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SOUTHWEST MEDICAL AFFILIATES, P.C.

SOUTHWEST MEDICAL AFFILIATES, P.C.

Company Details

Entity Name:	SOUTHWEST MEDICAL AFFILIATES, P.C.
Jurisdiction:	Illinois
Entity Type:	Corporation - Domestic BCA
Status:	Dissolved
Date Formed:	29 Nov 2001
Date of Dissolution:	12 Apr 2019
Company Number:	CORP_61927301
File Number:	61927301
Type of Business:	Incorporated under the Professional Service Corporation Act
Date Status Change:	12 Apr 2019
Place of Formation:	ILLINOIS

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

SOUTHWEST MEDICAL AFFILIATES 401(K) PROFIT SHARING PLAN AND T

2016

364464313

2017-09-21

SOUTHWEST MEDICAL AFFILIATES

13

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-06-01
Business code	621111
Sponsor’s telephone number	7088575800
Plan sponsor’s address	5630 W.111 STREET, CHICAGO RIDGE, IL, 60415

Signature of

Role	Plan administrator
Date	2017-09-21
Name of individual signing	CHRIS LISEK
Valid signature	Filed with authorized/valid electronic signature

Agent

Name and Address	Role	Appointment Date
EDWARD R IPEMA, 9742 S ROBERTS RD, PALOS HILLS, 60465, COOK-NOT IN CITY OF CHICAGO	Agent	2015-03-16

President

Name and Address	Role
SAMUEL FARBSTEIN 713 ELM ST FLOSSMOOR 60422	President

Shares

Class	Series	Voting Rights	Authorized Shares	Issued Shares	Par Value
COMMON	No data	Voting Rights	300	300000	1

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State