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SARAH DUTTA OB-GYN, S.C.

Company Details

Entity Name: SARAH DUTTA OB-GYN, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 19 Feb 2013
Company Number: CORP_68772613
File Number: 68772613
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
SARAH DUTTA, OB-GYN, S.C. 401(K) PROFIT SHARING PLAN 2023 462139849 2024-09-13 SARAH DUTTA, OB-GYN, S.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3096610406
Plan sponsor’s address 107 N. REGENCY DR., STE.3, BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2024-09-13
Name of individual signing SARAH DUTTA
Valid signature Filed with authorized/valid electronic signature
SARAH DUTTA, OB-GYN, S.C. 401(K) PROFIT SHARING PLAN 2022 462139849 2023-08-09 SARAH DUTTA, OB-GYN, S.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3096610406
Plan sponsor’s address 107 N. REGENCY DR., STE.3, BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2023-08-09
Name of individual signing SARAH DUTTA
Valid signature Filed with authorized/valid electronic signature
SARAH DUTTA, OB-GYN, S.C. 401(K) PROFIT SHARING PLAN 2021 462139849 2022-07-21 SARAH DUTTA, OB-GYN, S.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3096610406
Plan sponsor’s address 107 N. REGENCY DR., STE.3, BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2022-07-21
Name of individual signing SARAH DUTTA
Valid signature Filed with authorized/valid electronic signature
SARAH DUTTA, OB-GYN, S.C. 401(K) PROFIT SHARING PLAN 2020 462139849 2021-07-22 SARAH DUTTA, OB-GYN, S.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3096610406
Plan sponsor’s address 107 N. REGENCY DR., STE.3, BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2021-07-22
Name of individual signing SARAH DUTTA
Valid signature Filed with authorized/valid electronic signature
SARAH DUTTA, OB-GYN, S.C. 401(K) PROFIT SHARING PLAN 2019 462139849 2020-05-26 SARAH DUTTA, OB-GYN, S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3096610406
Plan sponsor’s address 107 N. REGENCY DR., STE.3, BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2020-05-26
Name of individual signing SARAH DUTTA
Valid signature Filed with authorized/valid electronic signature
SARAH DUTTA, OB-GYN, S.C. 401(K) PROFIT SHARING PLAN 2018 462139849 2019-05-04 SARAH DUTTA, OB-GYN, S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3096610406
Plan sponsor’s address 107 N. REGENCY DR., STE.3, BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2019-05-04
Name of individual signing SARAH DUTTA
Valid signature Filed with authorized/valid electronic signature
SARAH DUTTA, OB-GYN, S.C. 401(K) PROFIT SHARING PLAN 2017 462139849 2018-07-09 SARAH DUTTA, OB-GYN, S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3096610406
Plan sponsor’s address 107 N. REGENCY DR., STE.3, BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2018-07-09
Name of individual signing SARAH DUTTA
Valid signature Filed with authorized/valid electronic signature
SARAH DUTTA, OB-GYN, S.C. 401(K) PROFIT SHARING PLAN 2016 462139849 2017-09-19 SARAH DUTTA, OB-GYN, S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3096610406
Plan sponsor’s address 107 N. REGENCY DR., STE.3, BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2017-09-19
Name of individual signing SARAH DUTTA
Valid signature Filed with authorized/valid electronic signature
SARAH DUTTA, OB-GYN, S.C. 401(K) PROFIT SHARING PLAN 2015 462139849 2016-07-15 SARAH DUTTA, OB-GYN, S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3096610406
Plan sponsor’s address 107 N. REGENCY DR., STE.3, BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2016-07-15
Name of individual signing SARAH DUTTA
Valid signature Filed with authorized/valid electronic signature
SARAH DUTTA, OB-GYN, S.C. 401(K) PROFIT SHARING PLAN 2014 462139849 2015-06-21 SARAH DUTTA, OB-GYN, S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 3096610406
Plan sponsor’s address 107 N. REGENCY DR., STE.3, BLOOMINGTON, IL, 61701

Signature of

Role Plan administrator
Date 2015-06-21
Name of individual signing SARAH DUTTA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOHN L. PRATT, 201 E GROVE ST STE 100, BLOOMINGTON, 61701, MC LEAN Agent 2024-01-11

President

Name and Address Role
SARAH DUTTA 1323 E GROVE ST BLOOMINGTON IL 61701 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100 10000 No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State