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MY ISLAND GIRL LLC

Company Details

Entity Name: MY ISLAND GIRL LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Involuntary Dissolution
Date Formed: 25 Jul 2002
Company Number: LLC_00750573
File Number: 00750573
Type of Management: Manager Managed
Date Status Change: 28 Dec 2003
Expiration Date: 31 Dec 2042
Address 904 SOUTH ROSELLE ROAD #174, SCHAUMBURG, 60193, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ZION CLINIC, S.C. RESTATED PROFIT-SHARING PLAN & TRUST 2011 362721486 2013-07-10 ZION CLINIC, S.C. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1971-11-01
Business code 621111
Sponsor’s telephone number 8477463752
Plan sponsor’s address 3115 LEWIS AVE, ZION, IL, 600993099

Plan administrator’s name and address

Administrator’s EIN 362721486
Plan administrator’s name ZION CLINIC, S.C.
Plan administrator’s address 3115 LEWIS AVE, ZION, IL, 600993099
Administrator’s telephone number 8477463752

Signature of

Role Plan administrator
Date 2013-07-10
Name of individual signing C. DAVID ENGSTROM, M.D.
Valid signature Filed with authorized/valid electronic signature
ZION CLINIC, S.C. RESTATED PROFIT-SHARING PLAN & TRUST 2010 362721486 2012-08-08 ZION CLINIC, S.C. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1971-11-01
Business code 621111
Sponsor’s telephone number 8477463752
Plan sponsor’s address 3115 LEWIS AVE, ZION, IL, 600993099

Plan administrator’s name and address

Administrator’s EIN 362721486
Plan administrator’s name ZION CLINIC, S.C.
Plan administrator’s address 3115 LEWIS AVE, ZION, IL, 600993099
Administrator’s telephone number 8477463752

Signature of

Role Plan administrator
Date 2012-08-08
Name of individual signing C. DAVID ENGSTROM, M.D.
Valid signature Filed with authorized/valid electronic signature
ZION CLINIC, S.C. RESTATED PROFIT-SHARING PLAN & TRUST 2009 362721486 2011-07-22 ZION CLINIC, S.C. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1971-11-01
Business code 621111
Sponsor’s telephone number 8477463752
Plan sponsor’s address 3115 LEWIS AVE, ZION, IL, 600993099

Plan administrator’s name and address

Administrator’s EIN 362721486
Plan administrator’s name ZION CLINIC, S.C.
Plan administrator’s address 3115 LEWIS AVE, ZION, IL, 600993099
Administrator’s telephone number 8477463752

Signature of

Role Plan administrator
Date 2011-07-22
Name of individual signing C. DAVID ENGSTROM, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BUSINESS FILINGS INCORPORATED, 1 W OLD STATE CAPITOL PLZ #805, SPRINGFIELD, 62701, SANGAMON Agent 2002-07-25

Manager

Name and Address Role Appointment Date
REGIONE, BRIAN, 904 SOUTH ROSELLE ROAD #174, SCHAUMBURG, IL, 60193 Manager 2002-07-25

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State