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SHASTRA INCORPORATED

Company Details

Entity Name: SHASTRA INCORPORATED
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 18 Mar 2009
Date of Dissolution: 13 Aug 2010
Company Number: CORP_66905438
File Number: 66905438
Type of Business: All Inclusive Purpose
Date Status Change: 13 Aug 2010
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HARESH SAWLANI, M.D., P.C. PROFIT SHARING PLAN AND TRUST 2012 593530456 2013-09-28 HARESH SAWLANI, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6302300366
Plan sponsor’s address 207 INDIAN TRAIL ROAD, OAKBROOK, IL, 605232797

Signature of

Role Plan administrator
Date 2013-09-28
Name of individual signing HARESH SAWLANI M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-28
Name of individual signing HARESH SAWLANI M.D.
Valid signature Filed with authorized/valid electronic signature
HARESH SAWLANI, M.D., P.C. PROFIT SHARING PLAN AND TRUST 2011 593530456 2012-10-10 HARESH SAWLANI, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6302300366
Plan sponsor’s address 207 INDIAN TRAIL ROAD, OAKBROOK, IL, 605232797

Plan administrator’s name and address

Administrator’s EIN 593530456
Plan administrator’s name HARESH SAWLANI, M.D., P.C.
Plan administrator’s address 207 INDIAN TRAIL ROAD, OAKBROOK, IL, 605232797
Administrator’s telephone number 6302300366

Signature of

Role Plan administrator
Date 2012-10-10
Name of individual signing HARESH SAWLANI M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-10
Name of individual signing HARESH SAWLANI M.D.
Valid signature Filed with authorized/valid electronic signature
HARESH SAWLANI, M.D., P.C. PROFIT SHARING PLAN AND TRUST 2010 593530456 2011-10-11 HARESH SAWLANI, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6302300366
Plan sponsor’s address 207 INDIAN TRAIL ROAD, OAKBROOK, IL, 605232797

Plan administrator’s name and address

Administrator’s EIN 593530456
Plan administrator’s name HARESH SAWLANI, M.D., P.C.
Plan administrator’s address 207 INDIAN TRAIL ROAD, OAKBROOK, IL, 605232797
Administrator’s telephone number 6302300366

Signature of

Role Plan administrator
Date 2011-10-10
Name of individual signing HARESH SAWLANI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-10
Name of individual signing HARESH SAWLANI
Valid signature Filed with authorized/valid electronic signature
HARESH SAWLANI, M.D., P.C. PROFIT SHARING PLAN AND TRUST 2009 593530456 2010-08-23 HARESH SAWLANI, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6302300366
Plan sponsor’s address 207 INDIAN TRAIL ROAD, OAKBROOK, IL, 605232797

Plan administrator’s name and address

Administrator’s EIN 593530456
Plan administrator’s name HARESH SAWLANI, M.D., P.C.
Plan administrator’s address 207 INDIAN TRAIL ROAD, OAKBROOK, IL, 605232797
Administrator’s telephone number 6302300366

Signature of

Role Plan administrator
Date 2010-08-23
Name of individual signing HARESH SAWLANI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-23
Name of individual signing HARESH SAWLANI
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
RAJA SURATI, 2382 COUNTY FARM LN, SCHAUMBURG, 60194, COOK-NOT IN CITY OF CHICAGO Agent 2009-03-18

Incorporator

Name and Address Role
RAJA SURATI Incorporator

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 100000 No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State