BRIAN J. SHAHEEN, M.D., S.C.

Company Details

Entity Name:	BRIAN J. SHAHEEN, M.D., S.C.
Jurisdiction:	Illinois
Entity Type:	Corporation - Domestic BCA
Status:	Dissolved
Date Formed:	01 Jun 2001
Date of Dissolution:	15 Apr 2011
Company Number:	CORP_61677801
File Number:	61677801
Type of Business:	Incorporated under the Medical Corporation Act
Date Status Change:	15 Apr 2011
Place of Formation:	ILLINOIS

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

BRIAN J. SHAHEEN, M.D., S.C. 401K PLAN

2010

371410004

2010-11-12

BRIAN J. SHAHEEN, M.D., S.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2001-07-01
Business code	621111
Sponsor’s telephone number	6182442296
Plan sponsor’s mailing address	1104 S. 42ND STREET, MT. VERNON, IL, 62864
Plan sponsor’s address	1104 S. 42ND STREET, MT. VERNON, IL, 62864

Plan administrator’s name and address

Administrator’s EIN	371410004
Plan administrator’s name	BRIAN J. SHAHEEN, M.D., S.C.
Plan administrator’s address	1104 S. 42ND STREET, MT. VERNON, IL, 62864
Administrator’s telephone number	6182442296

Number of participants as of the end of the plan year

Active participants	0
Number of participants with account balances as of the end of the plan year	0

Signature of

Role	Plan administrator
Date	2010-11-12
Name of individual signing	MARY JO HOLLENSBE
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role	Appointment Date
BRIAN J SHAHEEN, 400 JAY DRIVE, MT VERNON, 62864, JEFFERSON	Agent	2001-06-01

Name and Address	Role
BRIAN J SHAHEEN, 400 JAY DRIVE MT VERNON 62864	President

Class	Series	Voting Rights	Authorized Shares	Issued Shares	Par Value
COMM	No data	Voting Rights	500	100000	No data

Date of last update: 16 Jan 2025