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  5. ZAFER JAWICH M.D. S.C.

ZAFER JAWICH M.D. S.C.

Company Details

Entity Name: ZAFER JAWICH M.D. S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 04 Feb 2004
Company Number: CORP_63352071
File Number: 63352071
Type of Business: Incorporated under the Medical Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ZAFER JAWICH M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST 2022 770622630 2023-08-17 ZAFER JAWICH M.D., S.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8157178737
Plan sponsor’s address 1890 SILVER CROSS BLVD, STE 350, NEW LENOX, IL, 60451

Plan administrator’s name and address
Administrator’s EIN 770622630
Plan administrator’s name ZAFER JAWICH M.D., S.C.
Plan administrator’s address 1890 SILVER CROSS BLVD, STE 350, NEW LENOX, IL, 60451
Administrator’s telephone number 8157262368

Signature of
Role Plan administrator
Date 2023-08-17
Name of individual signing ROBERT PONSONBY
Valid signature Filed with authorized/valid electronic signature
ZAFER JAWICH M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST 2021 770622630 2022-10-17 ZAFER JAWICH M.D., S.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8157178737
Plan sponsor’s address 1890 SILVER CROSS BLVD, STE 350, NEW LENOX, IL, 60451

Plan administrator’s name and address
Administrator’s EIN 770622630
Plan administrator’s name ZAFER JAWICH M.D., S.C.
Plan administrator’s address 1890 SILVER CROSS BLVD, STE 350, NEW LENOX, IL, 60451
Administrator’s telephone number 8157262368
ZAFER JAWICH M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST 2020 770622630 2021-10-01 ZAFER JAWICH M.D., S.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8157178737
Plan sponsor’s address 1890 SILVER CROSS BLVD, STE 350, NEW LENOX, IL, 60451

Plan administrator’s name and address
Administrator’s EIN 770622630
Plan administrator’s name ZAFER JAWICH M.D., S.C.
Plan administrator’s address 1890 SILVER CROSS BLVD, STE 350, NEW LENOX, IL, 60451
Administrator’s telephone number 8157262368
ZAFER JAWICH M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST 2019 770622630 2020-09-24 ZAFER JAWICH M.D., S.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8157262368
Plan sponsor’s address 1890 SILVER CROSS BLVD, STE 350, NEW LENOX, IL, 60451

Plan administrator’s name and address
Administrator’s EIN 770622630
Plan administrator’s name ZAFER JAWICH M.D., S.C.
Plan administrator’s address 1890 SILVER CROSS BLVD, STE 350, NEW LENOX, IL, 60451
Administrator’s telephone number 8157262368
ZAFER JAWICH M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST 2018 770622630 2019-09-27 ZAFER JAWICH M.D., S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8157262368
Plan sponsor’s address 1890 SILVER CROSS BLVD, STE 350, NEW LENOX, IL, 60451

Plan administrator’s name and address
Administrator’s EIN 770622630
Plan administrator’s name ZAFER JAWICH M.D., S.C.
Plan administrator’s address 1890 SILVER CROSS BLVD, STE 350, NEW LENOX, IL, 60451
Administrator’s telephone number 8157262368
ZAFER JAWICH M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST 2017 770622630 2018-10-09 ZAFER JAWICH M.D., S.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8157262368
Plan sponsor’s address 1890 SILVER CROSS BLVD, STE 350, NEW LENOX, IL, 60451

Plan administrator’s name and address
Administrator’s EIN 770622630
Plan administrator’s name ZAFER JAWICH M.D., S.C.
Plan administrator’s address 1890 SILVER CROSS BLVD, STE 350, NEW LENOX, IL, 60451
Administrator’s telephone number 8157262368
ZAFER JAWICH M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST 2016 770622630 2017-05-23 ZAFER JAWICH M.D., S.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8157262368
Plan sponsor’s address 1890 SILVER CROSS BLVD, STE 350, NEW LENOX, IL, 60451

Plan administrator’s name and address
Administrator’s EIN 770622630
Plan administrator’s name ZAFER JAWICH M.D., S.C.
Plan administrator’s address 1890 SILVER CROSS BLVD, STE 350, NEW LENOX, IL, 60451
Administrator’s telephone number 8157262368
ZAFER JAWICH M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST 2015 770622630 2016-03-08 ZAFER JAWICH M.D., S.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8157262368
Plan sponsor’s address 1890 SILVER CROSS BLVD, STE 350, NEW LENOX, IL, 60451

Plan administrator’s name and address
Administrator’s EIN 770622630
Plan administrator’s name ZAFER JAWICH M.D., S.C.
Plan administrator’s address 1890 SILVER CROSS BLVD, STE 350, NEW LENOX, IL, 60451
Administrator’s telephone number 8157262368
ZAFER JAWICH M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST 2014 770622630 2015-07-09 ZAFER JAWICH M.D., S.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8157262368
Plan sponsor’s address 1890 SILVER CROSS BLVD, STE 350, NEW LENOX, IL, 60451

Plan administrator’s name and address
Administrator’s EIN 770622630
Plan administrator’s name ZAFER JAWICH M.D., S.C.
Plan administrator’s address 1890 SILVER CROSS BLVD, STE 350, NEW LENOX, IL, 60451
Administrator’s telephone number 8157262368

Signature of
Role Plan administrator
Date 2015-07-09
Name of individual signing ZAFER JAWICH
Valid signature Filed with authorized/valid electronic signature
ZAFER JAWICH M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST 2013 770622630 2014-06-03 ZAFER JAWICH M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8157262368
Plan sponsor’s address 1890 SILVER CROSS BLVD, STE 350, NEW LENOX, IL, 60451

Plan administrator’s name and address
Administrator’s EIN 770622630
Plan administrator’s name ZAFER JAWICH M.D., S.C.
Plan administrator’s address 1890 SILVER CROSS BLVD, STE 350, NEW LENOX, IL, 60451
Administrator’s telephone number 8157262368

Signature of
Role Plan administrator
Date 2014-06-03
Name of individual signing ZAFER JAWICH
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ZAFER JAWICH, 1890 SILVER CROSS BLVD STE 350, NEW LENOX, 60451, WILL Agent 2021-01-11

President

Name and Address Role
ZAFER JAWICH 1890 SILVER CROSSBLVD STE 350 NEW LENOX 60451 President

Secretary

Name and Address Role
ZAFER JAWICH 1890 SILVER CROSSBLVD STE 350 NEW LENOX 60451 Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
PRIMARY MEDICAL GROUP Assume Name 2017-02-27 No data No data No data

Shares

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

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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