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AGENTS FINANCIAL SERVICES - ILLINOIS, INC.

Company Details

Entity Name: AGENTS FINANCIAL SERVICES - ILLINOIS, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 02 Jun 1992
Date of Dissolution: 12 May 2000
Company Number: CORP_56858172
File Number: 56858172
Type of Business: Business Corporations
Date Status Change: 12 May 2000
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VANDNA SHAH, M.D., S.C PROFIT SHARING PLAN 2011 363624898 2012-10-08 VANDNA SHAH, M.D., S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 7083333318
Plan sponsor’s address 3530 W. 159TH ST., MARKHAM, IL, 60428

Plan administrator’s name and address

Administrator’s EIN 363624898
Plan administrator’s name VANDNA SHAH, M.D., S.C.
Plan administrator’s address 3530 W. 159TH ST., MARKHAM, IL, 60428
Administrator’s telephone number 7083333318

Signature of

Role Plan administrator
Date 2012-10-08
Name of individual signing SHARON KENNEDY, APA, QPA, QKA, ERPA
Valid signature Filed with authorized/valid electronic signature
VANDNA SHAH, M.D., S.C PROFIT SHARING PLAN 2010 363624898 2011-10-14 VANDNA SHAH, M.D., S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 7083333318
Plan sponsor’s address 3530 W. 159TH ST., MARKHAM, IL, 60428

Plan administrator’s name and address

Administrator’s EIN 363624898
Plan administrator’s name VANDNA SHAH, M.D., S.C.
Plan administrator’s address 3530 W. 159TH ST., MARKHAM, IL, 60428
Administrator’s telephone number 7083333318

Signature of

Role Plan administrator
Date 2011-10-14
Name of individual signing ALAN GOLD, CPA
Valid signature Filed with authorized/valid electronic signature
VANDNA A. SHAH, M.D., S.C PROFIT SHARING PLAN 2009 363624898 2010-10-14 VANDNA. SHAH, M.D., S.C. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 7083333318
Plan sponsor’s address 3530 W. 159TH ST., MARKHAM, IL, 60428

Plan administrator’s name and address

Administrator’s EIN 363624898
Plan administrator’s name VANDNA. SHAH, M.D., S.C.
Plan administrator’s address 3530 W. 159TH ST., MARKHAM, IL, 60428
Administrator’s telephone number 7083333318

Signature of

Role Plan administrator
Date 2010-10-14
Name of individual signing ALAN GOLD, CPA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DAVID A ROLF, 607 EAST ADAMS STREET STE 800, SPRINGFIELD, 62701, SANGAMON Agent 1997-07-31

President

Name and Address Role
JEANNE M REA, 6300 WILSON MILLS MAYFIELD VILLAGE OH 44143 President

Shares

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

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State