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NEURODIAGNOSTIC ASSOCIATES, LLC

Company Details

Entity Name: NEURODIAGNOSTIC ASSOCIATES, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Involuntary Dissolution
Date Formed: 09 Jan 2001
Company Number: LLC_00503681
File Number: 00503681
Type of Management: Member Managed
Date Status Change: 09 Jul 2010
Address 4176 W MONTROSE AVE, CHICAGO, 60641, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MODERN WHOLESALE SUPPLY CO. RETIREMENT PLAN 2011 370757718 2012-05-29 MODERN WHOLESALE SUPPLY CO. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-04-01
Business code 423700
Sponsor’s telephone number 6186562197
Plan sponsor’s address 7103 MARINE ROAD, EDWARDSVILLE, IL, 62025

Plan administrator’s name and address

Administrator’s EIN 370757718
Plan administrator’s name MODERN WHOLESALE SUPPLY CO.
Plan administrator’s address 7103 MARINE ROAD, EDWARDSVILLE, IL, 62025
Administrator’s telephone number 6186562197

Signature of

Role Plan administrator
Date 2012-05-29
Name of individual signing BLAIR D. SCHWALB
Valid signature Filed with authorized/valid electronic signature
MODERN WHOLESALE SUPPLY CO. RETIREMENT PLAN 2010 370757718 2011-06-08 MODERN WHOLESALE SUPPLY CO. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-04-01
Business code 423700
Sponsor’s telephone number 6186562197
Plan sponsor’s address 7103 MARINE ROAD, EDWARDSVILLE, IL, 62025

Plan administrator’s name and address

Administrator’s EIN 370757718
Plan administrator’s name MODERN WHOLESALE SUPPLY CO.
Plan administrator’s address 7103 MARINE ROAD, EDWARDSVILLE, IL, 62025
Administrator’s telephone number 6186562197

Signature of

Role Plan administrator
Date 2011-06-08
Name of individual signing BLAIR D. SCHWALB
Valid signature Filed with authorized/valid electronic signature
MODERN WHOLESALE SUPPLY CO. RETIREMENT PLAN 2009 370757718 2010-06-01 MODERN WHOLESALE SUPPLY CO. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-04-01
Business code 423700
Sponsor’s telephone number 6186562197
Plan sponsor’s address 7103 MARINE ROAD, EDWARDSVILLE, IL, 62025

Plan administrator’s name and address

Administrator’s EIN 370757718
Plan administrator’s name MODERN WHOLESALE SUPPLY CO.
Plan administrator’s address 7103 MARINE ROAD, EDWARDSVILLE, IL, 62025
Administrator’s telephone number 6186562197

Signature of

Role Plan administrator
Date 2010-06-01
Name of individual signing BLAIR D SCHWALB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-01
Name of individual signing BLAIR D SCHWALB
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JAMES L. JERUE, 4176 W MONTROSE AVE., CHICAGO, 60641, COOK-NOT IN CITY OF CHICAGO Agent 2002-02-28

Member

Name and Address Role Appointment Date
JIMENEZ D.C., FERNANDO J., 3247 W FULLERTON AVE, CHICAGO, IL, 60647 Member 2008-12-30
MEYER JOHN J, 10034 166TH ST W, LAKEVILLE, MN, 55044 Member 2008-12-30
SEGURA M.D., ROBERTO P., 1221 N DEARBORN, #1410N, CHICAGO, IL, 60610 Member 2008-12-30
WALLERY DERRICK D, 4648 N KILBOURN AVE, CHICAGO, IL, 60630 Member 2008-12-30

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State