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  5. LYNN GAYE BROWN, M.D., S.C.

LYNN GAYE BROWN, M.D., S.C.

Company Details

Entity Name: LYNN GAYE BROWN, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 08 Jun 2004
Date of Dissolution: 09 Mar 2020
Company Number: CORP_63605964
File Number: 63605964
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 09 Mar 2020
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LYNN GAYE BROWN, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST 2018 050602694 2019-05-08 LYNN GAYE BROWN, M.D., S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8159322000
Plan sponsor’s address 500 N WALL STREET, STE 201, KANKAKEE, IL, 609012942

Signature of
Role Plan administrator
Date 2019-05-08
Name of individual signing LYNN BROWN
Valid signature Filed with authorized/valid electronic signature
LYNN GAYE BROWN, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST 2018 050602694 2019-10-08 LYNN GAYE BROWN, M.D., S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8159322000
Plan sponsor’s address 500 N WALL STREET, STE 201, KANKAKEE, IL, 609012942

Signature of
Role Plan administrator
Date 2019-10-08
Name of individual signing LYNN BROWN
Valid signature Filed with authorized/valid electronic signature
LYNN GAYE BROWN, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST 2017 050602694 2018-07-16 LYNN GAYE BROWN, M.D., S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8159322000
Plan sponsor’s address 500 N WALL STREET, STE 201, KANKAKEE, IL, 609012942

Signature of
Role Plan administrator
Date 2018-07-16
Name of individual signing LYNN BROWN
Valid signature Filed with authorized/valid electronic signature
LYNN GAYE BROWN, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST 2016 050602694 2017-07-11 LYNN GAYE BROWN, M.D., S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8159322000
Plan sponsor’s address 500 N WALL STREET, STE 201, KANKAKEE, IL, 609012942

Signature of
Role Plan administrator
Date 2017-07-11
Name of individual signing LYNN BROWN
Valid signature Filed with authorized/valid electronic signature
LYNN GAYE BROWN, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST 2015 050602694 2016-06-24 LYNN GAYE BROWN, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8159322000
Plan sponsor’s address 500 NORTH WALL STREET, SUITE 201, KANKAKEE, IL, 609012942

Signature of
Role Plan administrator
Date 2016-06-24
Name of individual signing LYNN BROWN
Valid signature Filed with authorized/valid electronic signature
LYNN GAYE BROWN, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST 2014 050602694 2015-06-30 LYNN GAYE BROWN ,M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 8159322000
Plan sponsor’s address 500 NORTH WALL STREET, SUITE 201, KANKAKEE, IL, 609012942

Signature of
Role Plan administrator
Date 2015-06-30
Name of individual signing LYNN BROWN
Valid signature Filed with authorized/valid electronic signature
LYNN GAYE BROWN, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST 2013 050602694 2014-07-25 LYNN GAYE BROWN ,M.D., S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 8159322000
Plan sponsor’s address 500 NORTH WALL STREET, SUITE 201, KANKAKEE, IL, 609012942

Plan administrator’s name and address
Administrator’s EIN 050602694
Plan administrator’s name LYNN GAYE BROWN, M.D., S.C.
Plan administrator’s address 500 NORTH WALL STREET, SUITE 201, KANKAKEE, IL, 609012942
Administrator’s telephone number 8159322000

Signature of
Role Plan administrator
Date 2014-07-25
Name of individual signing LYNN BROWN
Valid signature Filed with authorized/valid electronic signature
LYNN GAYE BROWN, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST 2012 050602694 2013-07-23 LYNN GAYE BROWN ,M.D., S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 8159322000
Plan sponsor’s address 500 NORTH WALL STREET, SUITE 201, KANKAKEE, IL, 609012942

Plan administrator’s name and address
Administrator’s EIN 050602694
Plan administrator’s name LYNN GAYE BROWN, M.D., S.C.
Plan administrator’s address 500 NORTH WALL STREET, SUITE 201, KANKAKEE, IL, 609012942
Administrator’s telephone number 8159322000

Signature of
Role Plan administrator
Date 2013-07-23
Name of individual signing LYNN BROWN
Valid signature Filed with authorized/valid electronic signature
LYNN GAYE BROWN, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST 2011 050602694 2012-07-10 LYNN GAYE BROWN, M.D., S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 8159322000
Plan sponsor’s address 500 NORTH WALL STREET, SUITE 201, KANKAKEE, IL, 609012942

Plan administrator’s name and address
Administrator’s EIN 050602694
Plan administrator’s name LYNN GAYE BROWN, M.D., S.C.
Plan administrator’s address 500 NORTH WALL STREET, SUITE 201, KANKAKEE, IL, 609012942
Administrator’s telephone number 8159322000

Signature of
Role Plan administrator
Date 2012-07-10
Name of individual signing LYNN BROWN
Valid signature Filed with authorized/valid electronic signature
LYNN GAYE BROWN, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST 2010 050602694 2011-07-19 LYNN GAYE BROWN, M.D., S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 8159322000
Plan sponsor’s address 500 NORTH WALL STREET, SUITE 201, KANKAKEE, IL, 609012942

Plan administrator’s name and address
Administrator’s EIN 050602694
Plan administrator’s name LYNN GAYE BROWN, M.D., S.C.
Plan administrator’s address 500 NORTH WALL STREET, SUITE 201, KANKAKEE, IL, 609012942
Administrator’s telephone number 8159322000

Signature of
Role Plan administrator
Date 2011-07-19
Name of individual signing LYNN BROWN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
LYNN G BROWN, 500 N WALL ST #201, KANKAKEE, 60901, KANKAKEE Agent 2007-05-08

President

Name and Address Role
LYNN BROWN MD 500 N WALL ST STE 201 KANKAKEE IL 60901 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 100000 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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