| Entity Name: | GOMEZ MEDICAL GROUP, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 02 May 2001 |
| Company Number: | CORP_61633553 |
| File Number: | 61633553 |
| Type of Business: | All Inclusive Purpose |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GOMEZ MEDICAL GROUP 401(K) P/S PLAN | 2016 | 141902393 | 2017-11-03 | GOMEZ MEDICAL GROUP | 5 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 141902393 |
| Plan administrator’s name | GOMEZ MEDICAL GROUP |
| Plan administrator’s address | 530 N MCLEAN BLVD, ELGIN, IL, 60123 |
| Administrator’s telephone number | 2248562300 |
Signature of
| Role | Plan administrator |
| Date | 2017-11-03 |
| Name of individual signing | ANGEL GOMEZ |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2248562300 |
| Plan sponsor’s address | 530 N MCLEAN BLVD, ELGIN, IL, 60123 |
Plan administrator’s name and address
| Administrator’s EIN | 141902393 |
| Plan administrator’s name | GOMEZ MEDICAL GROUP |
| Plan administrator’s address | 530 N MCLEAN BLVD, ELGIN, IL, 60123 |
| Administrator’s telephone number | 2248562300 |
Signature of
| Role | Plan administrator |
| Date | 2016-06-28 |
| Name of individual signing | ANGEL GOMEZ |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ALFRED D STAVROS, 433 N MILWAUKEE AVE, WHEELING, 60090, COOK-NOT IN CITY OF CHICAGO | Agent | 2001-05-02 |
| Name and Address | Role |
|---|---|
| GOMEZ MEDICAL GROUP, INC. 1600 N. RANDALL RD ST 155, ELGIN | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 1000 | 1000000 | No data |
Date of last update: 27 Jan 2025
