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  5. JASMINE WANG CHAO, D.O., LTD.

JASMINE WANG CHAO, D.O., LTD.

Company Details

Entity Name: JASMINE WANG CHAO, D.O., LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 18 Jun 2003
Company Number: CORP_62940301
File Number: 62940301
Type of Business: Incorporated under the Professional Service Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JASMINE WANG CHAO, D.O., LTD. 401(K) PROFIT SHARING PLAN 2016 134255302 2017-04-11 JASMINE WANG CHAO, D.O., LTD. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8476578588
Plan sponsor’s address 8152 N. LOREL AVENUE, SKOKRE, IL, 60077

Signature of
Role Plan administrator
Date 2017-04-11
Name of individual signing MARK CHAO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-11
Name of individual signing MARK CHAO
Valid signature Filed with authorized/valid electronic signature
JASMINE WANG CHAO, D.O., LTD. 401(K) PROFIT SHARING PLAN 2015 134255302 2016-08-19 JASMINE WANG CHAO, D.O., LTD. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8476578588
Plan sponsor’s address 8152 N. LOREL AVENUE, SKOKRE, IL, 60077

Signature of
Role Plan administrator
Date 2016-08-19
Name of individual signing MARK CHAO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-19
Name of individual signing MARK CHAO
Valid signature Filed with authorized/valid electronic signature
JASMINE WANG CHAO, D.O., LTD. 401(K) PROFIT SHARING PLAN 2014 134255302 2015-10-01 JASMINE WANG CHAO, D.O., LTD. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8476578588
Plan sponsor’s address 8152 N. LOREL AVENUE, SKOKRE, IL, 60077

Signature of
Role Plan administrator
Date 2015-10-01
Name of individual signing MARK CHAO
Valid signature Filed with authorized/valid electronic signature
JASMINE WANG CHAO, D.O., LTD. 401(K) PROFIT SHARING PLAN 2013 134255302 2014-07-17 JASMINE WANG CHAO, D.O., LTD. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8476578588
Plan sponsor’s address P.O. BOX 1666, SKOKIE, IL, 600768666

Signature of
Role Plan administrator
Date 2014-07-17
Name of individual signing MARK CHAO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-17
Name of individual signing MARK CHAO
Valid signature Filed with authorized/valid electronic signature
JASMINE WANG CHAO, D.O., LTD. 401(K) PROFIT SHARING PLAN 2012 134255302 2013-10-11 JASMINE WANG CHAO, D.O., LTD. 3
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8476578588
Plan sponsor’s address P.O. BOX 1666, SKOKIE, IL, 600768666

Signature of
Role Plan administrator
Date 2013-10-10
Name of individual signing MARK CHAO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-10
Name of individual signing JASMINE CHAO
Valid signature Filed with authorized/valid electronic signature
JASMINE WANG CHAO, D.O., LTD. 401(K) PROFIT SHARING PLAN 2011 134255302 2012-10-16 JASMINE WANG CHAO, D.O., LTD. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8476578588
Plan sponsor’s address 8152 N. LOREL AVENUE, SKOKRE, IL, 60077

Plan administrator’s name and address
Administrator’s EIN 134255302
Plan administrator’s name JASMINE WANG CHAO, D.O., LTD.
Plan administrator’s address 8152 N. LOREL AVENUE, SKOKRE, IL, 60077
Administrator’s telephone number 8476578588

Signature of
Role Plan administrator
Date 2012-10-16
Name of individual signing MARK CHAO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-16
Name of individual signing MARK CHAO
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JASMINE YUN-TSI CHAO, 1308 WAUKEGAN ROAD STE 202, GLENVIEW, 60025, COOK-NOT IN CITY OF CHICAGO Agent 2017-10-02

President

Name and Address Role
JASMINE CHAO DO, 1308 WAUKEGANRD, GLENVIEW,IL60025 President

Secretary

Name and Address Role
JONATHAN CHAD Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 1

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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