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MANSOOR KHAN, M.D., S.C.

Company Details

Entity Name: MANSOOR KHAN, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 01 Jul 1999
Company Number: CORP_60560536
File Number: 60560536
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
MANSOOR KHAN, M.D., S.C. PROFIT SHARING PLAN & TRUST 2023 364302965 2024-10-10 MANSOOR KHAN, M.D., S.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8479527181
Plan sponsor’s address 800 BIESTERFIELD ROAD, SUITE 407, ELK GROVE VILLAGE, IL, 60007
MANSOOR KHAN, M.D., S.C. PROFIT SHARING PLAN & TRUST 2022 364302965 2023-10-03 MANSOOR KHAN, M.D., S.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8479527181
Plan sponsor’s address 800 BIESTERFIELD ROAD, SUITE 407, ELK GROVE VILLAGE, IL, 60007
MANSOOR KHAN, M.D., S.C. PROFIT SHARING PLAN & TRUST 2021 364302965 2022-09-27 MANSOOR KHAN, M.D., S.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8479527181
Plan sponsor’s address 800 BIESTERFIELD ROAD, SUITE 407, ELK GROVE VILLAGE, IL, 60007
MANSOOR KHAN, M.D., S.C. PROFIT SHARING PLAN & TRUST 2020 364302965 2021-10-08 MANSOOR KHAN, M.D., S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8479527181
Plan sponsor’s address 800 BIESTERFIELD ROAD, SUITE 407, ELK GROVE VILLAGE, IL, 60007
MANSOOR KHAN, M.D., S.C. PROFIT SHARING PLAN & TRUST 2019 364302965 2020-10-14 MANSOOR KHAN, M.D., S.C. 6
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8479527181
Plan sponsor’s address 800 BIESTERFIELD ROAD, SUITE 407, ELK GROVE VILLAGE, IL, 60007
MANSOOR KHAN, M.D., S.C. PROFIT SHARING PLAN & TRUST 2019 364302965 2020-10-15 MANSOOR KHAN, M.D., S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6302405047
Plan sponsor’s address 800 BIESTERFIELD ROAD SUITE 407, ELK GROVE VILLAGE, IL, 60007

Signature of

Role Plan administrator
Date 2020-10-15
Name of individual signing MANSOOR KHAN
Valid signature Filed with authorized/valid electronic signature
MANSOOR KHAN, M.D., S.C PROFIT SHARING PLAN & TRUST 2018 364302965 2019-10-08 MANSOOR KHAN, M.D., S.C 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8479527181
Plan sponsor’s address 800 BIESTERFIELD RD STE 407, ELK GROVE VILLAGE, IL, 60007

Signature of

Role Plan administrator
Date 2019-10-08
Name of individual signing MANSOOR KHAN
Valid signature Filed with authorized/valid electronic signature
MANSOOR KHAN, M.D., S.C PROFIT SHARING PLAN & TRUST 2017 364302965 2018-10-07 MANSOOR KHAN, M.D., S.C 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8479527181
Plan sponsor’s address 800 BIESTERFIELD RD STE 407, ELK GROVE VILLAGE, IL, 60007

Signature of

Role Plan administrator
Date 2018-10-07
Name of individual signing MANSOOR KHAN
Valid signature Filed with authorized/valid electronic signature
MANSOOR KHAN, M.D., S.C PROFIT SHARING PLAN & TRUST 2016 364302965 2017-07-22 MANSOOR KHAN, M.D., S.C 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8479527181
Plan sponsor’s address 800 BIESTERFIELD RD STE 407, ELK GROVE VILLAGE, IL, 60007

Signature of

Role Plan administrator
Date 2017-07-22
Name of individual signing MANSOOR KHAN
Valid signature Filed with authorized/valid electronic signature
MANSOOR KHAN, M.D., S.C. PROFIT SHARING PLAN & TRUST 2014 364302965 2015-05-06 MANSOOR KHAN, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8479527181
Plan sponsor’s address 800 BIESTERFIELD ROAD, SUITE 407, ELK GROVE VILLAGE, IL, 60007

Agent

Name and Address Role Appointment Date
MANSOOR KHAN, 14 CARRIAGE COURT, OAK BROOK, 60523, DU PAGE Agent 2022-09-06

President

Name and Address Role
MANSOOR KHAN 14 CARRIAGE CT OAK BROOK 60523 President

Secretary

Name and Address Role
MANSOOR KHAN 14 CARRIAGE CT OAK BROOK 60523 Secretary

Shares

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

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State