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MACON COUNTY MEDICAL ASSOCIATES, P.C.

Company Details

Entity Name: MACON COUNTY MEDICAL ASSOCIATES, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 01 Sep 1989
Date of Dissolution: 08 Feb 2013
Company Number: CORP_55652015
File Number: 55652015
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 08 Feb 2013
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MACON COUNTY MEDICAL ASSOCIATES, P.C. PROFIT SHARING AND 401(K) PLAN 2015 371252673 2016-10-13 MACON COUNTY MEDICAL ASSOCIATES, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 2178779775
Plan sponsor’s address 879 JASONS WAY, FORSYTH, IL, 62535

Signature of

Role Plan administrator
Date 2016-10-13
Name of individual signing GAURANG PATEL
Valid signature Filed with authorized/valid electronic signature
MACON COUNTY MEDICAL ASSOCIATES, P.C. PROFIT SHARING AND 401(K) PLAN 2014 371252673 2015-07-29 MACON COUNTY MEDICAL ASSOCIATES, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 2178779775
Plan sponsor’s address 879 JASONS WAY, FORSYTH, IL, 62535

Signature of

Role Plan administrator
Date 2015-07-29
Name of individual signing GAURANG PATEL
Valid signature Filed with authorized/valid electronic signature
MACON COUNTY MEDICAL ASSOCIATES, P.C. PROFIT SHARING AND 401(K) PLAN 2013 371252673 2014-09-03 MACON COUNTY MEDICAL ASSOCIATES, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 2178779775
Plan sponsor’s address 879 JASONS WAY, FORSYTH, IL, 62535

Signature of

Role Plan administrator
Date 2014-09-03
Name of individual signing GAURANG PATEL
Valid signature Filed with authorized/valid electronic signature
MACON COUNTY MEDICAL ASSOCIATES, P.C. PROFIT SHARING AND 401(K) PLAN 2012 371252673 2013-09-06 MACON COUNTY MEDICAL ASSOCIATES, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 2178779775
Plan sponsor’s address 879 JASONS WAY, FORSYTH, IL, 62535

Signature of

Role Plan administrator
Date 2013-09-06
Name of individual signing GAURANG PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-06
Name of individual signing GAURANG PATEL
Valid signature Filed with authorized/valid electronic signature
MACON COUNTY MEDICAL ASSOCIATES, P.C. PROFIT SHARING AND 401(K) PLAN 2011 371252673 2012-10-13 MACON COUNTY MEDICAL ASSOCIATES, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 2178779775
Plan sponsor’s address 2981 NORTH MAIN STREET, DECATUR, IL, 62526

Plan administrator’s name and address

Administrator’s EIN 371252673
Plan administrator’s name MACON COUNTY MEDICAL ASSOCIATES, P.C.
Plan administrator’s address 2981 NORTH MAIN STREET, DECATUR, IL, 62526
Administrator’s telephone number 2178779775

Signature of

Role Plan administrator
Date 2012-10-13
Name of individual signing GAURANG PATEL
Valid signature Filed with authorized/valid electronic signature
MACON COUNTY MEDICAL ASSOCIATES, P.C. PROFIT SHARING AND 401(K) PLAN 2010 371252673 2011-06-23 MACON COUNTY MEDICAL ASSOCIATES, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 2178779775
Plan sponsor’s address 2981 NORTH MAIN STREET, DECATUR, IL, 62526

Plan administrator’s name and address

Administrator’s EIN 371252673
Plan administrator’s name MACON COUNTY MEDICAL ASSOCIATES, P.C.
Plan administrator’s address 2981 NORTH MAIN STREET, DECATUR, IL, 62526
Administrator’s telephone number 2178779775

Signature of

Role Plan administrator
Date 2011-06-23
Name of individual signing GAURANG PATEL
Valid signature Filed with authorized/valid electronic signature
MACON COUNTY MEDICAL ASSOCIATES, P.C. PROFIT SHARING AND 401(K) PLAN 2010 371252673 2011-06-23 MACON COUNTY MEDICAL ASSOCIATES, P.C. 5
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 2178779775
Plan sponsor’s address 2981 NORTH MAIN STREET, DECATUR, IL, 62526

Plan administrator’s name and address

Administrator’s EIN 371252673
Plan administrator’s name MACON COUNTY MEDICAL ASSOCIATES, P.C.
Plan administrator’s address 2981 NORTH MAIN STREET, DECATUR, IL, 62526
Administrator’s telephone number 2178779775
MACON COUNTY MEDICAL ASSOCIATES, P.C. PROFIT SHARING AND 401(K) PLAN 2009 371252673 2010-07-31 MACON COUNTY MEDICAL ASSOCIATES, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 2178779775
Plan sponsor’s address 2981 NORTH MAIN STREET, DECATUR, IL, 62526

Plan administrator’s name and address

Administrator’s EIN 371252673
Plan administrator’s name MACON COUNTY MEDICAL ASSOCIATES, P.C.
Plan administrator’s address 2981 NORTH MAIN STREET, DECATUR, IL, 62526
Administrator’s telephone number 2178779775

Signature of

Role Plan administrator
Date 2010-07-31
Name of individual signing GAURANG PATEL
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
GAURANG P PATEL, 2891 N MAIN STREET, DECATUR, 62526, MACON Agent 2009-08-12

President

Name and Address Role
GAURANG PATEL, 879 JASONS WAY, FORSYTH 62535 President

Historical Names

Name Change Date
G. PATEL, M.D. AND ASSOCIATES, P.C. 1994-01-01

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 100 50000 No data

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State