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MODIFY PROFESSIONAL CORPORATION

Company Details

Entity Name: MODIFY PROFESSIONAL CORPORATION
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 04 May 2000
Company Number: CORP_61071695
File Number: 61071695
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
MODIFY PROFESSIONAL CORPORATION 2023 364369679 2024-11-09 MODIFY PROFESSIONAL CORPORATION 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-11-01
Business code 621330
Sponsor’s telephone number 8157126987
Plan sponsor’s address 2272 95TH ST SUITE 305, NAPERVILLE, IL, 60564

Signature of

Role Plan administrator
Date 2024-11-09
Name of individual signing GINA JOHNSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
LISA M BUSCH, 26307 WHISPERING WOODS CT, PLAINFIELD, 60585, WILL Agent 2007-05-03

President

Name and Address Role
LISA M BUSCH, 26307 WHISPERINGWOODS CT PLAINFIELD IL 60585 President

Secretary

Name and Address Role
LISA M BUSCH Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
BUSCH & LAWM CLINICAL SERVICES Assume Name 2019-05-22 No data No data No data

Historical Names

Name Change Date
BUSCH & LAWM CLINICAL SERVICES, P.C. 2019-04-29

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100 100000 1

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State