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MOONLIGHT MART, INC.

Company Details

Entity Name: MOONLIGHT MART, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 29 Aug 1997
Date of Dissolution: 03 Jan 2005
Company Number: CORP_59569287
File Number: 59569287
Type of Business: All Inclusive Purpose
Date Status Change: 03 Jan 2005
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH SUBURBAN CARDIOLOGY GROUP, LTD. EMPLOYEES' PROFIT SHARING/401(K) PLAN & TRUST 2010 363881295 2011-07-08 NORTH SUBURBAN CARDIOLOGY GROUP, LTD. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8479051001
Plan sponsor’s address 800 AUSTIN STREET, #501 WEST TOWER, EVANSTON, IL, 602023439

Plan administrator’s name and address

Administrator’s EIN 363881295
Plan administrator’s name NORTH SUBURBAN CARDIOLOGY GROUP, LTD.
Plan administrator’s address 800 AUSTIN STREET, #501 WEST TOWER, EVANSTON, IL, 602023439
Administrator’s telephone number 8479051001

Signature of

Role Plan administrator
Date 2011-07-08
Name of individual signing AKOGAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-08
Name of individual signing AKOGAN
Valid signature Filed with authorized/valid electronic signature
NORTH SUBURBAN CARDIOLOGY GROUP, LTD. EMPLOYEES' PROFIT SHARING/401(K) PLAN & TRUST 2010 363881295 2011-07-08 NORTH SUBURBAN CARDIOLOGY GROUP, LTD. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8479051001
Plan sponsor’s address 800 AUSTIN STREET, #501 WEST TOWER, EVANSTON, IL, 602023439

Plan administrator’s name and address

Administrator’s EIN 363881295
Plan administrator’s name NORTH SUBURBAN CARDIOLOGY GROUP, LTD.
Plan administrator’s address 800 AUSTIN STREET, #501 WEST TOWER, EVANSTON, IL, 602023439
Administrator’s telephone number 8479051001

Signature of

Role Plan administrator
Date 2011-07-08
Name of individual signing AKOGAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-08
Name of individual signing AKOGAN
Valid signature Filed with authorized/valid electronic signature
NORTH SUBURBAN CARDIOLOGY GROUP, LTD. EMPLOYEES' PROFIT SHARING/401(K) PLAN & TRUST 2009 363881295 2010-07-16 NORTH SUBURBAN CARDIOLOGY GROUP, LTD. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8479051001
Plan sponsor’s address 800 AUSTIN STREET, #501 WEST TOWER, EVANSTON, IL, 602023439

Plan administrator’s name and address

Administrator’s EIN 363881295
Plan administrator’s name NORTH SUBURBAN CARDIOLOGY GROUP, LTD.
Plan administrator’s address 800 AUSTIN STREET, #501 WEST TOWER, EVANSTON, IL, 602023439
Administrator’s telephone number 8479051001

Signature of

Role Plan administrator
Date 2010-07-16
Name of individual signing ALAN KOGAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-16
Name of individual signing ALAN KOGAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ZAHER SAMMAK, 8369 S ARCHER AVE, WILLOW SPRINGS, 60480, COOK-NOT IN CITY OF CHICAGO Agent 2003-09-25

President

Name and Address Role
HASAN M SAMMAK, 7445 S BLACKSTONE AVE JUSTICE 60458 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 No data

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State