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PARK RIDGE JUNIORS

Company Details

Entity Name: PARK RIDGE JUNIORS
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Dissolved
Date Formed: 07 May 1970
Date of Dissolution: 12 Oct 2012
Company Number: CORP_49660081
File Number: 49660081
Date Status Change: 12 Oct 2012
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKE FOREST PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN AND TRUST 2012 362671870 2013-06-24 LAKE FOREST PEDIATRIC ASSOCIATES, LTD. 95
File View Page
Three-digit plan number (PN) 010
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 8472951220
Plan sponsor’s address 917 SHERWOOD DRIVE, FIRST FLOOR, LAKE BLUFF, IL, 60044

Signature of

Role Plan administrator
Date 2013-06-24
Name of individual signing BERNARD B. PRITZKER, M.D.
Valid signature Filed with authorized/valid electronic signature
LAKE FOREST PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN AND TRUST 2011 362671870 2012-08-29 LAKE FOREST PEDIATRIC ASSOCIATES, LTD. 99
File View Page
Three-digit plan number (PN) 010
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 8472951220
Plan sponsor’s address 900 N. WESTMORELAND RD. SUITE 110, LAKE FOREST, IL, 60045

Plan administrator’s name and address

Administrator’s EIN 362671870
Plan administrator’s name LAKE FOREST PEDIATRIC ASSOCIATES, LTD.
Plan administrator’s address 900 N. WESTMORELAND RD. SUITE 110, LAKE FOREST, IL, 60045
Administrator’s telephone number 8472951220

Signature of

Role Plan administrator
Date 2012-08-29
Name of individual signing BERNARD B. PRITZKER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-29
Name of individual signing BERNARD B. PRITZKER, M.D.
Valid signature Filed with authorized/valid electronic signature
LAKE FOREST PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN AND TRUST 2010 362671870 2011-07-26 LAKE FOREST PEDIATRIC ASSOCIATES, LTD. 95
File View Page
Three-digit plan number (PN) 010
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 8472951220
Plan sponsor’s address 900 N. WESTMORELAND RD. SUITE 110, LAKE FOREST, IL, 60045

Plan administrator’s name and address

Administrator’s EIN 362671870
Plan administrator’s name LAKE FOREST PEDIATRIC ASSOCIATES, LTD.
Plan administrator’s address 900 N. WESTMORELAND RD. SUITE 110, LAKE FOREST, IL, 60045
Administrator’s telephone number 8472951220

Signature of

Role Plan administrator
Date 2011-07-26
Name of individual signing BERNARD B. PRITZKER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-26
Name of individual signing BERNARD B. PRITZKER, M.D.
Valid signature Filed with authorized/valid electronic signature
LAKE FOREST PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN AND TRUST 2009 362671870 2010-09-08 LAKE FOREST PEDIATRIC ASSOCIATES, LTD. 94
Three-digit plan number (PN) 010
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 8472951220
Plan sponsor’s address 900 N. WESTMORELAND RD. SUITE 110, LAKE FOREST, IL, 60045

Plan administrator’s name and address

Administrator’s EIN 362671870
Plan administrator’s name LAKE FOREST PEDIATRIC ASSOCIATES, LTD.
Plan administrator’s address 900 N. WESTMORELAND RD. SUITE 110, LAKE FOREST, IL, 60045
Administrator’s telephone number 8472951220

Signature of

Role Plan administrator
Date 2010-09-08
Name of individual signing BERNARD B. PRITZKER, M.D.
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-09-08
Name of individual signing BERNARD B. PRITZKER, M.D.
Valid signature Filed with incorrect/unrecognized electronic signature
LAKE FOREST PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN AND TRUST 2009 362671870 2010-09-08 LAKE FOREST PEDIATRIC ASSOCIATES, LTD. 94
Three-digit plan number (PN) 010
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 8472951220
Plan sponsor’s address 900 N. WESTMORELAND RD. SUITE 110, LAKE FOREST, IL, 60045

Plan administrator’s name and address

Administrator’s EIN 362671870
Plan administrator’s name LAKE FOREST PEDIATRIC ASSOCIATES, LTD.
Plan administrator’s address 900 N. WESTMORELAND RD. SUITE 110, LAKE FOREST, IL, 60045
Administrator’s telephone number 8472951220

Signature of

Role Plan administrator
Date 2010-09-08
Name of individual signing BERNARD B. PRITZKER, M.D.
Valid signature Filed with incorrect/unrecognized electronic signature
LAKE FOREST PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN AND TRUST 2009 362671870 2010-09-13 LAKE FOREST PEDIATRIC ASSOCIATES, LTD. 94
File View Page
Three-digit plan number (PN) 010
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 8472951220
Plan sponsor’s address 900 N. WESTMORELAND RD. SUITE 110, LAKE FOREST, IL, 60045

Plan administrator’s name and address

Administrator’s EIN 362671870
Plan administrator’s name LAKE FOREST PEDIATRIC ASSOCIATES, LTD.
Plan administrator’s address 900 N. WESTMORELAND RD. SUITE 110, LAKE FOREST, IL, 60045
Administrator’s telephone number 8472951220

Signature of

Role Plan administrator
Date 2010-09-13
Name of individual signing BERNARD B. PRITZKER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-13
Name of individual signing BERNARD B. PRITZKER, M.D.
Valid signature Filed with authorized/valid electronic signature
LAKE FOREST PEDIATRIC ASSOCIATES, LTD. PROFIT SHARING PLAN AND TRUST 2009 362671870 2010-09-07 LAKE FOREST PEDIATRIC ASSOCIATES, LTD. 94
Three-digit plan number (PN) 010
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 8472951220
Plan sponsor’s address 900 N. WESTMORELAND RD. SUITE 110, LAKE FOREST, IL, 60045

Plan administrator’s name and address

Administrator’s EIN 362671870
Plan administrator’s name LAKE FOREST PEDIATRIC ASSOCIATES, LTD.
Plan administrator’s address 900 N. WESTMORELAND RD. SUITE 110, LAKE FOREST, IL, 60045
Administrator’s telephone number 8472951220

Signature of

Role Plan administrator
Date 2010-09-07
Name of individual signing BERNARD B. PRITZKER, M.D.
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name and Address Role Appointment Date
BRUCE M JANCOVIC, 1420 RENAISSANCE DR #313, PARK RIDGE, 60068, COOK-NOT IN CITY OF CHICAGO Agent 2008-09-09

Historical Names

Name Change Date
THE TWENTIETH CENTURY CLUB JUNIORS OF PARK RIDGE, ILLINOIS 1999-07-13

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State