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  5. WEST SIDE HEALTH PLANNING ORGANIZATION

WEST SIDE HEALTH PLANNING ORGANIZATION

Company Details

Entity Name: WEST SIDE HEALTH PLANNING ORGANIZATION
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Dissolved
Date Formed: 24 Jun 1970
Date of Dissolution: 31 May 2018
Company Number: CORP_49681232
File Number: 49681232
Date Status Change: 31 May 2018
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OAK PARK EYE CENTER, S.C. RETIREMENT SAVINGS PLAN 2012 362670634 2013-07-17 OAK PARK EYE CENTER, S.C. 10
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7088481182
Plan sponsor’s address 7638 W. NORTH AVE., ELMWOOD PARK, IL, 60707

Signature of
Role Plan administrator
Date 2013-07-17
Name of individual signing MICHAEL HENNESSEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-17
Name of individual signing MICHAEL HENNESSEY
Valid signature Filed with authorized/valid electronic signature
OAK PARK EYE CENTER, S.C. RETIREMENT SAVINGS PLAN 2011 362670634 2012-08-27 OAK PARK EYE CENTER, S.C. 11
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7088481182
Plan sponsor’s address 7638 W. NORTH AVE., ELMWOOD PARK, IL, 60707

Plan administrator’s name and address
Administrator’s EIN 362670634
Plan administrator’s name OAK PARK EYE CENTER, S.C.
Plan administrator’s address 7638 W. NORTH AVE., ELMWOOD PARK, IL, 60707
Administrator’s telephone number 7088481182

Signature of
Role Plan administrator
Date 2012-08-27
Name of individual signing MICHAEL HENNESSEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-27
Name of individual signing MICHAEL HENNESSEY
Valid signature Filed with authorized/valid electronic signature
OAK PARK EYE CENTER, S.C. RETIREMENT SAVINGS PLAN 2010 362670634 2011-09-02 OAK PARK EYE CENTER, S.C. 14
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7088481182
Plan sponsor’s address 7638 W. NORTH AVE., ELMWOOD PA, IL, 60707

Plan administrator’s name and address
Administrator’s EIN 362670634
Plan administrator’s name OAK PARK EYE CENTER, S.C.
Plan administrator’s address 7638 W. NORTH AVE., ELMWOOD PA, IL, 60707
Administrator’s telephone number 7088481182

Signature of
Role Plan administrator
Date 2011-09-02
Name of individual signing MICHAEL HENNESSEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-02
Name of individual signing MICHAEL HENNESSEY
Valid signature Filed with authorized/valid electronic signature
OAK PARK EYE CENTER, S.C. RETIREMENT SAVINGS PLAN 2009 362670634 2010-10-08 OAK PARK EYE CENTER, S.C. 12
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7088481182
Plan sponsor’s address 7638 W. NORTH AVE., ELMWOOD PARK, IL, 60707

Plan administrator’s name and address
Administrator’s EIN 362670634
Plan administrator’s name OAK PARK EYE CENTER, S.C.
Plan administrator’s address 7638 W. NORTH AVE., ELMWOOD PARK, IL, 60707
Administrator’s telephone number 7088481182

Signature of
Role Plan administrator
Date 2010-10-08
Name of individual signing MICHAEL HENNESSEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-08
Name of individual signing MICHAEL HENNESSEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MARQUETTA A SMITH, 1150 W 18TH ST UNIT GW, BROADVIEW, 60155, COOK-NOT IN CITY OF CHICAGO Agent 2009-07-29

Related by officers

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Related by address

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Date of last update: 13 Mar 2025

Sources: Illinois Office of the Secretary of State

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