| Entity Name: | NORTHWESTERN LAKE FOREST HOSPITAL |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Not-for-Profit |
| Status: | Goodstanding |
| Date Formed: | 10 Dec 1918 |
| Company Number: | CORP_14767321 |
| File Number: | 14767321 |
| Place of Formation: | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Z2XVZXBBLMW7 | 2024-09-05 | 1000 N WESTMORELAND RD, LAKE FOREST, IL, 60045, 1658, USA | 541 NORTH FAIRBANKS COURT, 16TH FLOOR, CHICAGO, IL, 60611, USA | |||||||||||||||||||||||||||||||||||||||
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| Congressional District | 10 |
| State/Country of Incorporation | IL, USA |
| Activation Date | 2023-09-07 |
| Initial Registration Date | 2016-06-28 |
| Entity Start Date | 1918-12-10 |
| Fiscal Year End Close Date | Aug 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | SUSAN FEELEY |
| Role | DIRECTOR INFORMATION SERVICES |
| Address | 541 N. FAIRBANKS COURT, 24TH FLOOR, CHICAGO, IL, 60611, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JENNIFER THIEL |
| Role | FUND ACCOUNTING MANAGER |
| Address | 541 NORTH FAIRBANKS COURT, 16TH FLOOR, CHICAGO, IL, 60611, USA |
| Past Performance | Information not Available |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LAKE FOREST HOSPITAL EMPLOYEE SAVINGS PLAN | 2009 | 362179779 | 2011-05-06 | LAKE FOREST HOSPITAL | 1943 | |||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 362179779 |
| Plan administrator’s name | LAKE FOREST HOSPITAL |
| Plan administrator’s address | 660 NORTH WESTMORELAND ROAD, LAKE FOREST, IL, 60045 |
| Administrator’s telephone number | 8475356463 |
Number of participants as of the end of the plan year
| Active participants | 1579 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 445 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 1 |
| Number of participants with account balances as of the end of the plan year | 1446 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 25 |
Signature of
| Role | Plan administrator |
| Date | 2011-05-06 |
| Name of individual signing | MARSHA OBERRIEDER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| JULIA K. LYNCH, 211 E ONTARIO ST STE 1800, CHICAGO, 60611, COOK-NOT IN CITY OF CHICAGO | Agent | 2023-01-12 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| PHARMACY | 054021432 | No data | No data | LICENSED PHARMACY | No data | 2020-09-24 | 2024-02-28 | 2026-03-31 |
| PHARMACY | 054019653 | No data | No data | LICENSED PHARMACY | No data | 2016-01-06 | 2024-01-26 | 2026-03-31 |
| PHARMACY | 054017130 | No data | No data | LICENSED PHARMACY | No data | 2010-02-03 | 2024-01-26 | 2026-03-31 |
| PHARMACY | 059013475 | No data | No data | LICENSED DIVISION III PHARMACY | No data | 2007-08-06 | 2008-01-10 | 2010-03-31 |
| HME AND SERVICES PROV | 203000596 | No data | No data | HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER | No data | 2004-08-18 | 2015-02-23 | 2018-03-31 |
| PHARMACY | 059013212 | No data | No data | LICENSED DIVISION III PHARMACY | No data | 1996-05-15 | 2006-02-08 | 2008-03-31 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| NORTHWESTERN MEDICINE LAKE FOREST HOSPITAL FREESTANDING EMERGENCY CENTER | NFP Assume Name | 2023-07-26 | No data | No data | No data |
| NORTHWESTERN GRAYSLAKE AMBULATORY SURGERY CENTER | NFP Assume Name | 2023-07-26 | No data | No data | No data |
| NORTHWESTERN GLENVIEW PHARMACY | NFP Assume Name | 2019-10-23 | No data | No data | No data |
| NORTHWESTERN MEDICINE LAKE FOREST HEALTH AND FITNESS CENTER | NFP Assume Name | 2019-10-02 | No data | No data | No data |
| NORTHWESTERN MEDICINE LAKE FOREST HEALTH & FITNESS CENTER | NFP Assume Name | 2019-10-02 | No data | No data | No data |
| LAKE FOREST HOSPITAL | NFP Assume Name | 2015-05-27 | No data | No data | No data |
| NORTHWESTERN MEDICINE LAKE FOREST HOSPITAL | NFP Assume Name | 2015-03-16 | No data | No data | No data |
| NORTHWESTERN GRAYSLAKE ENDOSCOPY CENTER | NFP Assume Name | 2014-03-13 | No data | No data | No data |
| NORTHWESTERN GRAYSLAKE PHARMACY | NFP Assume Name | 2012-01-10 | No data | No data | No data |
| NORTHWESTERN HOME HEALTH | NFP Assume Name | 2011-03-16 | No data | No data | No data |
| Name | Change Date |
|---|---|
| LAKE FOREST HOSPITAL | 2010-03-25 |
Date of last update: 27 Jan 2025
