| Entity Name: | PAUL H. DEHAAN, M.D., S.C. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 05 Jul 1991 |
| Date of Dissolution: | 14 Dec 2012 |
| Company Number: | CORP_56452087 |
| File Number: | 56452087 |
| Type of Business: | Incorporated under the Medical Corporation Act |
| Date Status Change: | 14 Dec 2012 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAUL H. DEHAAN, M.D., S.C. PENSION PLAN & TRUST | 2009 | 363773893 | 2011-02-01 | PAUL H. DEHAAN, M.D., S.C. | 2 | |||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 363773893 |
| Plan administrator’s name | PAUL H. DEHAAN, M.D., S.C. |
| Plan administrator’s address | 7502 CRYSTAL SPRINGS ROAD, CRYSTAL LAKE, IL, 60012 |
| Administrator’s telephone number | 8153446026 |
Number of participants as of the end of the plan year
| Active participants | 0 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2011-02-01 |
| Name of individual signing | PAUL DEHAAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-02-01 |
| Name of individual signing | PAUL DEHANN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2000-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8153446026 |
| Plan sponsor’s mailing address | 7502 CRYSTAL SPRINGS ROAD, CRYSTAL LAKE, IL, 60012 |
| Plan sponsor’s address | 7502 CRYSTAL SPRINGS ROAD, CRYSTAL LAKE, IL, 60012 |
Plan administrator’s name and address
| Administrator’s EIN | 363773893 |
| Plan administrator’s name | PAUL H. DEHAAN, M.D., S.C. |
| Plan administrator’s address | 7502 CRYSTAL SPRINGS ROAD, CRYSTAL LAKE, IL, 60012 |
| Administrator’s telephone number | 8153446026 |
Number of participants as of the end of the plan year
| Active participants | 0 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 2 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2011-02-01 |
| Name of individual signing | PAUL DEHAAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-02-01 |
| Name of individual signing | PAUL DEHANN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| PAUL H DEHAAN, 7502 CRYSTAL SPRINGS RD, CRYSTAL LAKE, 60012, MC HENRY | Agent | 2006-06-19 |
| Name and Address | Role |
|---|---|
| PAUL DEHAAN, 7502 CRYSTAL SPRINGS CRYSTAL LAKE 60012 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM | No data | Voting Rights | 10000 | 1000000 | 1 |
Date of last update: 16 Jan 2025
