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  5. WEST SUBURBAN UROLOGY, S.C.

WEST SUBURBAN UROLOGY, S.C.

Company Details

Entity Name: WEST SUBURBAN UROLOGY, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 23 Jan 1979
Date of Dissolution: 09 Jun 2017
Company Number: CORP_51652223
File Number: 51652223
Date Status Change: 09 Jun 2017
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WEST SUBURBAN UROLOGY, S.C. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2016 363004825 2017-01-27 WEST SUBURBAN UROLOGY, S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-03-01
Business code 621111
Sponsor’s telephone number 6309601498
Plan sponsor’s address 3825 HIGHLAND, PROF BLD II, STE 207, DOWNERS GROVE, IL, 60515
WEST SUBURBAN UROLOGY, S.C. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2015 363004825 2016-02-22 WEST SUBURBAN UROLOGY, S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-03-01
Business code 621111
Sponsor’s telephone number 6309601498
Plan sponsor’s address 3825 HIGHLAND, SUITE 3F, DOWNERS GROVE, IL, 60515
WEST SUBURBAN UROLOGY, S.C. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2014 363004825 2015-10-12 WEST SUBURBAN UROLOGY, S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-03-01
Business code 621111
Sponsor’s telephone number 6309601498
Plan sponsor’s address 3825 HIGHLAND, PROF BLD II, STE 207, DOWNERS GROVE, IL, 60515

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing PAUL WEST
Valid signature Filed with authorized/valid electronic signature
WEST SUBURBAN UROLOGY, S.C. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2013 363004825 2014-10-08 WEST SUBURBAN UROLOGY, S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-03-01
Business code 621111
Sponsor’s telephone number 6309601498
Plan sponsor’s address 3825 HIGHLAND, PROF BLD II, STE 207, DOWNERS GROVE, IL, 60515

Signature of
Role Plan administrator
Date 2014-10-08
Name of individual signing PAUL WEST
Valid signature Filed with authorized/valid electronic signature
WEST SUBURBAN UROLOGY, S.C. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2012 363004825 2013-10-15 WEST SUBURBAN UROLOGY, S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-03-01
Business code 621111
Sponsor’s telephone number 6309601498
Plan sponsor’s address 3825 HIGHLAND, PROF BLD II, STE 207, DOWNERS GROVE, IL, 60515

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing PAUL WEST
Valid signature Filed with authorized/valid electronic signature
WEST SUBURBAN UROLOGY, S.C. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2011 363004825 2012-10-13 WEST SUBURBAN UROLOGY, S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-03-01
Business code 621111
Sponsor’s telephone number 6309601498
Plan sponsor’s address 3825 HIGHLAND, PROF BLD II, STE 207, DOWNERS GROVE, IL, 60515

Plan administrator’s name and address
Administrator’s EIN 363004825
Plan administrator’s name WEST SUBURBAN UROLOGY, S.C.
Plan administrator’s address 3825 HIGHLAND, PROF BLD II, STE 207, DOWNERS GROVE, IL, 60515
Administrator’s telephone number 6309601498

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing PAUL J. WEST, M.D.
Valid signature Filed with authorized/valid electronic signature
WEST SUBURBAN UROLOGY, S.C. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2010 363004825 2011-10-17 WEST SUBURBAN UROLOGY, S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-03-01
Business code 621111
Sponsor’s telephone number 6309601498
Plan sponsor’s address 3825 HIGHLAND, PROF BLD II, STE 207, DOWNERS GROVE, IL, 60515

Plan administrator’s name and address
Administrator’s EIN 363004825
Plan administrator’s name WEST SUBURBAN UROLOGY, S.C.
Plan administrator’s address 3825 HIGHLAND, PROF BLD II, STE 207, DOWNERS GROVE, IL, 60515
Administrator’s telephone number 6309601498

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing PAUL J. WEST, M.D.
Valid signature Filed with authorized/valid electronic signature
WEST SUBURBAN UROLOGY, S.C. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2009 363004825 2010-10-05 WEST SUBURBAN UROLOGY, S.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-03-01
Business code 621111
Sponsor’s telephone number 6309601498
Plan sponsor’s address 3825 HIGHLAND, PROF BLD II, STE 207, DOWNERS GROVE, IL, 60515

Plan administrator’s name and address
Administrator’s EIN 363004825
Plan administrator’s name WEST SUBURBAN UROLOGY, S.C.
Plan administrator’s address 3825 HIGHLAND, PROF BLD II, STE 207, DOWNERS GROVE, IL, 60515
Administrator’s telephone number 6309601498

Signature of
Role Plan administrator
Date 2010-10-05
Name of individual signing PAUL J. WEST, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
PAUL J WEST, M.D., 3825 HIGHLAND AVENUE #207, DOWNERS GROVE, 60515, DU PAGE Agent 1997-01-14

President

Name and Address Role
PAUL J WEST MD 821 THE PINESHINSDALE, 60521 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 100000 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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