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MONDOVAL PERIOPERATIVE MEDICINE, P.C.

Company Details

Entity Name: MONDOVAL PERIOPERATIVE MEDICINE, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 05 May 2022
Company Number: CORP_73559006
File Number: 73559006
Type of Business: Incorporated under the Professional Service Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MONDOVAL PERIOPERATIVE MEDICINE, P.C. 401K PLAN 2023 882270255 2024-09-06 MONDOVAL PERIOPERATIVE MEDICINE 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-09-01
Business code 812990
Sponsor’s telephone number 6302727815
Plan sponsor’s address 15W560 91ST ST, BURR RIDGE, IL, 60527

Signature of

Role Plan administrator
Date 2024-09-06
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
RUTH E. MONCAYO, 15W560 91ST STREET, BURR RIDGE, 60527, DU PAGE Agent 2024-10-04

President

Name and Address Role
RUTH MONCAYO AND 15W560 91ST ST BURR RIDGE IL 60527 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 No data

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State