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  5. JOHN H. HUSTAVA, P.C.

JOHN H. HUSTAVA, P.C.

Company Details

Entity Name: JOHN H. HUSTAVA, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 03 Aug 1987
Company Number: CORP_54755635
File Number: 54755635
Type of Business: Incorporated under the Professional Service Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JOHN H. HUSTAVA, P.C. PROFIT SHARING PLAN 2023 371218490 2024-05-14 JOHN H. HUSTAVA, P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 541110
Sponsor’s telephone number 6183441700
Plan sponsor’s address 101 SAINT LOUIS ROAD, COLLINSVILLE, IL, 62234

Plan administrator’s name and address
Administrator’s EIN 371218490
Plan administrator’s name JOHN H. HUSTAVA, P.C.
Plan administrator’s address 101 SAINT LOUIS ROAD, COLLINSVILLE, IL, 62234
Administrator’s telephone number 6183441700

Signature of
Role Plan administrator
Date 2024-05-14
Name of individual signing JOHN H. HUSTAVA
Valid signature Filed with authorized/valid electronic signature
JOHN H. HUSTAVA, P.C. PROFIT SHARING PLAN 2022 371218490 2023-03-23 JOHN H. HUSTAVA, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 541110
Sponsor’s telephone number 6183441700
Plan sponsor’s address 101 SAINT LOUIS RD 707, COLLINSVILLE, IL, 622342450

Plan administrator’s name and address
Administrator’s EIN 371218490
Plan administrator’s name JOHN H. HUSTAVA, P.C.
Plan administrator’s address 101 SAINT LOUIS RD 707, COLLINSVILLE, IL, 622342450
Administrator’s telephone number 6183441700

Signature of
Role Plan administrator
Date 2023-03-23
Name of individual signing JOHN H. HUSTAVA
Valid signature Filed with authorized/valid electronic signature
JOHN H. HUSTAVA, P.C. PROFIT SHARING PLAN 2021 371218490 2022-03-28 JOHN H. HUSTAVA, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 541110
Sponsor’s telephone number 6183441700
Plan sponsor’s address 101 SAINT LOUIS RD 707, COLLINSVILLE, IL, 622342450

Plan administrator’s name and address
Administrator’s EIN 371218490
Plan administrator’s name JOHN H. HUSTAVA, P.C.
Plan administrator’s address 101 SAINT LOUIS RD 707, COLLINSVILLE, IL, 622342450
Administrator’s telephone number 6183441700

Signature of
Role Plan administrator
Date 2022-03-28
Name of individual signing JOHN H. HUSTAVA
Valid signature Filed with authorized/valid electronic signature
JOHN H. HUSTAVA, P.C. PROFIT SHARING PLAN 2020 371218490 2021-05-10 JOHN H. HUSTAVA, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 541110
Sponsor’s telephone number 6183441700
Plan sponsor’s address 101 SAINT LOUIS RD 707, COLLINSVILLE, IL, 622342450

Plan administrator’s name and address
Administrator’s EIN 371218490
Plan administrator’s name JOHN H. HUSTAVA, P.C.
Plan administrator’s address 101 SAINT LOUIS RD 707, COLLINSVILLE, IL, 622342450
Administrator’s telephone number 6183441700

Signature of
Role Plan administrator
Date 2021-05-10
Name of individual signing JOHN H. HUSTAVA
Valid signature Filed with authorized/valid electronic signature
JOHN H. HUSTAVA, P.C. PROFIT SHARING PLAN 2019 371218490 2020-04-15 JOHN H. HUSTAVA, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 541110
Sponsor’s telephone number 6183441700
Plan sponsor’s address 101 SAINT LOUIS RD 707, COLLINSVILLE, IL, 622342450

Plan administrator’s name and address
Administrator’s EIN 371218490
Plan administrator’s name JOHN H. HUSTAVA, P.C.
Plan administrator’s address 101 SAINT LOUIS RD 707, COLLINSVILLE, IL, 622342450
Administrator’s telephone number 6183441700

Signature of
Role Plan administrator
Date 2020-04-15
Name of individual signing JOHN H. HUSTAVA
Valid signature Filed with authorized/valid electronic signature
JOHN H. HUSTAVA, P.C. PROFIT SHARING PLAN 2018 371218490 2019-06-12 JOHN H. HUSTAVA, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 541110
Sponsor’s telephone number 6183441700
Plan sponsor’s address 101 SAINT LOUIS RD 707, COLLINSVILLE, IL, 622342450

Plan administrator’s name and address
Administrator’s EIN 371218490
Plan administrator’s name JOHN H. HUSTAVA, P.C.
Plan administrator’s address 101 SAINT LOUIS RD 707, COLLINSVILLE, IL, 622342450
Administrator’s telephone number 6183441700

Signature of
Role Plan administrator
Date 2019-06-12
Name of individual signing JOHN H. HUSTAVA
Valid signature Filed with authorized/valid electronic signature
JOHN H. HUSTAVA, P.C. PROFIT SHARING PLAN 2017 371218490 2018-07-10 JOHN H. HUSTAVA, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 541110
Sponsor’s telephone number 6183441700
Plan sponsor’s address 101 SAINT LOUIS RD 707, COLLINSVILLE, IL, 622342450

Plan administrator’s name and address
Administrator’s EIN 371218490
Plan administrator’s name JOHN H. HUSTAVA, P.C.
Plan administrator’s address 101 SAINT LOUIS RD 707, COLLINSVILLE, IL, 622342450
Administrator’s telephone number 6183441700

Signature of
Role Plan administrator
Date 2018-07-10
Name of individual signing JOHN H. HUSTAVA
Valid signature Filed with authorized/valid electronic signature
JOHN H. HUSTAVA, P.C. PROFIT SHARING PLAN 2016 371218490 2017-05-12 JOHN H. HUSTAVA, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 541110
Sponsor’s telephone number 6183441700
Plan sponsor’s address 101 SAINT LOUIS RD 707, COLLINSVILLE, IL, 622342450

Plan administrator’s name and address
Administrator’s EIN 371218490
Plan administrator’s name JOHN H. HUSTAVA, P.C.
Plan administrator’s address 101 SAINT LOUIS RD 707, COLLINSVILLE, IL, 622342450
Administrator’s telephone number 6183441700

Signature of
Role Plan administrator
Date 2017-05-12
Name of individual signing JOHN H. HUSTAVA
Valid signature Filed with authorized/valid electronic signature
JOHN H. HUSTAVA, P.C. PROFIT SHARING PLAN 2015 371218490 2016-05-17 JOHN H. HUSTAVA, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 541110
Sponsor’s telephone number 6183441700
Plan sponsor’s address 101 SAINT LOUIS RD 707, COLLINSVILLE, IL, 622342450

Plan administrator’s name and address
Administrator’s EIN 371218490
Plan administrator’s name JOHN H. HUSTAVA, P.C.
Plan administrator’s address 101 SAINT LOUIS RD 707, COLLINSVILLE, IL, 622342450
Administrator’s telephone number 6183441700

Signature of
Role Plan administrator
Date 2016-05-17
Name of individual signing JOHN H. HUSTAVA
Valid signature Filed with authorized/valid electronic signature
JOHN H. HUSTAVA, P.C. PROFIT SHARING PLAN 2014 371218490 2015-04-28 JOHN H. HUSTAVA, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 541110
Sponsor’s telephone number 6183441700
Plan sponsor’s address 101 SAINT LOUIS RD 707, COLLINSVILLE, IL, 622342450

Plan administrator’s name and address
Administrator’s EIN 371218490
Plan administrator’s name JOHN H. HUSTAVA, P.C.
Plan administrator’s address 101 SAINT LOUIS RD 707, COLLINSVILLE, IL, 622342450
Administrator’s telephone number 6183441700

Signature of
Role Plan administrator
Date 2015-04-28
Name of individual signing JOHN H. HUSTAVA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOHN H HUSTAVA, 101 ST LOUIS ROAD, COLLINSVILLE, 62234, MADISON Agent 1987-08-03

President

Name and Address Role
JOHN H HUSTAVA, 3 EXMOOR DRIVE SAINT LOUIS MO 63124 President

Secretary

Name and Address Role
JOHN H HUSTAVA, 3 EXMOOR DRIVE SAINT LOUIS MO 63124 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 1000000 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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