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  5. SAMI BITTAR M.D., S.C.

SAMI BITTAR M.D., S.C.

Company Details

Entity Name: SAMI BITTAR M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 30 Jan 1996
Date of Dissolution: 29 Sep 2020
Company Number: CORP_58694495
File Number: 58694495
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 29 Sep 2020
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SAMI BITTAR, M.D., S.C. 401(K) PROFIT SHARING PLAN 2016 364058027 2017-04-07 SAMI BITTAR, M.D., S.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7083544667
Plan sponsor’s address 5201 WILLOW SPRINGS RD STE 440, LAGRANGE, IL, 60525
SAMI BITTAR, M.D., S.C. 401(K) PROFIT SHARING PLAN 2016 364058027 2017-04-07 SAMI BITTAR, M.D., S.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7083544667
Plan sponsor’s address 5201 WILLOW SPRINGS RD STE 440, LAGRANGE, IL, 60525
SAMI BITTAR, M.D., S.C. 401(K) PROFIT SHARING PLAN 2015 364058027 2016-07-28 SAMI BITTAR, M.D., S.C. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7083544667
Plan sponsor’s address 5201 WILLOW SPRINGS RD STE 440, LAGRANGE, IL, 60525

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing SAMI BITTAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-28
Name of individual signing SAMI BITTAR
Valid signature Filed with authorized/valid electronic signature
SAMI BITTAR, M.D., S.C. 401(K) PROFIT SHARING PLAN 2014 364058027 2015-09-02 SAMI BITTAR, M.D., S.C. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7083544667
Plan sponsor’s address 5201 WILLOW SPRINGS RD STE 440, LAGRANGE, IL, 60525

Signature of
Role Plan administrator
Date 2015-09-02
Name of individual signing SAMI BITTAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-02
Name of individual signing SAMI BITTAR
Valid signature Filed with authorized/valid electronic signature
SAMI BITTAR, M.D., S.C. 401(K) PROFIT SHARING PLAN 2014 364058027 2015-09-02 SAMI BITTAR, M.D., S.C. 16
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7083544667
Plan sponsor’s address 5201 WILLOW SPRINGS RD STE 440, LAGRANGE, IL, 60525

Signature of
Role Plan administrator
Date 2015-09-02
Name of individual signing SAMI BITTAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-02
Name of individual signing SAMI BITTAR
Valid signature Filed with authorized/valid electronic signature
SAMI BITTAR, M.D., S.C. 401(K) PROFIT SHARING PLAN 2013 364058027 2014-10-07 SAMI BITTAR, M.D., S.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7083544667
Plan sponsor’s address 5201 WILLOW SPRINGS RD STE 440, LAGRANGE, IL, 60525

Signature of
Role Plan administrator
Date 2014-10-07
Name of individual signing SAMI BITTAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-07
Name of individual signing SAMI BITTAR
Valid signature Filed with authorized/valid electronic signature
SAMI BITTAR, M.D., S.C. 401(K) PROFIT SHARING PLAN 2012 364058027 2013-10-15 SAMI BITTAR, M.D., S.C. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7083544667
Plan sponsor’s address 5201 WILLOW SPRINGS RD STE 440, LAGRANGE, IL, 60525

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing SAMI BITTAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing SAMI BITTAR
Valid signature Filed with authorized/valid electronic signature
SAMI BITTAR, M.D., S.C. 401(K) PROFIT SHARING PLAN 2012 364058027 2013-10-10 SAMI BITTAR, M.D., S.C. 16
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7083544667
Plan sponsor’s address 5201 WILLOW SPRINGS RD STE 440, LAGRANGE, IL, 60525

Signature of
Role Plan administrator
Date 2013-10-10
Name of individual signing SANI BITTAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-10
Name of individual signing SANI BITTAR
Valid signature Filed with authorized/valid electronic signature
SAMI BITTAR, M.D., S.C. DEFINED BENEFIT PLAN 2011 364058027 2012-10-08 SAMI BITTAR, M.D., S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7083544667
Plan sponsor’s address 5201 WILLOW SPRINGS RD STE 440, LAGRANGE, IL, 60525

Plan administrator’s name and address
Administrator’s EIN 364058027
Plan administrator’s name SAMI BITTAR, M.D., S.C.
Plan administrator’s address 5201 WILLOW SPRINGS RD STE 440, LAGRANGE, IL, 60525
Administrator’s telephone number 7083544667

Signature of
Role Plan administrator
Date 2012-10-08
Name of individual signing SAMI BITTAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-08
Name of individual signing SAMI BITTAR
Valid signature Filed with authorized/valid electronic signature
SAMI BITTAR, M.D., S.C. DEFINED BENEFIT PLAN 2011 364058027 2012-12-17 SAMI BITTAR, M.D., S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7083544667
Plan sponsor’s address 5201 WILLOW SPRINGS RD STE 440, LAGRANGE, IL, 60525

Plan administrator’s name and address
Administrator’s EIN 364058027
Plan administrator’s name SAMI BITTAR, M.D., S.C.
Plan administrator’s address 5201 WILLOW SPRINGS RD STE 440, LAGRANGE, IL, 60525
Administrator’s telephone number 7083544667

Signature of
Role Plan administrator
Date 2012-12-17
Name of individual signing SAMI BITTAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-12-17
Name of individual signing SAMI BITTAR
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SAMI M BITTAR, 5201 S WILLOW SPRINGS RD, #140, LAGRANGE, 60525, COOK-NOT IN CITY OF CHICAGO Agent 1998-08-18

President

Name and Address Role
SAMI M BITTAR, 5201 S WILLOW SPRINGS RD LA GRANGE IL 60525 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 100000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State

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