| Entity Name: | MATTHEW T. JOHNSON, MD, PC |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Reinstated |
| Date Formed: | 16 Jan 2004 |
| Date of Dissolution: | 09 Jun 2023 |
| Company Number: | CORP_63315109 |
| File Number: | 63315109 |
| Type of Business: | Incorporated under the Professional Service Corporation Act |
| Date Status Change: | 09 Jun 2023 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MATTHEW T JOHNSON MD PC 401 K PROFIT SHARING PLAN TRUST | 2011 | 030534848 | 2012-06-01 | MATTHEW T JOHNSON MD PC | 6 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 030534848 |
| Plan administrator’s name | MATTHEW T JOHNSON MD PC |
| Plan administrator’s address | 344 VICTORY DR, PARK FOREST, IL, 604662003 |
| Administrator’s telephone number | 7084810100 |
Signature of
| Role | Plan administrator |
| Date | 2012-06-01 |
| Name of individual signing | MATTHEW T JOHNSON MD PC |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| MATTHEW JOHNSON, 18300 S HALSTED ST , B340, GLENWOOD, 60425, COOK-NOT IN CITY OF CHICAGO | Agent | 2025-01-13 |
| Name and Address | Role |
|---|---|
| MATTHEW T, JOHNSON 18300 S HALSTED ST , B340 GLENWOOD IL, 60 | President |
| Name and Address | Role |
|---|---|
| SCOTT R, LOWRY 9501 171ST ST STE Q TINLEY PARK IL, 60487 | Secretary |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| PROF SERVICE CORP | 060009669 | No data | No data | REGISTERED PROFESSIONAL SERVICE CORPORATION | No data | 2007-11-15 | 2007-11-15 | 2009-01-01 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| PARK FOREST FAMILY PRACTICE | No data | 2010-05-13 | 2014-06-02 | Involuntary Cancellation | No data |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 100000 | 1000000 | No data |
Date of last update: 27 Jan 2025
