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  5. FOX VALLEY ANESTHESIA ASSOCIATES, S.C.

FOX VALLEY ANESTHESIA ASSOCIATES, S.C.

Company Details

Entity Name: FOX VALLEY ANESTHESIA ASSOCIATES, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 27 Jun 2011
Date of Dissolution: 02 Oct 2019
Company Number: CORP_67823516
File Number: 67823516
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 02 Oct 2019
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FOX VALLEY ANESTHESIA ASSOCIATES, S.C. 401(K) PLAN 2018 452638472 2019-12-30 FOX VALLEY ANESTHESIA ASSOCIATES, S.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621399
Sponsor’s telephone number 3123100583
Plan sponsor’s address 4 ELLE COURT, SOUTH BARRINGTON, IL, 60010

Signature of
Role Plan administrator
Date 2019-12-30
Name of individual signing NAVEED PAPA
Valid signature Filed with authorized/valid electronic signature
FOX VALLEY ANESTHESIA ASSOCIATES, S.C. 401(K) PLAN 2017 452638472 2019-07-10 FOX VALLEY ANESTHESIA ASSOCIATES, S.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621399
Sponsor’s telephone number 3123100583
Plan sponsor’s address 4 ELLE COURT, SOUTH BARRINGTON, IL, 60010

Signature of
Role Plan administrator
Date 2019-07-10
Name of individual signing NAVEED PAPA
Valid signature Filed with authorized/valid electronic signature
FOX VALLEY ANESTHESIA ASSOCIATES, S.C. 401(K) PLAN 2016 452638472 2018-01-10 FOX VALLEY ANESTHESIA ASSOCIATES, S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621399
Sponsor’s telephone number 3123100583
Plan sponsor’s address 4 ELLE COURT, SOUTH BARRINGTON, IL, 60010

Signature of
Role Plan administrator
Date 2018-01-10
Name of individual signing NAVEED PAPA
Valid signature Filed with authorized/valid electronic signature
FOX VALLEY ANESTHESIA ASSOCIATES, S.C. 401(K) PLAN 2015 452638472 2017-06-29 FOX VALLEY ANESTHESIA ASSOCIATES, S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621399
Sponsor’s telephone number 3123100583
Plan sponsor’s address 171 COLUMBIA AVENUE, ELMHURST, IL, 60126

Signature of
Role Plan administrator
Date 2017-06-29
Name of individual signing NAVEED PAPA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-29
Name of individual signing NAVEED PAPA
Valid signature Filed with authorized/valid electronic signature
FOX VALLEY ANESTHESIA ASSOCIATES, S.C. 401(K) PLAN 2014 452638472 2016-06-15 FOX VALLEY ANESTHESIA ASSOCIATES, S.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621399
Sponsor’s telephone number 3123100583
Plan sponsor’s address 171 COLUMBIA AVENUE, ELMHURST, IL, 60126

Signature of
Role Plan administrator
Date 2016-06-15
Name of individual signing JASDEEP BRAR
Valid signature Filed with authorized/valid electronic signature
FOX VALLEY ANESTHESIA ASSOCIATES, S.C. 401(K) PLAN 2013 452638472 2015-06-19 FOX VALLEY ANESTHESIA ASSOCIATES, S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621399
Sponsor’s telephone number 3123100583
Plan sponsor’s address 171 COLUMBIA AVENUE, ELMHURST, IL, 60126

Signature of
Role Plan administrator
Date 2015-06-19
Name of individual signing JASDEEP BRAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-19
Name of individual signing JASDEEP BRAR
Valid signature Filed with authorized/valid electronic signature
FOX VALLEY ANESTHESIA ASSOCIATES, S.C. 401(K) PLAN 2012 452638472 2014-07-14 FOX VALLEY ANESTHESIA ASSOCIATES, S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621399
Sponsor’s telephone number 3123100583
Plan sponsor’s address 1566 CLOVER DRIVE, INVERNESS, IL, 60067

Signature of
Role Plan administrator
Date 2014-07-14
Name of individual signing NAVEED PAPA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
RIZVANA ZAMEERUDDIN, 1700 W CENTRAL RD STE 40, ARLINGTON HEIGHTS, 60005, COOK-NOT IN CITY OF CHICAGO Agent 2019-05-22

President

Name and Address Role
JASDEEP BRAR 171 COLUMBIA AVE,ELMHURST, IL 60126 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 200000 No data

Related by officers

RIZVANA ZAMEERUDDIN, 1700 W CENTRAL RD STE 40, ARLINGTON HEIGHTS, 60005, COOK-NOT IN CITY OF CHICAGO

MAUI MIMI COMPANY

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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