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  5. KENILWORTH MEDICAL ASSOCIATES, S.C.

KENILWORTH MEDICAL ASSOCIATES, S.C.

Company Details

Entity Name: KENILWORTH MEDICAL ASSOCIATES, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 29 Apr 1991
Date of Dissolution: 13 Sep 2024
Company Number: CORP_56368981
File Number: 56368981
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 13 Sep 2024
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KENILWORTH MEDICAL ASSOCIATES, S.C. 401(K) PLAN 2023 363763581 2024-10-13 KENILWORTH MEDICAL ASSOCIATES, S.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 8472565505
Plan sponsor’s address 534 GREEN BAY ROAD, KENILWORTH, IL, 60043

Signature of
Role Plan administrator
Date 2024-10-13
Name of individual signing PAUL DETJEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-13
Name of individual signing PAUL DETJEN
Valid signature Filed with authorized/valid electronic signature
KENILWORTH MEDICAL ASSOCIATES, S.C. 401(K) PLAN 2022 363763581 2023-06-30 KENILWORTH MEDICAL ASSOCIATES, S.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 8472565505
Plan sponsor’s address 534 GREEN BAY ROAD, KENILWORTH, IL, 60043

Signature of
Role Plan administrator
Date 2023-06-30
Name of individual signing PAUL DETJEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-30
Name of individual signing PAUL DETJEN
Valid signature Filed with authorized/valid electronic signature
KENILWORTH MEDICAL ASSOCIATES, S.C. 401(K) PLAN 2021 363763581 2022-10-14 KENILWORTH MEDICAL ASSOCIATES, S.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 8472565505
Plan sponsor’s address 534 GREEN BAY ROAD, KENILWORTH, IL, 60043

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing PAUL DETJEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-14
Name of individual signing PAUL DETJEN
Valid signature Filed with authorized/valid electronic signature
KENILWORTH MEDICAL ASSOCIATES, S.C. 401(K) PLAN 2020 363763581 2021-10-12 KENILWORTH MEDICAL ASSOCIATES, S.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 8472565505
Plan sponsor’s address 534 GREEN BAY ROAD, KENILWORTH, IL, 60043

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing PAUL DETJEN MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-12
Name of individual signing PAUL DETJEN MD
Valid signature Filed with authorized/valid electronic signature
KENILWORTH MEDICAL ASSOCIATES, S.C. 401(K) PLAN 2019 363763581 2020-08-26 KENILWORTH MEDICAL ASSOCIATES, S.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 8472565505
Plan sponsor’s address 534 GREEN BAY ROAD, KENILWORTH, IL, 60043

Signature of
Role Plan administrator
Date 2020-08-26
Name of individual signing PAUL DETJEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-26
Name of individual signing PAUL DETJEN
Valid signature Filed with authorized/valid electronic signature
KENILWORTH MEDICAL ASSOCIATES, S.C. 401(K) PLAN 2018 363763581 2019-06-12 KENILWORTH MEDICAL ASSOCIATES, S.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 8472565505
Plan sponsor’s address 534 GREEN BAY ROAD, KENILWORTH, IL, 60043

Signature of
Role Plan administrator
Date 2019-06-12
Name of individual signing PAUL DETJEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-12
Name of individual signing PAUL DETJEN
Valid signature Filed with authorized/valid electronic signature
KENILWORTH MEDICAL ASSOCIATES, S.C. 401(K) PLAN 2017 363763581 2018-04-20 KENILWORTH MEDICAL ASSOCIATES, S.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 8472565505
Plan sponsor’s address 534 GREEN BAY ROAD, KENILWORTH, IL, 60043

Signature of
Role Plan administrator
Date 2018-04-20
Name of individual signing PAUL DETJEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-20
Name of individual signing PAUL DETJEN
Valid signature Filed with authorized/valid electronic signature
KENILWORTH MEDICAL ASSOCIATES, S.C. 401(K) PLAN 2016 363763581 2017-02-23 KENILWORTH MEDICAL ASSOCIATES, S.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 8472565505
Plan sponsor’s address 534 GREEN BAY ROAD, KENILWORTH, IL, 60043

Signature of
Role Plan administrator
Date 2017-02-23
Name of individual signing PAUL DETJEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-02-23
Name of individual signing PAUL DETJEN
Valid signature Filed with authorized/valid electronic signature
KENILWORTH MEDICAL ASSOCIATES, S.C. 401(K) PLAN 2015 363763581 2016-09-16 KENILWORTH MEDICAL ASSOCIATES, S.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 8472565505
Plan sponsor’s address 534 GREEN BAY ROAD, KENILWORTH, IL, 60043

Signature of
Role Plan administrator
Date 2016-09-16
Name of individual signing PAUL DETJEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-16
Name of individual signing PAUL DETJEN
Valid signature Filed with authorized/valid electronic signature
KENILWORTH MEDICAL ASSOCIATES, S.C. 401(K) PLAN 2014 363763581 2015-06-04 KENILWORTH MEDICAL ASSOCIATES, S.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 8472565505
Plan sponsor’s address 534 GREEN BAY ROAD, KENILWORTH, IL, 60043

Signature of
Role Plan administrator
Date 2015-06-04
Name of individual signing PAUL DETJEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-04
Name of individual signing PAUL DETJEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JAMES V DAFFADA, 1150 WILMETTE AVE STE E, WILMETTE, 60091, COOK-NOT IN CITY OF CHICAGO Agent 2006-11-01

President

Name and Address Role
PAUL DETJEN 534 GREEN BAY RD #2 KENILWORTH IL, 60043 President

Historical Names

Name Change Date
PAUL F. DETJEN, M.D., S.C. 2002-07-01

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 100000 5000000 No data

Related by officers

JAMES V DAFFADA, 1150 WILMETTE AVE STE E, WILMETTE, 60091, COOK-NOT IN CITY OF CHICAGO

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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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