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  5. BHUPENDRA R. PATEL, M.D., S.C.

BHUPENDRA R. PATEL, M.D., S.C.

Company Details

Entity Name: BHUPENDRA R. PATEL, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 23 Feb 1999
Company Number: CORP_60362173
File Number: 60362173
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
BHUPENDRA R. PATEL M. D. , S. C. 401(K) PROFIT SHARING PLAN 2017 364278834 2018-06-03 BHUPENDRA R. PATEL, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8474554701
Plan sponsor’s address 9663 FRANKLIN AVENUE, FRANKLIN PARK, IL, 60131

Signature of
Role Plan administrator
Date 2018-06-03
Name of individual signing BHUPENDRA R. PATEL, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-03
Name of individual signing BHUPENDRA R PATEL MD
Valid signature Filed with authorized/valid electronic signature
BHUPENDRA R. PATEL, M.D., S.C. DEFINED BENEFIT PLAN 2016 364278834 2017-09-28 BHUPENDRA R. PATEL, M.D., S.C. 3
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 8474554701
Plan sponsor’s mailing address 9663 FRANKLIN AVE, FRANKLIN PARK, IL, 601312719
Plan sponsor’s address 9663 FRANKLIN AVE, FRANKLIN PARK, IL, 601312719

Number of participants as of the end of the plan year
Active participants 1
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Employer/plan sponsor
Date 2017-08-03
Name of individual signing BHUPENDRA PATEL
Valid signature Filed with authorized/valid electronic signature
BHUPENDRA R. PATEL, M.D., S.C. DEFINED BENEFIT PLAN 2016 364278834 2017-10-11 BHUPENDRA R. PATEL, M.D., S.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 8474554701
Plan sponsor’s mailing address 9663 FRANKLIN AVE, FRANKLIN PARK, IL, 601312719
Plan sponsor’s address 9663 FRANKLIN AVE, FRANKLIN PARK, IL, 601312719

Number of participants as of the end of the plan year
Active participants 1
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2017-10-11
Name of individual signing BHUPENDRA PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-11
Name of individual signing BHUPENDRA PATEL
Valid signature Filed with authorized/valid electronic signature
BHUPENDRA R. PATEL M.D., S.C. 401(K) PROFIT SHARING PLAN 2013 364278834 2014-10-13 BHUPENDRA R. PATEL M.D., S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8474554701
Plan sponsor’s address 9663 FRANKLIN AVE, FRANKLIN PARK, IL, 60131

Signature of
Role Plan administrator
Date 2014-10-10
Name of individual signing BHUPENDRA PATEL
Valid signature Filed with authorized/valid electronic signature
BHUPENDRA R. PATEL M.D., S.C. 401(K) PROFIT SHARING PLAN 2012 364278834 2013-10-15 BHUPENDRA R. PATEL M.D., S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8474554701
Plan sponsor’s address 9663 FRANKLIN AVE, FRANKLIN PARK, IL, 60131

Signature of
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing BHUPENDRA PATEL
Valid signature Filed with authorized/valid electronic signature
BHUPENDRA R. PATEL M.D., S.C. 401(K) PROFIT SHARING PLAN 2011 364278834 2012-03-22 BHUPENDRA R. PATEL M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8474554701
Plan sponsor’s address 9663 FRANKLIN AVE, FRANKLIN PARK, IL, 60131

Plan administrator’s name and address
Administrator’s EIN 364278834
Plan administrator’s name BHUPENDRA R. PATEL M.D., S.C.
Plan administrator’s address 9663 FRANKLIN AVE, FRANKLIN PARK, IL, 60131
Administrator’s telephone number 8474554701

Signature of
Role Employer/plan sponsor
Date 2012-03-21
Name of individual signing BHUPENDRA PATEL
Valid signature Filed with authorized/valid electronic signature
BHUPENDRA R. PATEL M.D., S.C. 401(K) PROFIT SHARING PLAN 2010 364278834 2011-10-11 BHUPENDRA R. PATEL M.D., S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8474554701
Plan sponsor’s address 9663 FRANKLIN AVE, FRANKLIN PARK, IL, 60131

Plan administrator’s name and address
Administrator’s EIN 364278834
Plan administrator’s name BHUPENDRA R. PATEL M.D., S.C.
Plan administrator’s address 9663 FRANKLIN AVE, FRANKLIN PARK, IL, 60131
Administrator’s telephone number 8474554701

Signature of
Role Employer/plan sponsor
Date 2011-10-10
Name of individual signing BHUPENDRA PATEL
Valid signature Filed with authorized/valid electronic signature
BHUPENDRA R. PATEL M.D., S.C. 401(K) PROFIT SHARING PLAN 2009 364278834 2010-10-11 BHUPENDRA R. PATEL M.D., S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8474554701
Plan sponsor’s address 9663 FRANKLIN AVE, FRANKLIN PARK, IL, 60131

Plan administrator’s name and address
Administrator’s EIN 364278834
Plan administrator’s name BHUPENDRA R. PATEL M.D., S.C.
Plan administrator’s address 9663 FRANKLIN AVE, FRANKLIN PARK, IL, 60131
Administrator’s telephone number 8474554701

Signature of
Role Employer/plan sponsor
Date 2010-10-08
Name of individual signing BHUPENDRA PATEL
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
GARY J. FERNANDEZ, 480 E ROOSEVELT RD #203, WEST CHICAGO, 60185, DU PAGE Agent 2022-01-20

President

Name and Address Role
BHUPENDRA R PATEL, 9663 FRANKLIN AVE, FRANKLIN PARK 60131 President

Secretary

Name and Address Role
BHUPENDRA R PATEL, 9663 FRANKLIN AVE, FRANKLIN PARK 60131 Secretary

Shares

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

Related by officers

GARY J. FERNANDEZ, 480 E ROOSEVELT RD #203, WEST CHICAGO, 60185, DU PAGE

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Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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