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  5. SUBURBAN PEDIATRICS, LTD.

SUBURBAN PEDIATRICS, LTD.

Company Details

Entity Name: SUBURBAN PEDIATRICS, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 09 Dec 1968
Company Number: CORP_49280386
File Number: 49280386
Type of Business: Incorporated under the Medical Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C. 401(K) PROFIT SHARING PLAN 2012 362646206 2013-07-19 NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1968-12-31
Business code 621111
Sponsor’s telephone number 7737775437
Plan sponsor’s address 4801 WEST PETERSON AVENUE, SUITE 506, CHICAGO, IL, 60646

Signature of
Role Plan administrator
Date 2013-07-19
Name of individual signing WANDA KARAMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-19
Name of individual signing WANDA KARAMAN
Valid signature Filed with authorized/valid electronic signature
NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C. 401(K) PROFIT SHARING PLAN 2011 362646206 2012-07-13 NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1968-12-31
Business code 621111
Sponsor’s telephone number 7737775437
Plan sponsor’s address 4801 WEST PETERSON AVENUE, SUITE 506, CHICAGO, IL, 60646

Plan administrator’s name and address
Administrator’s EIN 362646206
Plan administrator’s name NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C.
Plan administrator’s address 4801 WEST PETERSON AVENUE, SUITE 506, CHICAGO, IL, 60646
Administrator’s telephone number 7737775437

Signature of
Role Plan administrator
Date 2012-07-13
Name of individual signing WANDA KARAMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-13
Name of individual signing WANDA KARAMAN
Valid signature Filed with authorized/valid electronic signature
NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C. 401(K) PROFIT SHARING PLAN 2010 362646206 2011-07-27 NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1968-12-31
Business code 621111
Sponsor’s telephone number 7737775437
Plan sponsor’s address 4801 WEST PETERSON AVENUE, SUITE 506, CHICAGO, IL, 60646

Plan administrator’s name and address
Administrator’s EIN 362646206
Plan administrator’s name NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C.
Plan administrator’s address 4801 WEST PETERSON AVENUE, SUITE 506, CHICAGO, IL, 60646
Administrator’s telephone number 7737775437

Signature of
Role Plan administrator
Date 2011-07-27
Name of individual signing TRACI WILLIAMS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-27
Name of individual signing TRACI WILLIAMS
Valid signature Filed with authorized/valid electronic signature
NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C. 401(K) PROFIT SHARING PLAN 2009 362646206 2010-07-30 NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1968-12-31
Business code 621111
Sponsor’s telephone number 7737775437
Plan sponsor’s address 4801 WEST PETERSON AVENUE, SUITE 506, CHICAGO, IL, 60646

Plan administrator’s name and address
Administrator’s EIN 362646206
Plan administrator’s name NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C.
Plan administrator’s address 4801 WEST PETERSON AVENUE, SUITE 506, CHICAGO, IL, 60646
Administrator’s telephone number 7737775437

Signature of
Role Plan administrator
Date 2010-07-30
Name of individual signing TERESA KIM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-30
Name of individual signing TERESA KIM
Valid signature Filed with authorized/valid electronic signature
NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C. 401(K) PROFIT SHARING PLAN 2009 362646206 2010-07-30 NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C. 13
Three-digit plan number (PN) 001
Effective date of plan 1968-12-31
Business code 621111
Sponsor’s telephone number 7737775437
Plan sponsor’s address 4801 WEST PETERSON AVENUE, SUITE 506, CHICAGO, IL, 60646

Plan administrator’s name and address
Administrator’s EIN 362646206
Plan administrator’s name NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C.
Plan administrator’s address 4801 WEST PETERSON AVENUE, SUITE 506, CHICAGO, IL, 60646
Administrator’s telephone number 7737775437

Signature of
Role Plan administrator
Date 2010-07-30
Name of individual signing WANDA KARAMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-30
Name of individual signing WANDA KARAMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
C T CORPORATION SYSTEM, 208 SO LASALLE ST, SUITE 814, CHICAGO, 60604, COOK-NOT IN CITY OF CHICAGO Agent 2017-02-27

President

Name and Address Role
NEIL GRAHAM MD 9000 WAUKEGAN RD. #240 MORTON GROVE, IL 60053 President

Secretary

Name and Address Role
SONIA VERGES-HYSER, MD, ADDRESS Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042000280 No data No data REGISTERED MEDICAL CORPORATION No data 1998-01-01 2021-12-11 2025-01-01

Shares

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

Related by officers

C T CORPORATION SYSTEM, 208 SO LASALLE ST, SUITE 814, CHICAGO, 60604, COOK-NOT IN CITY OF CHICAGO

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Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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