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  5. HASSAN MOGHADAM, M.D., S. C.

HASSAN MOGHADAM, M.D., S. C.

Company Details

Entity Name: HASSAN MOGHADAM, M.D., S. C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 24 Dec 1987
Date of Dissolution: 11 May 2018
Company Number: CORP_54913036
File Number: 54913036
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 11 May 2018
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MERRILL LYNCH PROTOTYPE PROFIT SHARING PLAN 2016 363556513 2017-10-04 HASSAN MOGHADAM, M.D., S.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-01-01
Business code 621111
Plan sponsor’s address 7 N 621 DONWOOD, NAPERVILLE, IL, 60540

Signature of
Role Plan administrator
Date 2017-10-04
Name of individual signing HASSAN MOGHADAM
Valid signature Filed with authorized/valid electronic signature
MERRILL LYNCH PROTOTYPE PROFIT SHARING PLAN 2015 363556513 2016-10-04 HASSAN MOGHADAM, M.D., S.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-01-01
Business code 621111
Plan sponsor’s address 120 SPALDING SUITE 407, NAPERVILLE, IL, 60540

Signature of
Role Plan administrator
Date 2016-10-04
Name of individual signing HASSAN MOGHADAM
Valid signature Filed with authorized/valid electronic signature
MERRILL LYNCH PROTOTYPE PROFIT SHARING PLAN 2014 363556513 2015-08-25 HASSAN MOGHADAM, M.D., S.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-01-01
Business code 621111
Plan sponsor’s address 120 SPALDING SUITE 407, NAPERVILLE, IL, 60540

Signature of
Role Plan administrator
Date 2015-08-25
Name of individual signing HASSAN MOGHADAM
Valid signature Filed with authorized/valid electronic signature
MERRILL LYNCH PROTOTYPE PROFIT SHARING PLAN 2013 363556513 2014-09-30 HASSAN MOGHADAM, M.D., S.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-01-01
Business code 621111
Plan sponsor’s address 120 SPALDING SUITE 407, NAPERVILLE, IL, 60540

Signature of
Role Plan administrator
Date 2014-09-30
Name of individual signing HASSAN MOGHADAM
Valid signature Filed with authorized/valid electronic signature
MERRILL LYNCH PROTOTYPE PROFIT SHARING PLAN 2012 363556513 2013-08-27 HASSAN MOGHADAM, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-01-01
Business code 621111
Plan sponsor’s address 120 SPALDING SUITE 407, NAPERVILLE, IL, 60540

Signature of
Role Plan administrator
Date 2013-08-27
Name of individual signing HASSAN MOGHADAM
Valid signature Filed with authorized/valid electronic signature
MERRILL LYNCH PROTOTYPE PROFIT SHARING PLAN 2011 363556513 2012-10-09 HASSAN MOGHADAM, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-01-01
Business code 621111
Plan sponsor’s address 120 SPALDING SUITE 407, NAPERVILLE, IL, 60540

Plan administrator’s name and address
Administrator’s EIN 363556513
Plan administrator’s name HASSAN MOGHADAM, M.D., S.C.
Plan administrator’s address 120 SPALDING SUITE 407, NAPERVILLE, IL, 60540

Signature of
Role Plan administrator
Date 2012-09-18
Name of individual signing HASSAN MOGHADAM
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
LYNNE KRISTUFEK, 1121 WARREN AVE STE 210, DOWNERS GROVE, 60515, DU PAGE Agent 2013-11-22

President

Name and Address Role
HASSAN MOGHADAM 7 S 621 DONWOOD DRIVE NAPERVILLE IL 60540 President

Shares

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

Related by officers

LYNNE KRISTUFEK, 1121 WARREN AVE STE 210, DOWNERS GROVE, 60515, DU PAGE

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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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