| Entity Name: | WILLIAM H. JOHANSEN, CPA, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 15 Nov 2004 |
| Date of Dissolution: | 25 May 2006 |
| Company Number: | CORP_63882046 |
| File Number: | 63882046 |
| Type of Business: | Incorporated under the Professional Service Corporation Act |
| Date Status Change: | 25 May 2006 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PEDIATRIC GROUP ASSOCIATES, S.C. PS 401K PLAN & TRUST | 2012 | 364264358 | 2013-04-24 | PEDIATRIC GROUP ASSOCIATES S.C. | 7 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 364264358 |
| Plan administrator’s name | PEDIATRIC GROUP ASSOCIATES S.C. |
| Plan administrator’s address | 1625 AVENUE OF THE CITIES, MOLINE, IL, 612654856 |
| Administrator’s telephone number | 3097975437 |
Signature of
| Role | Plan administrator |
| Date | 2013-04-24 |
| Name of individual signing | THOMAS HERR |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-03-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3097975437 |
| Plan sponsor’s address | 1625 AVENUE OF THE CITIES, MOLINE, IL, 612654856 |
Plan administrator’s name and address
| Administrator’s EIN | 364264358 |
| Plan administrator’s name | PEDIATRIC GROUP ASSOCIATES S.C. |
| Plan administrator’s address | 1625 AVENUE OF THE CITIES, MOLINE, IL, 612654856 |
| Administrator’s telephone number | 3097975437 |
Signature of
| Role | Plan administrator |
| Date | 2012-03-15 |
| Name of individual signing | THOMAS HERR |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| WILLIAM H JOHANSEN, 2711 SHERIDAN RD STE 207, ZION, 60099, LAKE | Agent | 2004-11-15 |
| Name and Address | Role |
|---|---|
| WILLIAM H JOHANSEN 9002 SHERIDAN ROAD #195 KENOSHA WI 53141 | President |
| Name | Change Date |
|---|---|
| WILLIAM H JOHANSEN, CPA, PC | 2005-08-12 |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 5000 | 500000 | No data |
Date of last update: 27 Jan 2025
