 BURLINGTON AVE SUITE 100, LAGRANGE, 60525, COOK-NOT IN CITY OF CHICAGO | Agent | 2011-03-02 |
| Name and Address | Role |
|---|---|
| WILLIAM H GROS, 512 BURLINGTON AVE STE 100 LAGRANGE 60525 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 100000 | 1000000 | No data |
Date of last update: 20 Jan 2025
