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  5. BARRY SLOTKY, M.D., S.C.

BARRY SLOTKY, M.D., S.C.

Company Details

Entity Name: BARRY SLOTKY, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 13 Sep 2007
Date of Dissolution: 06 Feb 2017
Company Number: CORP_65741725
File Number: 65741725
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 06 Feb 2017
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BARRY SLOTKY, M.D. S.C. 401(K) PLAN 2012 562676433 2013-12-18 BARRY SLOTKY, M.D. S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3096636338
Plan sponsor’s address 107 N. REGENCY DRIVE, BLOOMINGTON, IL, 61701

Signature of
Role Plan administrator
Date 2013-12-18
Name of individual signing BARRY SLOTKY, M.D.
Valid signature Filed with authorized/valid electronic signature
BARRY SLOTKY, M.D. S.C. 401(K) PLAN 2012 562676433 2013-07-16 BARRY SLOTKY, M.D. S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3096636338
Plan sponsor’s address 107 N. REGENCY DRIVE, BLOOMINGTON, IL, 61701

Plan administrator’s name and address
Administrator’s EIN 562676433
Plan administrator’s name BARRY SLOTKY, M.D. S.C.
Plan administrator’s address 107 N. REGENCY DRIVE, BLOOMINGTON, IL, 61701
Administrator’s telephone number 3096636338

Signature of
Role Plan administrator
Date 2013-07-16
Name of individual signing BARRY SLOTKY, M.D.
Valid signature Filed with authorized/valid electronic signature
BARRY SLOTKY, M.D. S.C. 401(K) PLAN 2011 562676433 2012-10-03 BARRY SLOTKY, M.D. S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3096636338
Plan sponsor’s address 107 N. REGENCY DRIVE, BLOOMINGTON, IL, 61701

Plan administrator’s name and address
Administrator’s EIN 562676433
Plan administrator’s name BARRY SLOTKY, M.D. S.C.
Plan administrator’s address 107 N. REGENCY DRIVE, BLOOMINGTON, IL, 61701
Administrator’s telephone number 3096636338

Signature of
Role Plan administrator
Date 2012-10-03
Name of individual signing BARRY SLOTKY, M.D.
Valid signature Filed with authorized/valid electronic signature
BARRY SLOTKY, M.D. S.C. 401(K) PLAN 2010 562676433 2011-10-13 BARRY SLOTKY, M.D. S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3096636338
Plan sponsor’s address 107 N. REGENCY DRIVE, BLOOMINGTON, IL, 61701

Plan administrator’s name and address
Administrator’s EIN 562676433
Plan administrator’s name BARRY SLOTKY, M.D. S.C.
Plan administrator’s address 107 N. REGENCY DRIVE, BLOOMINGTON, IL, 61701
Administrator’s telephone number 3096636338

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing BARRY SLOTKY, M.D.
Valid signature Filed with authorized/valid electronic signature
BARRY SLOTKY, M.D. S.C. 401(K) PLAN 2009 562676433 2010-07-12 BARRY SLOTKY, M.D. S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3096636338
Plan sponsor’s address 107 N. REGENCY DRIVE, BLOOMINGTON, IL, 61701

Plan administrator’s name and address
Administrator’s EIN 562676433
Plan administrator’s name BARRY SLOTKY, M.D. S.C.
Plan administrator’s address 107 N. REGENCY DRIVE, BLOOMINGTON, IL, 61701
Administrator’s telephone number 3096636338

Signature of
Role Plan administrator
Date 2010-07-12
Name of individual signing BARRY SLOTKY, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MRH SERVICE COMPANY L L C, 404 NORTH HERSHEY ROAD STE C, BLOOMINGTON, 61704, MC LEAN Agent 2016-11-07

President

Name and Address Role
BARRY SLOTKY, 804 IRONWOOD DR., NORMAL, IL, 61761 President

Historical Names

Name Change Date
BARRY SLOTKY, M.C., S.C. 2007-11-28

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100000 1000000 No data

Related by officers

MRH SERVICE COMPANY L L C, 404 NORTH HERSHEY ROAD STE C, BLOOMINGTON, 61704, MC LEAN

PLANTRON, INC. BSP, CORP. HW NURSERY, CORP. HUBBARD AND DAVIS II, INC. T USA, CORP.

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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