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HAROLD JAIMES, M.D., P.C.

Company Details

Entity Name: HAROLD JAIMES, M.D., P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 22 Sep 1995
Company Number: CORP_58521469
File Number: 58521469
Type of Business: Incorporated under the Medical Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HAROLD JAIMES, M.D., P.C. 401(K) PLAN 2023 364045357 2024-06-21 HAROLD JAIMES, M.D., P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7733954600
Plan sponsor’s address 3153 WEST FULLERTON AVENUE, CHICAGO, IL, 60647

Signature of

Role Plan administrator
Date 2024-06-21
Name of individual signing HAROLD JAIMES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-21
Name of individual signing HAROLD JAIMES
Valid signature Filed with authorized/valid electronic signature
HAROLD JAIMES, M.D., P.C. 401(K) PLAN 2022 364045357 2023-09-28 HAROLD JAIMES, M.D., P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7733954600
Plan sponsor’s address 3153 WEST FULLERTON AVENUE, CHICAGO, IL, 60647

Signature of

Role Plan administrator
Date 2023-09-28
Name of individual signing HAROLD JAIMES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-28
Name of individual signing HAROLD JAIMES
Valid signature Filed with authorized/valid electronic signature
HAROLD JAIMES, M.D., P.C. 401(K) PLAN 2021 364045357 2022-08-23 HAROLD JAIMES, M.D., P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7733954600
Plan sponsor’s address 3153 WEST FULLERTON AVENUE, CHICAGO, IL, 60647

Signature of

Role Plan administrator
Date 2022-08-23
Name of individual signing HAROLD JAIMES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-23
Name of individual signing HAROLD JAIMES
Valid signature Filed with authorized/valid electronic signature
HAROLD JAIMES, M.D., P.C. 401(K) PLAN 2020 364045357 2021-09-01 HAROLD JAIMES, M.D., P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7733954600
Plan sponsor’s address 3153 WEST FULLERTON AVENUE, CHICAGO, IL, 60647

Signature of

Role Plan administrator
Date 2021-09-01
Name of individual signing HAROLD JAIMES
Valid signature Filed with authorized/valid electronic signature
HAROLD JAIMES, M.D., P.C. 401(K) PLAN 2019 364045357 2020-05-27 HAROLD JAIMES, M.D., P.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7733954600
Plan sponsor’s address 3153 WEST FULLERTON AVENUE, CHICAGO, IL, 60647

Signature of

Role Plan administrator
Date 2020-05-27
Name of individual signing HAROLD JAIMES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-27
Name of individual signing HAROLD JAIMES, M.D., P.C.
Valid signature Filed with authorized/valid electronic signature
HAROLD JAIMES, M.D., P.C. 401(K) PLAN 2018 364045357 2019-07-24 HAROLD JAIMES, M.D., P.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7733954600
Plan sponsor’s address 3153 WEST FULLERTON AVENUE, CHICAGO, IL, 60647

Signature of

Role Plan administrator
Date 2019-07-22
Name of individual signing HAROLD JAIMES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-22
Name of individual signing HAROLD JAIMES, M.D., P.C.
Valid signature Filed with authorized/valid electronic signature
HAROLD JAIMES, M.D., P.C. 401(K) PLAN 2017 364045357 2018-06-21 HAROLD JAIMES, M.D., P.C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7733954600
Plan sponsor’s address 3153 WEST FULLERTON AVENUE, CHICAGO, IL, 60647

Signature of

Role Plan administrator
Date 2018-06-21
Name of individual signing HAROLD JAIMES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-21
Name of individual signing HAROLD JAIMES, M.D., P.C.
Valid signature Filed with authorized/valid electronic signature
HAROLD JAIMES, M.D., P.C. 401(K) PLAN 2016 364045357 2017-05-17 HAROLD JAIMES, M.D., P.C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7733954600
Plan sponsor’s address 3153 WEST FULLERTON AVENUE, CHICAGO, IL, 60647

Signature of

Role Plan administrator
Date 2017-05-17
Name of individual signing HAROLD JAIMES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-17
Name of individual signing HAROLD JAIMES, M.D., P.C.
Valid signature Filed with authorized/valid electronic signature
HAROLD JAIMES, M.D., P.C. 401(K) PLAN 2015 364045357 2016-06-16 HAROLD JAIMES, M.D., P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7733954600
Plan sponsor’s address 3153 WEST FULLERTON AVENUE, CHICAGO, IL, 60647

Signature of

Role Plan administrator
Date 2016-06-16
Name of individual signing HAROLD JAIMES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-16
Name of individual signing HAROLD JAIMES, M.D., P.C.
Valid signature Filed with authorized/valid electronic signature
HAROLD JAIMES, M.D., P.C. 401(K) PLAN 2014 364045357 2015-06-23 HAROLD JAIMES, M.D., P.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7733954600
Plan sponsor’s address 3153 WEST FULLERTON AVENUE, CHICAGO, IL, 60647

Signature of

Role Plan administrator
Date 2015-06-22
Name of individual signing HAROLD JAIMES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-22
Name of individual signing HAROLD JAIMES, M.D., P.C.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MICHAEL W KITE, 1900 S HIGHLAND AVE #100, LOMBARD, 60148, DU PAGE Agent 2018-02-13

President

Name and Address Role
HAROLD JAIMES 332 BRENTWOOD DOWNERS GROVE IL 60515 President

Secretary

Name and Address Role
NATALI R JAIMES Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
JAIMES MEDICAL GROUP Assume Name 2020-07-15 No data No data No data
JAIMES MEDICAL GROUP, P.C. No data 2018-03-02 2021-02-01 Involuntary Cancellation No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 100000 1

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State