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  5. RAVI S. VYAS M.D., S.C.

RAVI S. VYAS M.D., S.C.

Company Details

Entity Name: RAVI S. VYAS M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 02 Sep 1986
Date of Dissolution: 01 Feb 1999
Company Number: CORP_54371217
File Number: 54371217
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 01 Feb 1999
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PETRIE, STORER & ASSOCIATES, D.D.S., P.C. 401K PROFIT SHARING PLAN 2012 363302380 2013-10-09 PETRIE, STORER & ASSOCIATES, D.D.S. P.C. 17
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 7737635353
Plan sponsor’s address 7447 W. TALCOTT AVENUE, SUITE 560, CHICAGO, IL, 606313716

Plan administrator’s name and address
Administrator’s EIN 363302380
Plan administrator’s name PETRIE, STORER & ASSOCIATES, D.D.S. P.C.
Plan administrator’s address 7447 W. TALCOTT AVENUE, SUITE 560, CHICAGO, IL, 606313716
Administrator’s telephone number 7737635353

Signature of
Role Plan administrator
Date 2013-10-09
Name of individual signing JOHN A. PETRIE
Valid signature Filed with authorized/valid electronic signature
PETRIE, STORER & ASSOCIATES, D.D.S., P.C. 401K PROFIT SHARING PLAN 2011 363302380 2013-06-05 PETRIE, STORER & ASSOCIATES, D.D.S. P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 7737635353
Plan sponsor’s address 7447 W. TALCOTT AVENUE, SUITE 560, CHICAGO, IL, 606313716

Plan administrator’s name and address
Administrator’s EIN 363302380
Plan administrator’s name PETRIE, STORER & ASSOCIATES, D.D.S. P.C.
Plan administrator’s address 7447 W. TALCOTT AVENUE, SUITE 560, CHICAGO, IL, 606313716
Administrator’s telephone number 7737635353

Signature of
Role Plan administrator
Date 2013-06-05
Name of individual signing JOHN A. PETRIE
Valid signature Filed with authorized/valid electronic signature
PETRIE, STORER & ASSOCIATES, D.D.S., P.C. 401K PROFIT SHARING PLAN 2011 363302380 2012-10-09 PETRIE, STORER & ASSOCIATES, D.D.S. P.C. 16
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 7737635353
Plan sponsor’s address 7447 W. TALCOTT AVENUE, SUITE 560, CHICAGO, IL, 606313716

Plan administrator’s name and address
Administrator’s EIN 363302380
Plan administrator’s name PETRIE, STORER & ASSOCIATES, D.D.S. P.C.
Plan administrator’s address 7447 W. TALCOTT AVENUE, SUITE 560, CHICAGO, IL, 606313716
Administrator’s telephone number 7737635353

Signature of
Role Plan administrator
Date 2012-10-09
Name of individual signing JOHN A. PETRIE
Valid signature Filed with authorized/valid electronic signature
PETRIE, STORER & ASSOCIATES, D.D.S., P.C. 401K PROFIT SHARING PLAN 2010 363302380 2011-10-12 PETRIE, STORER & ASSOCIATES, D.D.S. P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 7737635353
Plan sponsor’s address 7447 W. TALCOTT AVENUE, SUITE 560, CHICAGO, IL, 606313716

Plan administrator’s name and address
Administrator’s EIN 363302380
Plan administrator’s name PETRIE, STORER & ASSOCIATES, D.D.S. P.C.
Plan administrator’s address 7447 W. TALCOTT AVENUE, SUITE 560, CHICAGO, IL, 606313716
Administrator’s telephone number 7737635353

Signature of
Role Plan administrator
Date 2011-10-12
Name of individual signing JOHN A. PETRIE
Valid signature Filed with authorized/valid electronic signature
PETRIE, STORER & ASSOCIATES, D.D.S., P.C. 401K PROFIT SHARING PLAN 2009 363302380 2010-10-05 PETRIE, STORER & ASSOCIATES, D.D.S. P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 7737635353
Plan sponsor’s address 7447 W. TALCOTT AVENUE, SUITE 560, CHICAGO, IL, 606313716

Plan administrator’s name and address
Administrator’s EIN 363302380
Plan administrator’s name PETRIE, STORER & ASSOCIATES, D.D.S. P.C.
Plan administrator’s address 7447 W. TALCOTT AVENUE, SUITE 560, CHICAGO, IL, 606313716
Administrator’s telephone number 7737635353

Signature of
Role Plan administrator
Date 2010-10-05
Name of individual signing CONNIE SCHNABEL
Valid signature Filed with authorized/valid electronic signature
PETRIE, STORER & ASSOCIATES, D.D.S., P.C. 401K PROFIT SHARING PLAN 2009 363302380 2010-10-05 PETRIE, STORER & ASSOCIATES, D.D.S. P.C. 16
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 7737635353
Plan sponsor’s address 7447 W. TALCOTT AVENUE, SUITE 560, CHICAGO, IL, 606313716

Plan administrator’s name and address
Administrator’s EIN 363302380
Plan administrator’s name PETRIE, STORER & ASSOCIATES, D.D.S. P.C.
Plan administrator’s address 7447 W. TALCOTT AVENUE, SUITE 560, CHICAGO, IL, 606313716
Administrator’s telephone number 7737635353

Signature of
Role Plan administrator
Date 2010-10-05
Name of individual signing CONNIE SCHNABEL
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
RAVI S VYAS, 750 S KIWANIS DR, FREEPORT, 61032, STEPHENSON Agent 1989-08-23

President

Name and Address Role
RAVI S VYAS, 750 S KIWANIS DRIVE FREEPORT 61032 President

Historical Names

Name Change Date
FREEPORT GASTROENTEROLOGY ASSOCIATES, S.C. 1997-01-07
RAVI. S. VYAS, M.D., S.C. 1989-12-05

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 1

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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