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BORYS SUMYK, M.D., S.C.

BORYS SUMYK, M.D., S.C.

Company Details

Entity Name:	BORYS SUMYK, M.D., S.C.
Jurisdiction:	Illinois
Entity Type:	Corporation - Domestic BCA
Status:	Dissolved
Date Formed:	28 Jan 1986
Date of Dissolution:	22 Dec 2010
Company Number:	CORP_54124015
File Number:	54124015
Type of Business:	Incorporated under the Medical Corporation Act
Date Status Change:	22 Dec 2010
Place of Formation:	ILLINOIS

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

BORYS SUMYK M.D. S.C. PROFIT SHARING PLAN

2010

363421897

2011-10-17

BORYS SUMYK M.D. S.C.

2

Three-digit plan number (PN)	001
Effective date of plan	1990-01-01
Business code	621111
Plan sponsor’s address	1946 N. 76TH COURT, ELMWOOD PARK, IL, 60707

Plan administrator’s name and address

Administrator’s EIN	363421897
Plan administrator’s name	BORYS SUMYK M.D. S.C.
Plan administrator’s address	1946 N. 76TH COURT, ELMWOOD PARK, IL, 60707

Signature of

Role	Plan administrator
Date	2011-10-17
Name of individual signing	ARTHUR ANDERSON
Valid signature	Filed with authorized/valid electronic signature

BORYS SUMYK M.D. S.C. PROFIT SHARING PLAN

2010

363421897

2012-01-12

BORYS SUMYK M.D. S.C.

2

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1990-01-01
Business code	621111
Plan sponsor’s address	1946 N. 76TH COURT, ELMWOOD PARK, IL, 60707

Plan administrator’s name and address

Administrator’s EIN	363421897
Plan administrator’s name	BORYS SUMYK M.D. S.C.
Plan administrator’s address	1946 N. 76TH COURT, ELMWOOD PARK, IL, 60707

Signature of

Role	Plan administrator
Date	2012-01-12
Name of individual signing	ARTHUR ANDERSON
Valid signature	Filed with authorized/valid electronic signature

Agent

Name and Address	Role	Appointment Date
SIGMUND J CHAVIS, 111 W WASHINGTON ST STE 1900, CHICAGO, 60602, COOK-NOT IN CITY OF CHICAGO	Agent	2008-02-06

President

Name and Address	Role
BORYS SUMYK 1946 NORTH 76TH COURT ELMWOOD PK 60707	President

Historical Names

Name	Change Date
NORRIDGE PHYSICIANS SERVICES, S.C.	2002-02-21

Shares

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

Sources: Illinois Office of the Secretary of State