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  5. DR. BRIAN M. WU, M.D., S.C.

DR. BRIAN M. WU, M.D., S.C.

Company Details

Entity Name: DR. BRIAN M. WU, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 27 Feb 1980
Date of Dissolution: 21 May 2018
Company Number: CORP_51986636
File Number: 51986636
Date Status Change: 21 May 2018
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DR BRIAN M WU MD SC REVISED & RESTATED PROFIT SHARING PLAN &TRUST 2018 363072101 2019-08-19 CRYSTAL LAKE MEDICAL CENTER 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-04-01
Business code 621111
Sponsor’s telephone number 8154594333
Plan sponsor’s address 418 WEST COUNTY LINE ROAD, BARRINGTON, IL, 60010
DR BRIAN M WU MD SC REVISED & RESTATED PROFIT SHARING PLAN &TRUST 2017 363072101 2018-06-07 CRYSTAL LAKE MEDICAL CENTER 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-04-01
Business code 621111
Sponsor’s telephone number 8154594333
Plan sponsor’s address 6317 NORTHWEST HWY, CRYSTAL LAKE, IL, 600147934

Plan administrator’s name and address
Administrator’s EIN 363072101
Plan administrator’s name CRYSTAL LAKE MEDICAL CENTER
Plan administrator’s address 6317 NORTHWEST HWY, CRYSTAL LAKE, IL, 600147934
Administrator’s telephone number 8154594333
DR BRIAN M WU MD SC REVISED & RESTATED PROFIT SHARING PLAN &TRUST 2016 363072101 2017-12-07 CRYSTAL LAKE MEDICAL CENTER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-04-01
Business code 621111
Sponsor’s telephone number 8154594333
Plan sponsor’s address 6317 NORTHWEST HWY, CRYSTAL LAKE, IL, 600147934

Plan administrator’s name and address
Administrator’s EIN 363072101
Plan administrator’s name CRYSTAL LAKE MEDICAL CENTER
Plan administrator’s address 6317 NORTHWEST HWY, CRYSTAL LAKE, IL, 600147934
Administrator’s telephone number 8154594333
DR BRIAN M WU MD SC REVISED & RESTATED PROFIT SHARING PLAN &TRUST 2015 363072101 2016-07-15 CRYSTAL LAKE MEDICAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-04-01
Business code 621111
Sponsor’s telephone number 8154594333
Plan sponsor’s address 6317 NORTHWEST HWY, CRYSTAL LAKE, IL, 600147934

Plan administrator’s name and address
Administrator’s EIN 363072101
Plan administrator’s name CRYSTAL LAKE MEDICAL CENTER
Plan administrator’s address 6317 NORTHWEST HWY, CRYSTAL LAKE, IL, 600147934
Administrator’s telephone number 8154594333
DR BRIAN M WU MD SC REVISED & RESTATED PROFIT SHARING PLAN &TRUST 2014 363072101 2015-11-12 CRYSTAL LAKE MEDICAL CENTER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-04-01
Business code 621111
Sponsor’s telephone number 8154594333
Plan sponsor’s address 6317 NORTHWEST HWY, CRYSTAL LAKE, IL, 600147934

Plan administrator’s name and address
Administrator’s EIN 363072101
Plan administrator’s name CRYSTAL LAKE MEDICAL CENTER
Plan administrator’s address 6317 NORTHWEST HWY, CRYSTAL LAKE, IL, 600147934
Administrator’s telephone number 8154594333

Signature of
Role Plan administrator
Date 2015-11-12
Name of individual signing BRIAN M. WU, M.D.
Valid signature Filed with authorized/valid electronic signature
DR BRIAN M WU MD SC REVISED & RESTATED PROFIT SHARING PLAN &TRUST 2013 363072101 2014-09-30 CRYSTAL LAKE MEDICAL CENTER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-04-01
Business code 621111
Sponsor’s telephone number 8154594333
Plan sponsor’s address 6317 NORTHWEST HWY, CRYSTAL LAKE, IL, 600147934

Plan administrator’s name and address
Administrator’s EIN 363072101
Plan administrator’s name CRYSTAL LAKE MEDICAL CENTER
Plan administrator’s address 6317 NORTHWEST HWY, CRYSTAL LAKE, IL, 600147934
Administrator’s telephone number 8154594333

Signature of
Role Plan administrator
Date 2014-09-30
Name of individual signing BRIAN M. WU, M.D.
Valid signature Filed with authorized/valid electronic signature
DR BRIAN M WU MD SC REVISED & RESTATED PROFIT SHARING PLAN &TRUST 2012 363072101 2014-01-08 CRYSTAL LAKE MEDICAL CENTER 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-04-01
Business code 621111
Sponsor’s telephone number 8154594333
Plan sponsor’s address 6317 NORTHWEST HWY, CRYSTAL LAKE, IL, 600147934

Plan administrator’s name and address
Administrator’s EIN 363072101
Plan administrator’s name CRYSTAL LAKE MEDICAL CENTER
Plan administrator’s address 6317 NORTHWEST HWY, CRYSTAL LAKE, IL, 600147934
Administrator’s telephone number 8154594333

Signature of
Role Plan administrator
Date 2014-01-08
Name of individual signing BRIAN M. WU, M.D.
Valid signature Filed with authorized/valid electronic signature
DR BRIAN M WU MD SC REVISED & RESTATED PROFIT SHARING PLAN &TRUST 2011 363072101 2013-01-10 CRYSTAL LAKE MEDICAL CENTER 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-04-01
Business code 621111
Sponsor’s telephone number 8154594333
Plan sponsor’s address 6317 NORTHWEST HWY, CRYSTAL LAKE, IL, 600147934

Plan administrator’s name and address
Administrator’s EIN 363072101
Plan administrator’s name CRYSTAL LAKE MEDICAL CENTER
Plan administrator’s address 6317 NORTHWEST HWY, CRYSTAL LAKE, IL, 600147934
Administrator’s telephone number 8154594333

Signature of
Role Plan administrator
Date 2013-01-10
Name of individual signing BRIAN M. WU, M.D.
Valid signature Filed with authorized/valid electronic signature
DR BRIAN M WU MD SC REVISED & RESTATED MONEY PURCHASE PENSION PLAN & TRUST 2011 363072101 2013-01-10 CRYSTAL LAKE MEDICAL CENTER 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-04-01
Business code 621111
Sponsor’s telephone number 8154594333
Plan sponsor’s address 6317 NORTHWEST HWY, CRYSTAL LAKE, IL, 600147934

Plan administrator’s name and address
Administrator’s EIN 363072101
Plan administrator’s name CRYSTAL LAKE MEDICAL CENTER
Plan administrator’s address 6317 NORTHWEST HWY, CRYSTAL LAKE, IL, 600147934
Administrator’s telephone number 8154594333

Signature of
Role Plan administrator
Date 2013-01-10
Name of individual signing BRIAN M. WU, M.D.
Valid signature Filed with authorized/valid electronic signature
DR BRIAN M WU MD SC REVISED & RESTATED PROFIT SHARING PLAN &TRUST 2010 363072101 2011-12-12 CRYSTAL LAKE MEDICAL CENTER 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-04-01
Business code 621111
Sponsor’s telephone number 8154594333
Plan sponsor’s address 6317 NORTHWEST HWY, CRYSTAL LAKE, IL, 600147934

Plan administrator’s name and address
Administrator’s EIN 363072101
Plan administrator’s name CRYSTAL LAKE MEDICAL CENTER
Plan administrator’s address 6317 NORTHWEST HWY, CRYSTAL LAKE, IL, 600147934
Administrator’s telephone number 8154594333

Signature of
Role Plan administrator
Date 2011-12-12
Name of individual signing BRIAN M. WU, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role
BRIAN M WU, 6317 NORTHWEST HWY, CRYSTAL LAKE, 60014, MC HENRY Agent

President

Name and Address Role
BRIAN M WU MD, 418 W COUNTY LINE RD, BARRINGTON 60010 President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
CRYSTAL LAKE MEDICAL CENTER No data 1988-01-20 2018-05-21 Voluntary Cancellation No data

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: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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