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AUGUSTO N. PAREJA M.D. S.C.

Company Details

Entity Name: AUGUSTO N. PAREJA M.D. S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 18 Aug 1993
Date of Dissolution: 10 Jan 2014
Company Number: CORP_57440961
File Number: 57440961
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 10 Jan 2014
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AUGUSTO N. PAREJA M.D., S.C. 401(K) PLAN 2011 363907433 2012-11-21 AUGUSTO N. PAREJA M.D., S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 7734348026
Plan sponsor’s address 3232 WEST 55TH STREET, CHICAGO, IL, 60632

Plan administrator’s name and address

Administrator’s EIN 363907433
Plan administrator’s name AUGUSTO N. PAREJA M.D., S.C.
Plan administrator’s address 3232 WEST 55TH STREET, CHICAGO, IL, 60632
Administrator’s telephone number 7734348026

Signature of

Role Plan administrator
Date 2012-11-21
Name of individual signing MONICA J PAREJA
Valid signature Filed with authorized/valid electronic signature
AUGUSTO N. PAREJA M.D., S.C. 401(K) PLAN 2011 363907433 2012-06-18 AUGUSTO N. PAREJA M.D., S.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 7734348026
Plan sponsor’s address 3232 WEST 55TH STREET, CHICAGO, IL, 60632

Plan administrator’s name and address

Administrator’s EIN 363907433
Plan administrator’s name AUGUSTO N. PAREJA M.D., S.C.
Plan administrator’s address 3232 WEST 55TH STREET, CHICAGO, IL, 60632
Administrator’s telephone number 7734348026

Signature of

Role Plan administrator
Date 2012-06-18
Name of individual signing MONICA PAREJA
Valid signature Filed with authorized/valid electronic signature
AUGUSTO N. PAREJA M.D., S.C. 401(K) PLAN 2010 363907433 2011-07-15 AUGUSTO N. PAREJA M.D., S.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621111
Sponsor’s telephone number 8476986648
Plan sponsor’s address 3232 WEST 55TH STREET, CHICAGO, IL, 60632

Plan administrator’s name and address

Administrator’s EIN 363907433
Plan administrator’s name AUGUSTO N. PAREJA M.D., S.C.
Plan administrator’s address 3232 WEST 55TH STREET, CHICAGO, IL, 60632
Administrator’s telephone number 8476986648

Signature of

Role Plan administrator
Date 2011-07-15
Name of individual signing MONICA PAREJA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
AUGUSTO N PAREJA, 3232 W 55TH ST, CHICAGO, 60632, COOK-NOT IN CITY OF CHICAGO Agent 2011-07-29

President

Name and Address Role
AUGUSTO N PAREJA 3232 W 55TH ST CHICAGO 60632 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 2 1000 No data

Date of last update: 23 Jan 2025

Sources: Illinois Office of the Secretary of State