| Entity Name: | PROFESSIONAL HEALTH ASSOCIATES, LTD. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 02 Jun 1992 |
| Date of Dissolution: | 08 Nov 2013 |
| Company Number: | CORP_56854762 |
| File Number: | 56854762 |
| Type of Business: | Incorporated under the Medical Corporation Act |
| Date Status Change: | 08 Nov 2013 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PROFESSIONAL HEALTH ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN AND TRUST | 2010 | 363827229 | 2011-06-21 | PROFESSIONAL HEALTH ASSOCIATES LTD | 14 | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 363827229 |
| Plan administrator’s name | PROFESSIONAL HEALTH ASSOCIATES LTD |
| Plan administrator’s address | 12255 S 80TH AVENUE SUITE 202, PALOS HEIGHTS, IL, 60463 |
| Administrator’s telephone number | 7089237878 |
Number of participants as of the end of the plan year
| Active participants | 2 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 6 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 6 |
| 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 | 2011-06-21 |
| Name of individual signing | MAUREEN COLLINS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1994-10-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 7089237878 |
| Plan sponsor’s mailing address | 12255 S 80TH AVENUE SUITE 202, PALOS HEIGHTS, IL, 60463 |
| Plan sponsor’s address | 12255 S 80TH AVENUE SUITE 202, PALOS HEIGHTS, IL, 60463 |
Plan administrator’s name and address
| Administrator’s EIN | 363827229 |
| Plan administrator’s name | PROFESSIONAL HEALTH ASSOCIATES LTD |
| Plan administrator’s address | 12255 S 80TH AVENUE SUITE 202, PALOS HEIGHTS, IL, 60463 |
| Administrator’s telephone number | 7089237878 |
Number of participants as of the end of the plan year
| Active participants | 13 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 1 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 12 |
| 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 | 2010-05-11 |
| Name of individual signing | MAUREEN COLLINS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| JOSEPH M CERNUGEL, 3180 THEODORE STREET 102, JOLIET, 60435, WILL | Agent | 2010-05-11 |
| Name and Address | Role |
|---|---|
| MARK R SINIBALD 12255 S 80TH AVE #202 PALOS HEIGHTS 60463 | President |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| MEDICAL CORP | 042007031 | No data | No data | REGISTERED MEDICAL CORPORATION | No data | 1992-06-27 | 2009-10-02 | 2011-01-01 |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| ONE | No data | Voting Rights | 100000 | 7000000 | No data |
Date of last update: 16 Jan 2025
