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  5. AMSN ,INC.

AMSN ,INC.

Company Details

Entity Name: AMSN ,INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 22 Apr 2008
Date of Dissolution: 14 Sep 2018
Company Number: CORP_66429989
File Number: 66429989
Type of Business: All Inclusive Purpose
Date Status Change: 14 Sep 2018
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMSN INC 401(K) PROFIT SHARING PLAN AND TRUST 2016 262483032 2017-08-01 AMSN INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 445291
Sponsor’s telephone number 8475407776
Plan sponsor’s address 1180 HEATHER DRIVE, LAKE ZURICH, IL, 60047

Signature of
Role Plan administrator
Date 2017-08-01
Name of individual signing SURESH PATEL
Valid signature Filed with authorized/valid electronic signature
AMSN INC 401(K) PROFIT SHARING PLAN AND TRUST 2015 262483032 2016-09-19 AMSN INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 445291
Sponsor’s telephone number 8475407776
Plan sponsor’s address 1180 HEATHER DRIVE, LAKE ZURICH, IL, 60047

Signature of
Role Plan administrator
Date 2016-09-19
Name of individual signing SURESH PATEL
Valid signature Filed with authorized/valid electronic signature
AMSN INC 401(K) PROFIT SHARING PLAN AND TRUST 2014 262483032 2015-10-15 AMSN INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 445291
Sponsor’s telephone number 8475407776
Plan sponsor’s address 1180 HEATHER DRIVE, LAKE ZURICH, IL, 60047

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing SURESH PATEL
Valid signature Filed with authorized/valid electronic signature
AMSN INC 401(K) PROFIT SHARING PLAN AND TRUST 2013 262483032 2014-07-01 AMSN INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 445291
Sponsor’s telephone number 8475407776
Plan sponsor’s address 485 S RAND RD, LAKE ZURICH, IL, 600472358

Signature of
Role Plan administrator
Date 2014-07-01
Name of individual signing SURESH PATEL
Valid signature Filed with authorized/valid electronic signature
AMSN INC 401(K) PROFIT SHARING PLAN AND TRUST 2012 262483032 2013-06-18 AMSN INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 445291
Sponsor’s telephone number 8475407776
Plan sponsor’s address 485 S RAND RD, LAKE ZURICH, IL, 600472358

Plan administrator’s name and address
Administrator’s EIN 262483032
Plan administrator’s name AMSN INC
Plan administrator’s address 485 S RAND RD, LAKE ZURICH, IL, 600472358
Administrator’s telephone number 8475407776

Signature of
Role Plan administrator
Date 2013-06-18
Name of individual signing SURESH PATEL
Valid signature Filed with authorized/valid electronic signature
AMSN INC 401(K) PROFIT SHARING PLAN AND TRUST 2011 262483032 2012-10-10 AMSN INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 445291
Sponsor’s telephone number 8475407776
Plan sponsor’s address 485 S RAND RD, LAKE ZURICH, IL, 600472358

Plan administrator’s name and address
Administrator’s EIN 262483032
Plan administrator’s name AMSN INC
Plan administrator’s address 485 S RAND RD, LAKE ZURICH, IL, 600472358
Administrator’s telephone number 8475407776

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing SURESH PATEL
Valid signature Filed with authorized/valid electronic signature
AMSN INC 401(K) PROFIT SHARING PLAN AND TRUST 2010 262483032 2011-04-14 AMSN INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 445291
Sponsor’s telephone number 8475407776
Plan sponsor’s mailing address 485 S RAND RD, LAKE ZURICH, IL, 600472358
Plan sponsor’s address 485 S RAND RD, LAKE ZURICH, IL, 600472358

Plan administrator’s name and address
Administrator’s EIN 262483032
Plan administrator’s name AMSN INC
Plan administrator’s address 485 S RAND RD, LAKE ZURICH, IL, 600472358
Administrator’s telephone number 8475407776

Number of participants as of the end of the plan year
Active participants 2
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 2
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-04-14
Name of individual signing SURESH PATEL
Valid signature Filed with authorized/valid electronic signature
AMSN INC 401(K) PROFIT SHARING PLAN AND TRUST 2010 262483032 2011-04-06 AMSN INC 2
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 445291
Sponsor’s telephone number 8475407776
Plan sponsor’s mailing address 485 S RAND RD, LAKE ZURICH, IL, 600472358
Plan sponsor’s address 485 S RAND RD, LAKE ZURICH, IL, 600472358

Plan administrator’s name and address
Administrator’s EIN 262483032
Plan administrator’s name AMSN INC
Plan administrator’s address 485 S RAND RD, LAKE ZURICH, IL, 600472358
Administrator’s telephone number 8475407776

Number of participants as of the end of the plan year
Active participants 2
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 2
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-04-06
Name of individual signing SURESH PATEL
Valid signature Filed with incorrect/unrecognized electronic signature
AMSN INC 401(K) PROFIT SHARING PLAN AND TRUST 2009 262483032 2010-06-15 AMSN INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 445291
Sponsor’s telephone number 8475407776
Plan sponsor’s mailing address 485 S RAND RD, LAKE ZURICH, IL, 600472358
Plan sponsor’s address 485 S RAND RD, LAKE ZURICH, IL, 600472358

Plan administrator’s name and address
Administrator’s EIN 262483032
Plan administrator’s name AMSN INC
Plan administrator’s address 485 S RAND RD, LAKE ZURICH, IL, 600472358
Administrator’s telephone number 8475407776

Number of participants as of the end of the plan year
Active participants 2
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-06-15
Name of individual signing SURESH PATEL
Valid signature Filed with authorized/valid electronic signature
AMSN INC 401(K) PROFIT SHARING PLAN AND TRUST 2009 262483032 2010-06-15 AMSN INC 2
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 445291
Sponsor’s telephone number 8475407776
Plan sponsor’s mailing address 485 S RAND RD, LAKE ZURICH, IL, 600472358
Plan sponsor’s address 485 S RAND RD, LAKE ZURICH, IL, 600472358

Plan administrator’s name and address
Administrator’s EIN 262483032
Plan administrator’s name AMSN INC
Plan administrator’s address 485 S RAND RD, LAKE ZURICH, IL, 600472358
Administrator’s telephone number 8475407776

Number of participants as of the end of the plan year
Active participants 2
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-06-15
Name of individual signing SURESH PATEL
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SURESH J PATEL, 1180 HEATHER DR, LAKE ZURICH, 60042, LAKE Agent 2017-04-18

President

Name and Address Role
SURESH PATEL, 1180 HEATHER DR LK ZURICH IL 60047 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 3000 3000000 No data

Related by officers

No related officers

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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