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  5. MIDWEST EAR, NOSE & THROAT CONSULTANTS, LTD.

MIDWEST EAR, NOSE & THROAT CONSULTANTS, LTD.

Company Details

Entity Name: MIDWEST EAR, NOSE & THROAT CONSULTANTS, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 29 Mar 1976
Date of Dissolution: 11 Aug 2017
Company Number: CORP_50864561
File Number: 50864561
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 11 Aug 2017
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIDWEST EAR, NOSE & THROAT CONSULTANTS, LTD. 401(K) PLAN 2016 362862327 2017-04-03 MIDWEST EAR, NOSE & THROAT CONSULTANTS, LTD. 95
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6306682180
Plan sponsor’s address 430 PENNSYLVANIA AVENUE, SUITE 320, GLEN ELLYN, IL, 60137
MIDWEST EAR, NOSE & THROAT CONSULTANTS, LTD. 401(K) PLAN 2015 362862327 2016-07-19 MIDWEST EAR, NOSE & THROAT CONSULTANTS, LTD. 88
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6306682180
Plan sponsor’s address 25 N WINFIELD RD SUITE #519, WINFIELD, IL, 60190
MIDWEST, EAR NOSE & THROAT CONSULTANTS, LTD. 401K PLAN 2014 362862327 2015-10-15 MIDWEST EAR, NOSE & THROAT CONSULTANTS, LTD. 81
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6306682180
Plan sponsor’s address 25 N. WINFIELD ROAD, SUITE 519, WINFIELD, IL, 601901222

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing CHRISTOPHER HAMPSON
Valid signature Filed with authorized/valid electronic signature
MIDWEST, EAR NOSE & THROAT CONSULTANTS, LTD. 401K PLAN 2013 362862327 2014-07-24 MIDWEST EAR, NOSE & THROAT CONSULTANTS, LTD. 72
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6306682180
Plan sponsor’s address 25 N. WINFIELD ROAD, SUITE 519, WINFIELD, IL, 601901222

Signature of
Role Plan administrator
Date 2014-07-24
Name of individual signing JOSEPH DONZELLI
Valid signature Filed with authorized/valid electronic signature
MIDWEST, EAR NOSE & THROAT CONSULTANTS, LTD. 401K PLAN 2012 362862327 2013-04-17 MIDWEST EAR, NOSE & THROAT CONSULTANTS, LTD. 72
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6306682180
Plan sponsor’s address 25 N. WINFIELD ROAD, SUITE 519, WINFIELD, IL, 601901222

Signature of
Role Plan administrator
Date 2013-04-17
Name of individual signing JOSEPH DONZELLI
Valid signature Filed with authorized/valid electronic signature
MIDWEST, EAR NOSE & THROAT CONSULTANTS, LTD. 401K PLAN 2011 362862327 2012-02-24 MIDWEST EAR, NOSE & THROAT CONSULTANTS, LTD. 64
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6306682180
Plan sponsor’s address 25 N. WINFIELD ROAD, SUITE 519, WINFIELD, IL, 601901222

Plan administrator’s name and address
Administrator’s EIN 362862327
Plan administrator’s name MIDWEST EAR, NOSE & THROAT CONSULTANTS, LTD.
Plan administrator’s address 25 N. WINFIELD ROAD, SUITE 519, WINFIELD, IL, 601901222
Administrator’s telephone number 6306682180

Signature of
Role Plan administrator
Date 2012-02-24
Name of individual signing JOSEPH DONZELLI
Valid signature Filed with authorized/valid electronic signature
MIDWEST, EAR NOSE & THROAT CONSULTANTS, LTD. 401K PLAN 2010 362862327 2011-05-03 MIDWEST EAR, NOSE & THROAT CONSULTANTS, LTD. 61
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6306682180
Plan sponsor’s address 25 N. WINFIELD ROAD, SUITE 519, WINFIELD, IL, 601901222

Plan administrator’s name and address
Administrator’s EIN 362862327
Plan administrator’s name MIDWEST EAR, NOSE & THROAT CONSULTANTS, LTD.
Plan administrator’s address 25 N. WINFIELD ROAD, SUITE 519, WINFIELD, IL, 601901222
Administrator’s telephone number 6306682180

Signature of
Role Plan administrator
Date 2011-05-03
Name of individual signing JOSEPH DONZELLI
Valid signature Filed with authorized/valid electronic signature
MIDWEST, EAR NOSE & THROAT CONSULTANTS, LTD. 401K PLAN 2009 362862327 2010-10-12 MIDWEST EAR, NOSE & THROAT CONSULTANTS, LTD. 53
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6306682180
Plan sponsor’s address 25 N. WINFIELD ROAD, SUITE 519, WINFIELD, IL, 601901222

Plan administrator’s name and address
Administrator’s EIN 362862327
Plan administrator’s name MIDWEST EAR, NOSE & THROAT CONSULTANTS, LTD.
Plan administrator’s address 25 N. WINFIELD ROAD, SUITE 519, WINFIELD, IL, 601901222
Administrator’s telephone number 6306682180

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing JOSEPH DONZELLI
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOSEPH DONZELLI, 25 N WINFIELD RD STE 519, WINFIELD, 60190, DU PAGE Agent 2008-03-25

President

Name and Address Role
JOSEPH DONZELLI, MD 25 N WINFIELD STE 519 WINFIELD IL 60190 President

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042619931 No data No data REGISTERED MEDICAL CORPORATION No data 2012-01-24 2015-12-01 2017-01-01
MEDICAL CORP 042619929 No data No data REGISTERED MEDICAL CORPORATION No data 2012-01-24 2015-12-01 2017-01-01
MEDICAL CORP 042619930 No data No data REGISTERED MEDICAL CORPORATION No data 2012-01-24 2015-12-01 2017-01-01
MEDICAL CORP 042619928 No data No data REGISTERED MEDICAL CORPORATION No data 2012-01-24 2015-12-01 2017-01-01

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
OTOLARYNGOLOGY, HEAD AND NECK SURGERY, LTD. No data 1981-09-29 1981-11-24 Voluntary Cancellation No data

Historical Names

Name Change Date
OTOLARYNGOLOGY-HEAD & NECK SURGERY, LTD. 2005-01-01
PETER A. BRUSCA, M.D., S.C. 1981-11-24

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 100000 2000000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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