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ALLIANCE INTERNAL MEDICINE, S.C.

Company Details

Entity Name: ALLIANCE INTERNAL MEDICINE, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 29 May 2008
Company Number: CORP_66141519
File Number: 66141519
Type of Business: Incorporated under the Medical Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALLIANCE INTERNAL MEDICINE, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2023 262806152 2024-05-30 ALLIANCE INTERNAL MEDICINE, S.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8155237020
Plan sponsor’s address 370 LARRY POWER ROAD, SUITE 2, BOURBONNAIS, IL, 609145195

Signature of

Role Plan administrator
Date 2024-05-30
Name of individual signing SAW OO
Valid signature Filed with authorized/valid electronic signature
ALLIANCE INTERNAL MEDICINE, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2022 262806152 2023-04-04 ALLIANCE INTERNAL MEDICINE, S.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8155237020
Plan sponsor’s address 370 LARRY POWER ROAD, SUITE 2, BOURBONNAIS, IL, 609145195

Signature of

Role Plan administrator
Date 2023-04-04
Name of individual signing SAW OO
Valid signature Filed with authorized/valid electronic signature
ALLIANCE INTERNAL MEDICINE, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2021 262806152 2022-10-07 ALLIANCE INTERNAL MEDICINE, S.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8155237020
Plan sponsor’s address 370 LARRY POWER ROAD, SUITE 2, BOURBONNAIS, IL, 609145195

Signature of

Role Plan administrator
Date 2022-10-07
Name of individual signing SAW OO
Valid signature Filed with authorized/valid electronic signature
ALLIANCE INTERNAL MEDICINE, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2020 262806152 2021-05-18 ALLIANCE INTERNAL MEDICINE, S.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8155237020
Plan sponsor’s address 370 LARRY POWER ROAD, SUITE 2, BOURBONNAIS, IL, 609145195

Signature of

Role Plan administrator
Date 2021-05-18
Name of individual signing SAW OO
Valid signature Filed with authorized/valid electronic signature
ALLIANCE INTERNAL MEDICINE, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2019 262806152 2020-04-21 ALLIANCE INTERNAL MEDICINE, S.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8155237020
Plan sponsor’s address 370 LARRY POWER ROAD, SUITE 2, BOURBONNAIS, IL, 609145195

Signature of

Role Plan administrator
Date 2020-04-21
Name of individual signing SAW OO
Valid signature Filed with authorized/valid electronic signature
ALLIANCE INTERNAL MEDICINE, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2018 262806152 2019-06-07 ALLIANCE INTERNAL MEDICINE, S.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8155237020
Plan sponsor’s address 370 LARRY POWER ROAD, SUITE 2, BOURBONNAIS, IL, 609145195

Signature of

Role Plan administrator
Date 2019-06-07
Name of individual signing SAW OO
Valid signature Filed with authorized/valid electronic signature
ALLIANCE INTERNAL MEDICINE, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2017 262806152 2018-05-02 ALLIANCE INTERNAL MEDICINE, S.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8155237020
Plan sponsor’s address 370 LARRY POWER ROAD, SUITE 2, BOURBONNAIS, IL, 609145195

Signature of

Role Plan administrator
Date 2018-05-02
Name of individual signing SAW OO
Valid signature Filed with authorized/valid electronic signature
ALLIANCE INTERNAL MEDICINE, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2016 262806152 2017-05-25 ALLIANCE INTERNAL MEDICINE, S.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8155237020
Plan sponsor’s address 370 LARRY POWER ROAD, SUITE 2, BOURBONNAIS, IL, 609145195

Signature of

Role Plan administrator
Date 2017-05-25
Name of individual signing SAW OO
Valid signature Filed with authorized/valid electronic signature
ALLIANCE INTERNAL MEDICINE, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2015 262806152 2016-06-09 ALLIANCE INTERNAL MEDICINE, S.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8155237020
Plan sponsor’s address 370 LARRY POWER ROAD, SUITE 2, BOURBONNAIS, IL, 609145195

Signature of

Role Plan administrator
Date 2016-06-09
Name of individual signing SAW OO
Valid signature Filed with authorized/valid electronic signature
ALLIANCE INTERNAL MEDICINE, S.C. 401(K) PROFIT SHARING PLAN AND TRUST 2014 262806152 2015-04-28 ALLIANCE INTERNAL MEDICINE, S.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8155237020
Plan sponsor’s address 370 LARRY POWER ROAD, SUITE 2, BOURBONNAIS, IL, 609145195

Plan administrator’s name and address

Administrator’s EIN 262806152
Plan administrator’s name ALLIANCE INTERNAL MEDICINE, S.C.
Plan administrator’s address 370 LARRY POWER ROAD, SUITE 2, BOURBONNAIS, IL, 609145195
Administrator’s telephone number 8155237020

Signature of

Role Plan administrator
Date 2015-04-28
Name of individual signing SAW OO
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DAVID G STEJKOWSKI, 3566 TOULOUSE, BOURBONNAIS, 60914, KANKAKEE Agent 2015-05-07

President

Name and Address Role
JOEL P VILLEGAS 370 LARRY POWER RD #2, BOURBONNAIS IL 60914 President

Secretary

Name and Address Role
SAW OO, 370 LARRY POWER RD #2BOURBONNAIS, IL 60914 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 3000 1500000 No data

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State