Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Lake
    4. ›
  4. 60015
    5. ›
  5. AD-PARK PEDIATRIC ASSOCIATES, S.C.

AD-PARK PEDIATRIC ASSOCIATES, S.C.

Company Details

Entity Name: AD-PARK PEDIATRIC ASSOCIATES, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 13 Aug 1968
Date of Dissolution: 26 Jun 2019
Company Number: CORP_48945775
File Number: 48945775
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 26 Jun 2019
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AD-PARK PEDIATRIC ASSOCIATES, S.C. PROFIT SHARING PLAN AND TRUST 2018 362657245 2019-06-12 AD-PARK PEDIATRIC ASSOCIATES, S.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-08-01
Business code 621111
Sponsor’s telephone number 6305433020
Plan sponsor’s address 1640 W. LAKE STREET, 2ND FLOOR, ADDISON, IL, 60101

Signature of
Role Plan administrator
Date 2019-06-12
Name of individual signing MERRICK BROMBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-12
Name of individual signing MERRICK BROMBERG
Valid signature Filed with authorized/valid electronic signature
AD-PARK PEDIATRIC ASSOCIATES, S.C. PROFIT SHARING PLAN AND TRUST 2017 362657245 2018-05-17 AD-PARK PEDIATRIC ASSOCIATES, S.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-08-01
Business code 621111
Sponsor’s telephone number 6305433020
Plan sponsor’s address 1640 W. LAKE STREET, 2ND FLOOR, ADDISON, IL, 60101

Signature of
Role Plan administrator
Date 2018-05-16
Name of individual signing MERRICK BROMBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-16
Name of individual signing MERRICK BROMBERG
Valid signature Filed with authorized/valid electronic signature
AD-PARK PEDIATRIC ASSOCIATES, S.C. PROFIT SHARING PLAN AND TRUST 2016 362657245 2017-07-10 AD-PARK PEDIATRIC ASSOCIATES, S.C. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-08-01
Business code 621111
Sponsor’s telephone number 6305433020
Plan sponsor’s address 1640 W. LAKE STREET, 2ND FLOOR, ADDISON, IL, 60101

Signature of
Role Plan administrator
Date 2017-07-09
Name of individual signing MERRICK BROMBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-09
Name of individual signing MERRICK BROMBERG
Valid signature Filed with authorized/valid electronic signature
AD-PARK PEDIATRIC ASSOCIATES, S.C. PROFIT SHARING PLAN AND TRUST 2015 362657245 2016-10-05 AD-PARK PEDIATRIC ASSOCIATES, S.C. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-08-01
Business code 621111
Sponsor’s telephone number 6305433020
Plan sponsor’s address 1640 W. LAKE STREET, 2ND FLOOR, ADDISON, IL, 60101

Signature of
Role Plan administrator
Date 2016-10-04
Name of individual signing MERRICK BROMBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-04
Name of individual signing MERRICK BROMBERG
Valid signature Filed with authorized/valid electronic signature
AD-PARK PEDIATRIC ASSOCIATES, S.C. PROFIT SHARING PLAN AND TRUST 2014 362657245 2015-07-22 AD-PARK PEDIATRIC ASSOCIATES, S.C. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-08-01
Business code 621111
Sponsor’s telephone number 6305433020
Plan sponsor’s address 1640 W. LAKE STREET, 2ND FLOOR, ADDISON, IL, 60101

Signature of
Role Plan administrator
Date 2015-07-22
Name of individual signing MERRICK BROMBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-22
Name of individual signing MERRICK BROMBERG
Valid signature Filed with authorized/valid electronic signature
AD-PARK PEDIATRIC ASSOCIATES, S.C. PROFIT SHARING PLAN AND TRUST 2013 362657245 2014-10-14 AD-PARK PEDIATRIC ASSOCIATES, S.C. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-08-01
Business code 621111
Sponsor’s telephone number 6305433020
Plan sponsor’s address 1640 W. LAKE STREET, 2ND FLOOR, ADDISON, IL, 60101

Signature of
Role Plan administrator
Date 2014-10-13
Name of individual signing MERRICK BROMBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-13
Name of individual signing MERRICK BROMBERG
Valid signature Filed with authorized/valid electronic signature
AD-PARK PEDIATRIC ASSOCIATES, S.C. PROFIT-SHARING PLAN 2012 362657245 2013-07-19 AD-PARK PEDIATRIC ASSOCIATES, S.C. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-08-01
Business code 621111
Plan sponsor’s address 1640 WEST LAKE STREET - 2ND FLOOR, ADDISON, IL, 601012582

Signature of
Role Plan administrator
Date 2013-07-12
Name of individual signing MERRICK BROMBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-12
Name of individual signing MERRICK BROMBERG
Valid signature Filed with authorized/valid electronic signature
AD-PARK PEDIATRIC ASSOCIATES, S.C. PROFIT-SHARING PLAN 2011 362657245 2012-10-01 AD-PARK PEDIATRIC ASSOCIATES, S.C. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-08-01
Business code 621111
Plan sponsor’s address 1640 WEST LAKE STREET - 2ND FLOOR, ADDISON, IL, 601012582

Plan administrator’s name and address
Administrator’s EIN 362657245
Plan administrator’s name AD-PARK PEDIATRIC ASSOCIATES, S.C.
Plan administrator’s address 1640 WEST LAKE STREET - 2ND FLOOR, ADDISON, IL, 601012582

Signature of
Role Plan administrator
Date 2012-09-27
Name of individual signing MERRICK BROMBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-27
Name of individual signing MERRICK BROMBERG
Valid signature Filed with authorized/valid electronic signature
AD-PARK PEDIATRIC ASSOCIATES, S.C. PROFIT-SHARING PLAN 2010 362657245 2012-02-27 AD-PARK PEDIATRIC ASSOCIATES, S.C. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-08-01
Business code 621111
Plan sponsor’s address 303 WEST LAKE STREET - SUITE 102, ADDISON, IL, 601012582

Plan administrator’s name and address
Administrator’s EIN 362657245
Plan administrator’s name AD-PARK PEDIATRIC ASSOCIATES, S.C.
Plan administrator’s address 303 WEST LAKE STREET - SUITE 102, ADDISON, IL, 601012582

Signature of
Role Plan administrator
Date 2012-02-28
Name of individual signing MERRICK BROMBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-02-28
Name of individual signing MERRICK BROMBERG
Valid signature Filed with authorized/valid electronic signature
AD-PARK PEDIATRIC ASSOCIATES, S.C. PROFIT SHARING PLAN 2009 362657245 2011-05-02 AD-PARK PEDIATRIC ASSOCIATES, S.C. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-08-01
Business code 621111
Sponsor’s telephone number 7083833853
Plan sponsor’s address 610 S MAPLE AVE STE 3150, OAK PARK, IL, 603041099

Plan administrator’s name and address
Administrator’s EIN 362657245
Plan administrator’s name AD-PARK PEDIATRIC ASSOCIATES, S.C.
Plan administrator’s address 610 S MAPLE AVE STE 3150, OAK PARK, IL, 603041099
Administrator’s telephone number 7083833853

Signature of
Role Plan administrator
Date 2011-05-02
Name of individual signing MERRICK BROMBERG, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
HSK AGENT SERVICES INC, 2610 LAKE COOK RD STE 200, RIVERWOODS, 60015, LAKE Agent 2017-08-31

President

Name and Address Role
MERRICK J BROMBERG D.O. 1640 W LAKE ST STE 200 ADDISON IL President

Historical Names

Name Change Date
MELVIN A. KRUGLY, M.D., HENRY NOVIS, M.D.S.C. 1983-08-05

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 1000000 1

Related by officers

HSK AGENT SERVICES INC, 2610 LAKE COOK RD STE 200, RIVERWOODS, 60015, LAKE

CAPITOL CEMENT CO., INC. GRAND STAGE LIGHTING CO. EVANSTON BUILDERS LUMBER CO. VILLAGE BUICK GMC, INC. SULLIVAN BUICK GMC, INC. BAMJAK, INC. MID CITY NISSAN, INC. PAULY IMPORTS, INC. KELLY NISSAN, INC. BURKE AUTOMOTIVE GROUP, INC.

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 ilorg.com, Part of Big Data Integrated