DBM PRIMARY CARE, LTD.

Company Details

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

DBM PRIMARY CARE LTD PROOFITSHARING PLAN & TRUST

2013

270811372

2014-10-14

DBM PRIMARY CARE LTD

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2012-01-01
Business code	621111
Sponsor’s telephone number	8326222551
Plan sponsor’s mailing address	2851 S KING DR SUITE 1708, CHICAGO, IL, 60616
Plan sponsor’s address	2851 S KING DR SUITE 1708, CHICAGO, IL, 60616

Number of participants as of the end of the plan year

Active participants	1
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	1
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	2014-10-14
Name of individual signing	AYUK MAKIA
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2014-10-14
Name of individual signing	AYUK MAKIA
Valid signature	Filed with authorized/valid electronic signature

DBM PRIMARY CARE LTD PROFITSHARING PLAN & TRUST

2012

270811372

2013-10-11

DBM PRIMARY CARE LTD

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2012-01-01
Business code	621111
Sponsor’s telephone number	6309718297
Plan sponsor’s mailing address	2851 S KING DR SUITE 1708, CHICAGO, IL, 60616
Plan sponsor’s address	2851 S KING DR SUITE 1708, CHICAGO, IL, 60616

Number of participants as of the end of the plan year

Active participants	1
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	1
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	2013-10-11
Name of individual signing	AYUK MAKIA
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2013-10-11
Name of individual signing	AYUK MAKIA
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role	Appointment Date
AYUK MAKIA, 2851 S. KING DRIVE #114, CHICAGO, 60616, COOK-NOT IN CITY OF CHICAGO	Agent	2009-08-26

Name and Address	Role
AYUK MAKIA 2851 S KING DR #114 CHICAGO 60616	President

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

Date of last update: 20 Jan 2025