JAY M. PENSLER, M.D.,S.C.

Company Details

Entity Name:	JAY M. PENSLER, M.D.,S.C.
Jurisdiction:	Illinois
Entity Type:	Corporation - Domestic BCA
Status:	Dissolved
Date Formed:	21 Jul 1997
Date of Dissolution:	06 Dec 2021
Company Number:	CORP_59511793
File Number:	59511793
Type of Business:	Incorporated under the Medical Corporation Act
Date Status Change:	06 Dec 2021
Place of Formation:	ILLINOIS

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

JAY M PENSLER MD SC PROFIT SHARING PLAN

2009

364170697

2010-06-29

JAY M PENSLER M D ,S C

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1997-12-01
Business code	621112
Sponsor’s telephone number	3126427777
Plan sponsor’s mailing address	680 N LAKE SHORE DRIVE, CHICAGO, IL, 60611
Plan sponsor’s address	SUITE 1125, CHICAGO, IL, 60611

Plan administrator’s name and address

Administrator’s EIN	364170697
Plan administrator’s name	JAY M PENSLER M D S C
Plan administrator’s address	680 N LAKE SHORE DRIVE, CHICAGO, IL, 60611
Administrator’s telephone number	3126427777

Number of participants as of the end of the plan year

Active participants

Signature of

Role	Plan administrator
Date	2010-06-28
Name of individual signing	JAY M PENSLER MD
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role	Appointment Date
JAY MICHAEL PENSLER, 680 N LAKE SHORE DR STE 1125, CHICAGO, 60611, COOK-NOT IN CITY OF CHICAGO	Agent	2013-04-08

Name and Address	Role
JAY M PENSLER, 680 N LAKE SHORE DR STE 1125 CHICAGO 60611	President

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

Date of last update: 20 Jan 2025