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LAKESIDE NEPHROLOGY, LTD.

Company Details

Entity Name: LAKESIDE NEPHROLOGY, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Reinstated
Date Formed: 03 Jun 1969
Date of Dissolution: 08 Nov 2024
Company Number: CORP_49509081
File Number: 49509081
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 08 Nov 2024
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKESIDE NEPHROLOGY, LTD. EMPLOYEES'PROFIT SHARING AND SAVINGS PLAN & TRUST 2013 362697154 2014-05-13 LAKESIDE NEPHROLOGY, LTD. 20
File View Page
Three-digit plan number (PN) 006
Effective date of plan 1987-01-01
Business code 621492
Sponsor’s telephone number 3129860110
Plan sponsor’s address 1101 S. CANAL STREET, CHICAGO, IL, 60607

Signature of

Role Plan administrator
Date 2014-05-13
Name of individual signing CHRISTOPHER NAJAFI
Valid signature Filed with authorized/valid electronic signature
LAKESIDE NEPHROLOGY, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 2012 362697154 2013-05-28 LAKESIDE NEPHROLOGY, LTD. 19
File View Page
Three-digit plan number (PN) 006
Effective date of plan 1987-01-01
Business code 621492
Sponsor’s telephone number 3129860110
Plan sponsor’s address 1101 S. CANAL STREET, CHICAGO, IL, 60607

Signature of

Role Plan administrator
Date 2013-05-28
Name of individual signing CHRISTOPHER NAJAFI
Valid signature Filed with authorized/valid electronic signature
LAKESIDE NEPHROLOGY, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 2011 362697154 2012-05-03 LAKESIDE NEPHROLOGY, LTD. 20
File View Page
Three-digit plan number (PN) 006
Effective date of plan 1987-01-01
Business code 621492
Sponsor’s telephone number 3129860110
Plan sponsor’s address 1101 S. CANAL STREET, CHICAGO, IL, 60607

Plan administrator’s name and address

Administrator’s EIN 362697154
Plan administrator’s name LAKESIDE NEPHROLOGY, LTD.
Plan administrator’s address 1101 S. CANAL STREET, CHICAGO, IL, 60607
Administrator’s telephone number 3129860110

Signature of

Role Plan administrator
Date 2012-05-03
Name of individual signing CHRISTOPHER NAJAFI
Valid signature Filed with authorized/valid electronic signature
LAKESIDE NEPHROLOGY, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 2010 362697154 2011-06-01 LAKESIDE NEPHROLOGY, LTD. 19
File View Page
Three-digit plan number (PN) 006
Effective date of plan 1987-01-01
Business code 621492
Sponsor’s telephone number 3129860110
Plan sponsor’s address 1101 S. CANAL STREET, CHICAGO, IL, 60607

Plan administrator’s name and address

Administrator’s EIN 362697154
Plan administrator’s name LAKESIDE NEPHROLOGY, LTD.
Plan administrator’s address 1101 S. CANAL STREET, CHICAGO, IL, 60607
Administrator’s telephone number 3129860110

Signature of

Role Plan administrator
Date 2011-06-01
Name of individual signing BRIAN DUFFY
Valid signature Filed with authorized/valid electronic signature
LAKESIDE NEPHROLOGY, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 2009 362697154 2010-07-06 LAKESIDE NEPHROLOGY, LTD. 20
Three-digit plan number (PN) 006
Effective date of plan 1987-01-01
Business code 621492
Sponsor’s telephone number 3129860110
Plan sponsor’s address 1101 S. CANAL STREET, CHICAGO, IL, 606074901

Plan administrator’s name and address

Administrator’s EIN 362697154
Plan administrator’s name LAKESIDE NEPHROLOGY, LTD.
Plan administrator’s address 1101 S. CANAL STREET, CHICAGO, IL, 606074901
Administrator’s telephone number 3129860110

Signature of

Role Employer/plan sponsor
Date 2010-07-06
Name of individual signing W BRIAN DUFFY
Valid signature Filed with authorized/valid electronic signature
LAKESIDE NEPHROLOGY, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 2009 362697154 2010-07-06 LAKESIDE NEPHROLOGY, LTD. 20
File View Page
Three-digit plan number (PN) 006
Effective date of plan 1987-01-01
Business code 621492
Sponsor’s telephone number 3129860110
Plan sponsor’s address 1101 S. CANAL STREET, CHICAGO, IL, 606074901

Plan administrator’s name and address

Administrator’s EIN 362697154
Plan administrator’s name LAKESIDE NEPHROLOGY, LTD.
Plan administrator’s address 1101 S. CANAL STREET, CHICAGO, IL, 606074901
Administrator’s telephone number 3129860110

Signature of

Role Plan administrator
Date 2010-07-06
Name of individual signing W BRIAN DUFFY
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 2011-05-17

President

Name and Address Role
CHRIS NAJAFI 9332 SKOKIE BLVD SKOKIE IL, 60077 President

Secretary

Name and Address Role
PARU KATHPALIA 9332 SKOKIE SKOKIE IL, 60077 Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042000428 No data No data REGISTERED MEDICAL CORPORATION No data 1998-01-01 2007-10-25 2009-01-01

Shares

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

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State