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  5. OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C.

OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C.

Company Details

Entity Name: OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 26 May 1981
Company Number: CORP_52397006
File Number: 52397006
Type of Business: Incorporated under the Medical Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. SECTION 401(K) PLAN 2023 363130217 2024-05-01 OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-06-01
Business code 621111
Sponsor’s telephone number 8476803400
Plan sponsor’s address 801 S. MILWAUKEE AVENUE, SUITE 100, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2024-05-01
Name of individual signing RANNVEIG MIDDLETON MD
Valid signature Filed with authorized/valid electronic signature
OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. SECTION 401(K) PLAN 2022 363130217 2023-05-03 OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-06-01
Business code 621111
Sponsor’s telephone number 8476803400
Plan sponsor’s address 801 S. MILWAUKEE AVENUE, SUITE 100, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2023-05-03
Name of individual signing EILEEN MORRISON
Valid signature Filed with authorized/valid electronic signature
OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. SECTION 401(K) PLAN 2021 363130217 2022-04-13 OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-06-01
Business code 621111
Sponsor’s telephone number 8476803400
Plan sponsor’s address 801 S. MILWAUKEE AVENUE, SUITE 100, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2022-04-13
Name of individual signing EILEEN MORRISON
Valid signature Filed with authorized/valid electronic signature
OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. SECTION 401(K) PLAN 2020 363130217 2021-03-02 OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-06-01
Business code 621111
Sponsor’s telephone number 8476803400
Plan sponsor’s address 801 S. MILWAUKEE AVENUE, SUITE 100, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2021-03-02
Name of individual signing EILEEN MORRISON
Valid signature Filed with authorized/valid electronic signature
OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. SECTION 401(K) PLAN 2019 363130217 2020-05-11 OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-06-01
Business code 621111
Sponsor’s telephone number 8476803400
Plan sponsor’s address 801 S. MILWAUKEE AVENUE, SUITE 100, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2020-05-11
Name of individual signing EILEEN MORRISON
Valid signature Filed with authorized/valid electronic signature
OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. SECTION 401(K) PLAN 2018 363130217 2019-07-10 OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-06-01
Business code 621111
Sponsor’s telephone number 8476803400
Plan sponsor’s address 801 S. MILWAUKEE AVENUE, SUITE 100, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2019-07-10
Name of individual signing EILEEN MORRISON
Valid signature Filed with authorized/valid electronic signature
OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. SECTION 401(K) PLAN 2017 363130217 2018-07-05 OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-06-01
Business code 621111
Sponsor’s telephone number 8476803400
Plan sponsor’s address 801 S. MILWAUKEE AVENUE, SUITE 100, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2018-07-05
Name of individual signing EILEEN MORRISON
Valid signature Filed with authorized/valid electronic signature
OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. SECTION 401(K) PLAN 2016 363130217 2017-06-21 OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-06-01
Business code 621111
Sponsor’s telephone number 8476803400
Plan sponsor’s address 801 S. MILWAUKEE AVENUE, SUITE 100, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2017-06-21
Name of individual signing EILEEN MORRISON
Valid signature Filed with authorized/valid electronic signature
OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. SECTION 401(K) PLAN 2015 363130217 2016-09-14 OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-06-01
Business code 621111
Sponsor’s telephone number 8476803400
Plan sponsor’s address 801 S. MILWAUKEE AVENUE, SUITE 100, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2016-09-14
Name of individual signing EILEEN MORRISON
Valid signature Filed with authorized/valid electronic signature
OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. SECTION 401(K) PLAN 2014 363130217 2015-07-01 OB-GYNE ASSOCIATES OF LIBERTYVILLE, S.C. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1991-06-01
Business code 621111
Sponsor’s telephone number 8476803400
Plan sponsor’s address 801 S. MILWAUKEE AVENUE, SUITE 100, LIBERTYVILLE, IL, 60048

Signature of
Role Plan administrator
Date 2015-07-01
Name of individual signing EILEEN MORRISON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-01
Name of individual signing EILEEN MORRISON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
C T CORPORATION SYSTEM, 208 SO LASALLE ST, SUITE 814, CHICAGO, 60604, COOK-NOT IN CITY OF CHICAGO Agent 2017-01-30

President

Name and Address Role
JENNIFER L SCHAEFER MD 801 S MILWAUKEE AVE #100 LIBERTYVILLE President

Secretary

Name and Address Role
AKEMI NAKANISHI, M.D., IL60048 Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
OB-GYNE ASSOCIATES OF MUNDELEIN, S.C. No data 1981-12-21 1985-10-01 Involuntary Cancellation No data

Historical Names

Name Change Date
OB-GYNE ASSOCIATES OF LIBERTYVILLE, INC. 2001-09-14
NACHUM RAPHAELI, M.D., LTD. 1983-04-29

Shares

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

Related by officers

C T CORPORATION SYSTEM, 208 SO LASALLE ST, SUITE 814, CHICAGO, 60604, COOK-NOT IN CITY OF CHICAGO

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Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State

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