| Entity Name: | ANDALUSIA FAMILY CHIROPRACTIC, P.C. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 01 Aug 2007 |
| Date of Dissolution: | 08 Jan 2016 |
| Company Number: | CORP_65646684 |
| File Number: | 65646684 |
| Type of Business: | Incorporated under the Professional Service Corporation Act |
| Date Status Change: | 08 Jan 2016 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANDALUSIA 401(K) PLAN | 2009 | 260632938 | 2010-07-30 | ANDALUSIA FAMILY CHIROPRACTIC, P.C. | 4 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 260632938 |
| Plan administrator’s name | ANDALUSIA FAMILY CHIROPRACTIC, P.C. |
| Plan administrator’s address | P.O. BOX 555, 326 WEST 6TH AVENUE, ANDALUSIA, IL, 61232 |
| Administrator’s telephone number | 3097985555 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-30 |
| Name of individual signing | STEPHANIE CLARK |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-07-30 |
| Name of individual signing | STEPHANIE CLARK |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| FRANK L. NOWINSKI, 1000 36TH AVE POB 950, MOLINE, 61266, ROCK ISLAND | Agent | 2007-08-01 |
| Name and Address | Role |
|---|---|
| STEPHANIE J CLARK 326 6TH AVE WEST POB 555 ANDALUSIA IL 6123 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 10000 | 1000000 | No data |
Date of last update: 27 Jan 2025
