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VINCENT R. BENIG, M.D., LTD.

Company Details

Entity Name: VINCENT R. BENIG, M.D., LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 08 Jan 2010
Company Number: CORP_67058534
File Number: 67058534
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
SHOREWOOD FAMILY MEDICINE 401(K) PLAN 2019 271643151 2020-09-11 SHOREWOOD FAMILY MEDICINE 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-09-01
Business code 621111
Sponsor’s telephone number 8157291010
Plan sponsor’s address 1144 W. JEFFERSON ST. SUITE 200, SHOREWOOD, IL, 60404

Signature of

Role Plan administrator
Date 2020-09-11
Name of individual signing VINCENT BENIG, MD
Valid signature Filed with authorized/valid electronic signature
SHOREWOOD FAMILY MEDICINE 401(K) PLAN 2019 271643151 2020-06-24 SHOREWOOD FAMILY MEDICINE 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-09-01
Business code 621111
Sponsor’s telephone number 8157291010
Plan sponsor’s address 1144 W. JEFFERSON ST. SUITE 200, SHOREWOOD, IL, 60404

Signature of

Role Plan administrator
Date 2020-06-24
Name of individual signing VINCENT BENIG, MD
Valid signature Filed with authorized/valid electronic signature
SHOREWOOD FAMILY MEDICINE 401(K) PLAN 2018 271643151 2019-06-19 SHOREWOOD FAMILY MEDICINE 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-09-01
Business code 621111
Sponsor’s telephone number 8157291010
Plan sponsor’s address 1144 W. JEFFERSON ST. SUITE 200, SHOREWOOD, IL, 60404

Signature of

Role Plan administrator
Date 2019-06-19
Name of individual signing VINCENT BENIG, MD
Valid signature Filed with authorized/valid electronic signature
SHOREWOOD FAMILY MEDICINE 401(K) PLAN 2017 271643151 2018-03-07 SHOREWOOD FAMILY MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-09-01
Business code 621111
Sponsor’s telephone number 8157291010
Plan sponsor’s address 1144 W. JEFFERSON ST. SUITE 200, SHOREWOOD, IL, 60404

Signature of

Role Plan administrator
Date 2018-03-07
Name of individual signing VINCENT BENIG, MD
Valid signature Filed with authorized/valid electronic signature
SHOREWOOD FAMILY MEDICINE 401(K) PLAN 2016 271643151 2017-07-06 SHOREWOOD FAMILY MEDICINE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-09-01
Business code 621111
Sponsor’s telephone number 8157291010
Plan sponsor’s address 1144 W. JEFFERSON ST. SUITE 200, SHOREWOOD, IL, 60404

Signature of

Role Plan administrator
Date 2017-07-06
Name of individual signing VINCENT BENIG, MD
Valid signature Filed with authorized/valid electronic signature
SHOREWOOD FAMILY MEDICINE 401(K) PLAN 2015 271643151 2016-08-04 SHOREWOOD FAMILY MEDICINE 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-09-01
Business code 621498
Sponsor’s telephone number 8157291010
Plan sponsor’s address 1144 W. JEFFERSON ST. SUITE 200, SHOREWOOD, IL, 60404
SHOREWOOD FAMILY MEDICINE 401(K) PLAN 2014 271643151 2015-05-13 SHOREWOOD FAMILY MEDICINE 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-09-01
Business code 812990
Sponsor’s telephone number 8157291010
Plan sponsor’s address 1144 W. JEFFERSON ST. SUITE 200, SHOREWOOD, IL, 60404

Signature of

Role Plan administrator
Date 2015-05-13
Name of individual signing VINCENT R. BENIG
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ERIC J TANQUILUT, ESQ, 9031 W, 151ST STREET, SUITE 103, ORLAND PARK, 60462, COOK-NOT IN CITY OF CHICAGO Agent 2022-12-28

President

Name and Address Role
VINCENT R, BENIG 1017 WINDSORDRIVE SHOREWOOD IL, 60431 President

Secretary

Name and Address Role
ERIC TANQUILUT 16406 PEPPERWOOD TRAIL ORLAND HILLS IL, 60487 Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
SHOREWOOD FAMILY MEDICINE No data 2010-01-21 2020-06-12 Involuntary Cancellation No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 5000 1000000 No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State