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ANGELIQUE COHEN, M.D., S.C.

Company Details

Entity Name: ANGELIQUE COHEN, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 09 Dec 2003
Date of Dissolution: 20 Dec 2018
Company Number: CORP_63237949
File Number: 63237949
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 20 Dec 2018
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANGELIQUE COHEN, M.D., S.C. CASH BALANCE PLAN & TRUST 2017 205498259 2018-07-17 ANGELIQUE COHEN, M.D., S.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8475498200
Plan sponsor’s address 850 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048

Signature of

Role Plan administrator
Date 2018-07-17
Name of individual signing ANGELIQUE COHEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-17
Name of individual signing ANGELIQUE COHEN
Valid signature Filed with authorized/valid electronic signature
ANGELIQUE COHEN, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST 2017 205498259 2018-07-17 ANGELIQUE COHEN, M.D., S.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8475498200
Plan sponsor’s address 850 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048

Signature of

Role Plan administrator
Date 2018-07-17
Name of individual signing ANGELIQUE COHEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-17
Name of individual signing ANGELIQUE COHEN
Valid signature Filed with authorized/valid electronic signature
ANGELIQUE COHEN, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST 2017 205498259 2018-07-19 ANGELIQUE COHEN, M.D., S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8475498200
Plan sponsor’s address 850 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048

Signature of

Role Plan administrator
Date 2018-07-19
Name of individual signing ANGELIQUE COHEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-19
Name of individual signing ANGELIQUE COHEN
Valid signature Filed with authorized/valid electronic signature
ANGELIQUE COHEN, M.D., S.C. CASH BALANCE PLAN & TRUST 2016 205498259 2017-06-20 ANGELIQUE COHEN, M.D., S.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8475498200
Plan sponsor’s address 850 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048

Signature of

Role Plan administrator
Date 2017-06-19
Name of individual signing ANGELIQUE COHEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-19
Name of individual signing ANGELIQUE COHEN
Valid signature Filed with authorized/valid electronic signature
ANGELIQUE COHEN, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST 2016 205498259 2017-06-20 ANGELIQUE COHEN, M.D., S.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8475498200
Plan sponsor’s address 850 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048

Signature of

Role Plan administrator
Date 2017-06-19
Name of individual signing ANGELIQUE COHEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-19
Name of individual signing ANGELIQUE COHEN
Valid signature Filed with authorized/valid electronic signature
ANGELIQUE COHEN, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST 2015 205498259 2016-10-13 ANGELIQUE COHEN, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8475498200
Plan sponsor’s address 850 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048

Signature of

Role Plan administrator
Date 2016-10-12
Name of individual signing ANGELIQUE COHEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-12
Name of individual signing ANGELIQUE COHEN
Valid signature Filed with authorized/valid electronic signature
ANGELIQUE COHEN, M.D., S.C. CASH BALANCE PLAN & TRUST 2015 205498259 2016-10-12 ANGELIQUE COHEN, M.D., S.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8475498200
Plan sponsor’s address 850 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048

Signature of

Role Plan administrator
Date 2016-10-11
Name of individual signing ANGELIQUE COHEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-11
Name of individual signing ANGELIQUE COHEN
Valid signature Filed with authorized/valid electronic signature
ANGELIQUE COHEN, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST 2014 205498259 2015-09-14 ANGELIQUE COHEN, M.D., S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8475498200
Plan sponsor’s address 850 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048

Signature of

Role Plan administrator
Date 2015-09-13
Name of individual signing ANGELIQUE COHEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-13
Name of individual signing ANGELIQUE COHEN
Valid signature Filed with authorized/valid electronic signature
ANGELIQUE COHEN, M.D., S.C. CASH BALANCE PLAN & TRUST 2014 205498259 2015-09-14 ANGELIQUE COHEN, M.D., S.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8475498200
Plan sponsor’s address 850 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048

Signature of

Role Plan administrator
Date 2015-09-13
Name of individual signing ANGELIQUE COHEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-13
Name of individual signing ANGELIQUE COHEN
Valid signature Filed with authorized/valid electronic signature
ANGELIQUE COHEN, M.D., S.C. CASH BALANCE PLAN & TRUST 2013 205498259 2014-07-14 ANGELIQUE COHEN, M.D., S.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8475498200
Plan sponsor’s address 850 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048

Signature of

Role Plan administrator
Date 2014-07-14
Name of individual signing ANGELIQUE COHEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-14
Name of individual signing ANGELIQUE COHEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MS REGISTERED AGENT SERV INC, 191 N WACKER DR, STE 1800, CHICAGO, 60606, COOK-NOT IN CITY OF CHICAGO Agent 2007-01-18

President

Name and Address Role
ANGELIQUE COHEN M.D. 850 S MILWAUKEE AVE LIBERTYVILLE IL President

Shares

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

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State