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  5. CHARLES E. MILLER, M.D., S.C.

CHARLES E. MILLER, M.D., S.C.

Company Details

Entity Name: CHARLES E. MILLER, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 15 Jul 1999
Company Number: CORP_60582726
File Number: 60582726
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
CHARLES E. MILLER, M.D., S.C. RETIREMENT PLAN & TRUST 2014 364305374 2015-08-04 CHARLES E. MILLER, M.D., S.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8479458380
Plan sponsor’s address 1675 WILMOT ROAD, BANNOCKBURN, IL, 60015

Plan administrator’s name and address
Administrator’s EIN 364305374
Plan administrator’s name CHARLES E. MILLER, M.D., S.C.
Plan administrator’s address 1675 WILMOT ROAD, BANNOCKBURN, IL, 60015
Administrator’s telephone number 8479458380

Signature of
Role Plan administrator
Date 2015-08-04
Name of individual signing CHARLES E. MILLER, M.D.
Valid signature Filed with authorized/valid electronic signature
CHARLES E. MILLER, M.D., S.C. RETIREMENT PLAN & TRUST 2013 364305374 2014-10-06 CHARLES E. MILLER, M.D., S.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8479458380
Plan sponsor’s address 1675 WILMOT ROAD, BANNOCKBURN, IL, 60015

Plan administrator’s name and address
Administrator’s EIN 364305374
Plan administrator’s name CHARLES E. MILLER, M.D., S.C.
Plan administrator’s address 1675 WILMOT ROAD, BANNOCKBURN, IL, 60015
Administrator’s telephone number 8479458380

Signature of
Role Plan administrator
Date 2014-10-06
Name of individual signing CHARLES E. MILLER, M.D.
Valid signature Filed with authorized/valid electronic signature
CHARLES E. MILLER, M.D., S.C. RETIREMENT PLAN & TRUST 2012 364305374 2013-10-02 CHARLES E. MILLER, M.D., S.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8479458380
Plan sponsor’s address 1675 WILMOT ROAD, BANNOCKBURN, IL, 60015

Plan administrator’s name and address
Administrator’s EIN 364305374
Plan administrator’s name CHARLES E. MILLER, M.D., S.C.
Plan administrator’s address 1675 WILMOT ROAD, BANNOCKBURN, IL, 60015
Administrator’s telephone number 8479458380

Signature of
Role Plan administrator
Date 2013-10-02
Name of individual signing CHARLES E. MILLER, M.D.
Valid signature Filed with authorized/valid electronic signature
CHARLES E. MILLER, M.D., S.C. RETIREMENT PLAN & TRUST 2011 364305374 2012-10-10 CHARLES E. MILLER, M.D., S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8479458380
Plan sponsor’s address 1675 WILMOT ROAD, BANNOCKBURN, IL, 60015

Plan administrator’s name and address
Administrator’s EIN 364305374
Plan administrator’s name CHARLES E. MILLER, M.D., S.C.
Plan administrator’s address 1675 WILMOT ROAD, BANNOCKBURN, IL, 60015
Administrator’s telephone number 8479458380

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing CHARLES E. MILLER, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ILLINOIS CORPORATION SERVICE COMPANY, 801 ADLAI STEVENSON DRIVE, SPRINGFIELD, 62703, SANGAMON Agent 2024-04-18

Secretary

Name and Address Role
CHARLES E MILLER, MD. 1675 WILMOT RD., BANNOCKBURN, IL 60015 Secretary

President

Name and Address Role
CHARLES E. MILLER M.D. 1675 WILMOT RD BANNOCKBURN, IL 60015 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 1

Related by officers

ILLINOIS CORPORATION SERVICE COMPANY, 801 ADLAI STEVENSON DRIVE, SPRINGFIELD, 62703, SANGAMON

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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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