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  5. JOLIET DIABETES & ENDOCRINOLOGY ASSOCIATES INC.

JOLIET DIABETES & ENDOCRINOLOGY ASSOCIATES INC.

Company Details

Entity Name: JOLIET DIABETES & ENDOCRINOLOGY ASSOCIATES INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 19 Jun 2000
Date of Dissolution: 08 Nov 2019
Company Number: CORP_61130349
File Number: 61130349
Type of Business: All Inclusive Purpose
Date Status Change: 08 Nov 2019
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JOLIET DIABETES & ENDOCRINOLOGY ASSOCIATES, INC DEFINED BENEFIT PLAN & TRUST 2019 364374765 2020-10-14 JOLIET DIABETES & ENDOCRINOLOGY ASSOCIATES, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621399
Sponsor’s telephone number 8157441089
Plan sponsor’s address 32 GARFIELD RIDGE CT, WILLOWBROOK, IL, 60527

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing BHAVANI SIVARAJAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-14
Name of individual signing BHAVANI SIVARAJAN
Valid signature Filed with authorized/valid electronic signature
JOLIET DIABETES & ENDOCRINOLOGY ASSOCIATES, INC DEFINED BENEFIT PLAN & TRUST 2019 364374765 2020-10-14 JOLIET DIABETES & ENDOCRINOLOGY ASSOCIATES, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621399
Sponsor’s telephone number 8157441089
Plan sponsor’s address 32 GARFIELD RIDGE CT, WILLOWBROOK, IL, 60527

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing BHAVANI SIVARAJAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-14
Name of individual signing BHAVANI SIVARAJAN
Valid signature Filed with authorized/valid electronic signature
JOLIET DIABETES & ENDOCRINOLOGY ASSOCIATES, INC DEFINED BENEFIT PLAN & TRUST 2018 364374765 2019-09-20 JOLIET DIABETES & ENDOCRINOLOGY ASSOCIATES, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621399
Sponsor’s telephone number 8157441089
Plan sponsor’s address 1715 GLENWOOD AVE., JOLIET, IL, 604355835

Signature of
Role Plan administrator
Date 2019-09-20
Name of individual signing BHAVANI SIVARAJAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-20
Name of individual signing BHAVANI SIVARAJAN
Valid signature Filed with authorized/valid electronic signature
JOLIET DIABETES & ENDOCRINOLOGY ASSOCIATES, INC DEFINED BENEFIT PLAN & TRUST 2017 364374765 2018-10-01 JOLIET DIABETES & ENDOCRINOLOGY ASSOCIATES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621399
Sponsor’s telephone number 8157441089
Plan sponsor’s address 1715 GLENWOOD AVE., JOLIET, IL, 604355835

Signature of
Role Plan administrator
Date 2018-10-01
Name of individual signing BHAVANI SIVARAJAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-01
Name of individual signing BHAVANI SIVARAJAN
Valid signature Filed with authorized/valid electronic signature
JOLIET DIABETES & ENDOCRINOLOGY ASSOCIATES, INC DEFINED BENEFIT PLAN & TRUST 2016 364374765 2017-09-25 JOLIET DIABETES & ENDOCRINOLOGY ASSOCIATES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621399
Sponsor’s telephone number 8157441089
Plan sponsor’s address 1715 GLENWOOD AVE., JOLIET, IL, 604355835

Signature of
Role Plan administrator
Date 2017-09-25
Name of individual signing BHAVANI SIVARAJAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-25
Name of individual signing BHAVANI SIVARAJAN
Valid signature Filed with authorized/valid electronic signature
JOLIET DIABETES & ENDOCRINOLOGY ASSOCIATES, INC DEFINED BENEFIT PLAN & TRUST 2015 364374765 2016-09-28 JOLIET DIABETES & ENDOCRINOLOGY ASSOCIATES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621399
Sponsor’s telephone number 8157441089
Plan sponsor’s address 1715 GLENWOOD AVE., JOLIET, IL, 604355835

Signature of
Role Plan administrator
Date 2016-09-28
Name of individual signing BHAVANI SIVARAJAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-28
Name of individual signing BHAVANI SIVARAJAN
Valid signature Filed with authorized/valid electronic signature
JOLIET DIABETES & ENDOCRINOLOGY ASSOCIATES, INC DEFINED BENEFIT PLAN & TRUST 2014 364374765 2015-09-24 JOLIET DIABETES & ENDOCRINOLOGY ASSOCIATES, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621399
Sponsor’s telephone number 8157441089
Plan sponsor’s address 1715 GLENWOOD AVE., JOLIET, IL, 604355835

Signature of
Role Plan administrator
Date 2015-09-24
Name of individual signing BHAVANI SIVARAJAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-24
Name of individual signing BHAVANI SIVARAJAN
Valid signature Filed with authorized/valid electronic signature
JOLIET DIABETES & ENDOCRINOLOGY ASSOCIATES, INC DEFINED BENEFIT PLAN & TRUST 2013 364374765 2014-09-19 JOLIET DIABETES & ENDOCRINOLOGY ASSOCIATES, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621399
Sponsor’s telephone number 8157441089
Plan sponsor’s address 1715 GLENWOOD AVE., JOLIET, IL, 604355835

Signature of
Role Plan administrator
Date 2014-09-18
Name of individual signing BHAVANI SIVARAJAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-18
Name of individual signing BHAVANI SIVARAJAN
Valid signature Filed with authorized/valid electronic signature
JOLIET DIABETES & ENDOCRINOLOGY ASSOCIATES, INC DEFINED BENEFIT PLAN & TRUST 2012 364374765 2013-10-03 JOLIET DIABETES & ENDOCRINOLOGY ASSOCIATES, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621399
Sponsor’s telephone number 8157441089
Plan sponsor’s address 1715 GLENWOOD AVE., JOLIET, IL, 604355835

Signature of
Role Plan administrator
Date 2013-10-03
Name of individual signing BHAVANI SIVARAJAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-03
Name of individual signing BHAVANI SIVARAJAN
Valid signature Filed with authorized/valid electronic signature
JOLIET DIABETES & ENDOCRINOLOGY ASSOCIATES, INC DEFINED BENEFIT PLAN & TRUST 2011 364374765 2012-10-09 JOLIET DIABETES & ENDOCRINOLOGY ASSOCIATES, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621399
Sponsor’s telephone number 8157441089
Plan sponsor’s address 1715 GLENWOOD AVE., JOLIET, IL, 604355835

Plan administrator’s name and address
Administrator’s EIN 364374765
Plan administrator’s name JOLIET DIABETES & ENDOCRINOLOGY ASSOCIATES, INC.
Plan administrator’s address 1715 GLENWOOD AVE., JOLIET, IL, 604355835
Administrator’s telephone number 8157441089

Signature of
Role Plan administrator
Date 2012-10-09
Name of individual signing BHAVANI SIVARAJAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JAMES D KLOCKOW, 12944 S LAGRANGE RD, PALOS PARK, 60464, COOK-NOT IN CITY OF CHICAGO Agent 2003-09-18

President

Name and Address Role
BHAVANI SIVARAJAN, 32 GARFIELDRIDGE CT, WILLOWBROOK 60527 President

Shares

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

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Related by address

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Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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