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  5. ANIS AHMAD, M.D., S.C.

ANIS AHMAD, M.D., S.C.

Company Details

Entity Name: ANIS AHMAD, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 24 Mar 1987
Date of Dissolution: 12 Aug 2022
Company Number: CORP_54608306
File Number: 54608306
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 12 Aug 2022
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANIS AHMAD, M.D., S.C. CASH BALANCE PLAN 2011 363503067 2012-10-15 ANIS AHMAD, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3097626161
Plan sponsor’s address 3061 7TH STREET, MOLINE, IL, 61265

Plan administrator’s name and address
Administrator’s EIN 363503067
Plan administrator’s name ANIS AHMAD, M.D., S.C.
Plan administrator’s address 3061 7TH STREET, MOLINE, IL, 61265
Administrator’s telephone number 3097626161

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing ANIS AHMAD, M.D.
Valid signature Filed with authorized/valid electronic signature
ANIS AHMAD, M.D., S.C. CASH BALANCE PLAN 2010 363503067 2011-10-14 ANIS AHMAD, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3097626161
Plan sponsor’s address 3061 7TH STREET, MOLINE, IL, 61265

Plan administrator’s name and address
Administrator’s EIN 363503067
Plan administrator’s name ANIS AHMAD, M.D., S.C.
Plan administrator’s address 3061 7TH STREET, MOLINE, IL, 61265
Administrator’s telephone number 3097626161

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing ANIS AHMAD, M.D.
Valid signature Filed with authorized/valid electronic signature
ANIS AHMAD, M.D., S.C. CASH BALANCE PLAN 2009 363503067 2011-10-15 ANIS AHMAD, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3097626161
Plan sponsor’s address 3061 7TH STREET, MOLINE, IL, 61265

Plan administrator’s name and address
Administrator’s EIN 363503067
Plan administrator’s name ANIS AHMAD, M.D., S.C.
Plan administrator’s address 3061 7TH STREET, MOLINE, IL, 61265
Administrator’s telephone number 3097626161

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing ANIS AHMAD, M.D.
Valid signature Filed with authorized/valid electronic signature
ANIS AHMAD, M.D., S.C. CASH BALANCE PLAN 2009 363503067 2010-10-14 ANIS AHMAD, M.D., S.C. 4
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 3097626161
Plan sponsor’s address 3061 7TH STREET, MOLINE, IL, 61265

Plan administrator’s name and address
Administrator’s EIN 363503067
Plan administrator’s name ANIS AHMAD, M.D., S.C.
Plan administrator’s address 3061 7TH STREET, MOLINE, IL, 61265
Administrator’s telephone number 3097626161

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing ANIS AHMAD, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-14
Name of individual signing ANIS AHMAD, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ANIS AHMAD, 3061 7TH STREET, MOLINE, 61265, ROCK ISLAND Agent 2020-06-24

President

Name and Address Role
ANIS AHMAD 19 HICKORY CT ROCK ISLAND IL 61201 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 12000 1200000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State

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