| Entity Name: | HOLLYWOOD FOOD AND GIFT SHOP INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 27 Feb 2008 |
| Date of Dissolution: | 09 Jul 2010 |
| Company Number: | CORP_66010236 |
| File Number: | 66010236 |
| Type of Business: | All Inclusive Purpose |
| Date Status Change: | 09 Jul 2010 |
| Address | 2800 W DEVON AVE 1ST, CHICAGO, IL, 60659 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ATKINSON CLINIC S.C. 401(K) P/S PLAN | 2012 | 364452461 | 2013-06-13 | ATKINSON CLINIC S.C. | 3 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 364452461 |
| Plan administrator’s name | ATKINSON CLINIC S.C. |
| Plan administrator’s address | 100 N. ATKINSON RD, STE 207, GRAYSLAKE, IL, 60030 |
| Administrator’s telephone number | 8475489777 |
Signature of
| Role | Plan administrator |
| Date | 2013-06-13 |
| Name of individual signing | ELENA SHEVLYAGIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8475489777 |
| Plan sponsor’s address | 100 N. ATKINSON RD, STE 207, GRAYSLAKE, IL, 60030 |
Plan administrator’s name and address
| Administrator’s EIN | 364452461 |
| Plan administrator’s name | ATKINSON CLINIC S.C. |
| Plan administrator’s address | 100 N. ATKINSON RD, STE 207, GRAYSLAKE, IL, 60030 |
| Administrator’s telephone number | 8475489777 |
Signature of
| Role | Plan administrator |
| Date | 2012-06-27 |
| Name of individual signing | ELENA SHEVLYAGIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8475489777 |
| Plan sponsor’s address | 100 N. ATKINSON RD, STE 207, GRAYSLAKE, IL, 60030 |
Plan administrator’s name and address
| Administrator’s EIN | 364452461 |
| Plan administrator’s name | ATKINSON CLINIC S.C. |
| Plan administrator’s address | 100 N. ATKINSON RD, STE 207, GRAYSLAKE, IL, 60030 |
| Administrator’s telephone number | 8475489777 |
Signature of
| Role | Plan administrator |
| Date | 2011-05-14 |
| Name of individual signing | ELENA SHEVLYAGIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8475489777 |
| Plan sponsor’s address | 100 N. ATKINSON RD, STE 207, GRAYSLAKE, IL, 60030 |
Plan administrator’s name and address
| Administrator’s EIN | 364452461 |
| Plan administrator’s name | ATKINSON CLINIC S.C. |
| Plan administrator’s address | 100 N. ATKINSON RD, STE 207, GRAYSLAKE, IL, 60030 |
| Administrator’s telephone number | 8475489777 |
Signature of
| Role | Plan administrator |
| Date | 2010-06-23 |
| Name of individual signing | ELENA SHEVLYAGIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ANDY YOUSIF, 2800 W DEVON AVE, CHICAGO, 60659, COOK-NOT IN CITY OF CHICAGO | Agent | 2008-02-27 |
| Name and Address | Role | Account Number |
|---|---|---|
| ANDY N YOUSIF | Secretary | 328053 |
| Name and Address | Role | Account Number |
|---|---|---|
| ANDY N YOUSIF | President | 328053 |
| ANDY YOUSIF, 2800 W DEVON CHICAGO 60659 | President | No data |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| BUSINESS LICENSE | 1892728 | Issued | 1006 | Retail Food Establishment | 775 - Retail Sales of Perishable Foods | 2009-04-13 | 2009-02-16 | 2011-02-15 |
| BUSINESS LICENSE | 1892713 | Issued | 1010 | Limited Business License | No data | 2009-04-13 | 2009-02-16 | 2011-02-15 |
| BUSINESS LICENSE | 1892166 | Issued | 1781 | Tobacco | 763 - Retail Sale of Tobacco | 2009-04-13 | 2009-02-16 | 2011-02-15 |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 1000 | 1000000 | No data |
Date of last update: 16 Jan 2025
