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  5. RICHARD B. FOULKES, M.D. & ASSOCIATES, S.C.

RICHARD B. FOULKES, M.D. & ASSOCIATES, S.C.

Company Details

Entity Name: RICHARD B. FOULKES, M.D. & ASSOCIATES, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 31 Aug 2009
Date of Dissolution: 14 Jan 2022
Company Number: CORP_66588815
File Number: 66588815
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 14 Jan 2022
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FOULKES VISION INSTITUTE 401(K) PLAN 2022 270847689 2023-09-11 RICHARD B. FOULKES, M.D. & ASSOCIATES, S.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6307241400
Plan sponsor’s DBA name FOULKES VISION INSTITUTE
Plan sponsor’s address 477 E. BUTTERFIELD ROAD, SUITE 101, LOMBARD, IL, 60148

Signature of
Role Plan administrator
Date 2023-09-11
Name of individual signing RICHARD B. FOULKES
Valid signature Filed with authorized/valid electronic signature
FOULKES VISION INSTITUTE 401(K) PLAN 2021 270847689 2022-09-30 RICHARD B. FOULKES, M.D. & ASSOCIATES, S.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6307241400
Plan sponsor’s DBA name FOULKES VISION INSTITUTE
Plan sponsor’s address 477 E. BUTTERFIELD ROAD, SUITE 101, LOMBARD, IL, 60148

Signature of
Role Plan administrator
Date 2022-09-30
Name of individual signing RICHARD B. FOULKES
Valid signature Filed with authorized/valid electronic signature
FOULKES VISION INSTITUTE 401(K) PLAN 2020 270847689 2021-07-13 RICHARD B. FOULKES, M.D. & ASSOCIATES, S.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6307241400
Plan sponsor’s DBA name FOULKES VISION INSTITUTE
Plan sponsor’s address 477 E. BUTTERFIELD ROAD, SUITE 101, LOMBARD, IL, 60148

Signature of
Role Plan administrator
Date 2021-07-13
Name of individual signing ALYSSA NORGAARD
Valid signature Filed with authorized/valid electronic signature
FOULKES VISION INSTITUTE 401(K) PLAN 2017 270847689 2018-03-23 RICHARD B. FOULKES, M.D. & ASSOCIATES, S.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6307241400
Plan sponsor’s address 477 E. BUTTERFIELD ROAD, SUITE 101, LOMBARD, IL, 60148

Signature of
Role Plan administrator
Date 2018-03-23
Name of individual signing ALYSSA NORGAARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-23
Name of individual signing ALYSSA NORGAARD
Valid signature Filed with authorized/valid electronic signature
FOULKES VISION INSTITUTE 401K PLAN 2013 270847689 2014-09-22 FOULKES VISION INSTITUTE 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6307241400
Plan sponsor’s address 477 E BUTTERFIELD RD STE 101, LOMBARD, IL, 601484880

Signature of
Role Plan administrator
Date 2014-09-22
Name of individual signing GINA HAMILTON
Valid signature Filed with authorized/valid electronic signature
FOULKES VISION INSTITUTE 401(K) PLAN 2012 270847689 2013-08-16 FOULKES VISION INSTITUTE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 6307241400
Plan sponsor’s address 477 E BUTTERFIELD RD STE 101, LOMBARD, IL, 601484880

Signature of
Role Plan administrator
Date 2013-08-16
Name of individual signing GINA HAMILTON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MARK J STAUBER, 477 EAST BUTTERFIELD RD #103, LOMBARD, 60148, DU PAGE Agent 2012-02-15

President

Name and Address Role
RICHARD B FOULKES MD 477 E BUTTERFIELD RD #101 LOMBARD President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
FOULKES VISION INSTITUTE No data 2009-09-22 2020-07-22 Voluntary Cancellation No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State

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