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  5. BLUE SHARK RESTAURANT CORPORATION

BLUE SHARK RESTAURANT CORPORATION

Company Details

Entity Name: BLUE SHARK RESTAURANT CORPORATION
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 19 Feb 2010
Date of Dissolution: 08 Jul 2011
Company Number: CORP_67097084
File Number: 67097084
Type of Business: All Inclusive Purpose
Date Status Change: 08 Jul 2011
Address 8649 S COTTAGE GROVE AVE 1, CHICAGO, IL, 60619
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ORION ANESTHESIA ASSOCIATES, P.C. 401K PLAN 2012 320038142 2013-09-18 ORION ANESTHESIA ASSOCIATES, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8478281727
Plan sponsor’s address 60 S DEE RD, UNIT F, PARK RIDGE, IL, 600683731

Signature of
Role Plan administrator
Date 2013-09-18
Name of individual signing JANICE MIGON
Valid signature Filed with authorized/valid electronic signature
ORION ANESTHESIA ASSOCIATES, P.C. 401K PLAN 2011 320038142 2012-07-24 ORION ANESTHESIA ASSOCIATES, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8478281727
Plan sponsor’s address 60 S DEE RD, UNIT F, PARK RIDGE, IL, 600683731

Plan administrator’s name and address
Administrator’s EIN 320038142
Plan administrator’s name ORION ANESTHESIA ASSOCIATES, P.C.
Plan administrator’s address 60 S DEE RD, UNIT F, PARK RIDGE, IL, 600683731
Administrator’s telephone number 8478281727

Signature of
Role Plan administrator
Date 2012-07-24
Name of individual signing JANICE MIGON
Valid signature Filed with authorized/valid electronic signature
ORION ANESTHESIA ASSOCIATES, P.C. 401K PLAN 2010 320038142 2011-06-08 ORION ANESTHESIA ASSOCIATES, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8478281727
Plan sponsor’s address 60 S DEE RD, PARK RIDGE, IL, 600683731

Plan administrator’s name and address
Administrator’s EIN 320038142
Plan administrator’s name ORION ANESTHESIA ASSOCIATES, P.C.
Plan administrator’s address 60 S DEE RD, PARK RIDGE, IL, 600683731
Administrator’s telephone number 8478281727

Signature of
Role Plan administrator
Date 2011-06-08
Name of individual signing JANICE MIGON
Valid signature Filed with authorized/valid electronic signature
ORION ANESTHESIA ASSOCIATES, P.C. 401K PLAN 2009 320038142 2010-06-17 ORION ANESTHESIA ASSOCIATES, P.C. 5
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8478281727
Plan sponsor’s address 60 S DEE RD, PARK RIDGE, IL, 600683731

Plan administrator’s name and address
Administrator’s EIN 320038142
Plan administrator’s name ORION ANESTHESIA ASSOCIATES, P.C.
Plan administrator’s address 60 S DEE RD, PARK RIDGE, IL, 600683731
Administrator’s telephone number 8478281727

Signature of
Role Plan administrator
Date 2010-06-17
Name of individual signing JANICE MIGON
Valid signature Filed with incorrect/unrecognized electronic signature
ORION ANESTHESIA ASSOCIATES, P.C. 401K PLAN 2009 320038142 2010-06-22 ORION ANESTHESIA ASSOCIATES, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 8478281727
Plan sponsor’s address 60 S DEE RD, PARK RIDGE, IL, 600683731

Plan administrator’s name and address
Administrator’s EIN 320038142
Plan administrator’s name ORION ANESTHESIA ASSOCIATES, P.C.
Plan administrator’s address 60 S DEE RD, PARK RIDGE, IL, 600683731
Administrator’s telephone number 8478281727

Signature of
Role Plan administrator
Date 2010-06-22
Name of individual signing JANICE MIGON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MARIAM ALI, 8649 S COTTAGE GROVE, CHICAGO, 60619, COOK-NOT IN CITY OF CHICAGO Agent 2010-02-19

Secretary

Name and Address Role Account Number
MARIAM ALI Secretary 352525

Shareholder

Name and Address Role Account Number
MARIAM ALI Shareholder 352525
AYMAN ALNIMRAWI Shareholder 352525

President

Name and Address Role Account Number
AYMAN ALNIMRAWI President 352525

Incorporator

Name and Address Role
MARIAM ALI Incorporator

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 2031495 Cancelled 1006 Retail Food Establishment No data 2010-06-15 2010-06-15 2012-06-15

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100 100000 No data

Related by officers

No related officers

Related by address

8649 S COTTAGE GROVE AVE 1, CHICAGO, IL, 60619

POWER MOBILE, INC.

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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