| Entity Name: | LINCOLN PARK DIALYSIS SERVICES, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 26 Apr 1982 |
| Company Number: | CORP_52725917 |
| File Number: | 52725917 |
| Type of Business: | All Inclusive Purpose |
| Address | 7009 W BELMONT AVE, CHICAGO, IL, 60634 |
| Place of Formation: | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RAM4MSYLM7C4 | 2024-04-03 | 7009 W BELMONT AVE, CHICAGO, IL, 60634, 4533, USA | PO BOX 402946, ATLANTA, GA, 30384, 2946, USA | |||||||||||||||||||||||||||||||||||||||
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| Doing Business As | SKYLINE HOME DIALYSIS |
| Congressional District | 03 |
| State/Country of Incorporation | IL, USA |
| Activation Date | 2023-04-06 |
| Initial Registration Date | 2010-02-24 |
| Entity Start Date | 1982-04-26 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621492 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | SIMONE KELLY |
| Address | 3201 S 323ND ST, FEDERAL WAY, WA, 98001, 4203, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DONNA BRAWLEY |
| Address | 3201 S 323ND ST, FEDERAL WAY, WA, 98001, 4203, USA |
| Past Performance | Information not Available |
|---|
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5WNN4 | Obsolete | Non-Manufacturer | 2010-02-25 | 2022-02-25 | 2022-02-24 | No data | |||||||||||||||||||||||
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| POC | DONNA BRAWLEY |
| Phone | +1 253-382-1493 |
| Fax | +1 888-577-9570 |
| Address | 3157 N LINCOLN AVE, CHICAGO, IL, 60657 3111, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | |
|---|---|
| Vendor Certified | 2016-08-23 |
| CAGE number | 45JM2 |
| Company Name | DAVITA HEALTHCARE PARTNERS INC. |
| CAGE Last Updated | 2024-03-29 |
| List of Offerors (0) | Information not Available |
|---|
| Name and Address | Role | Appointment Date |
|---|---|---|
| ILLINOIS CORPORATION SERVICE COMPANY, 801 ADLAI STEVENSON DRIVE, SPRINGFIELD, 62703, SANGAMON | Agent | 2005-08-24 |
| Name and Address | Role | Account Number |
|---|---|---|
| MICHAEL D STAFIERI 2000 16TH STREET, DENVER, CO 80202 | President | No data |
| JAVIER RODRIGUEZ | President | 85360 |
| Name and Address | Role | Account Number |
|---|---|---|
| STEPHANIE N. BERBERICH 2000 16TH STREET, DENVER, CO 80202 | Secretary | No data |
| MARTHA HA | Secretary | 85360 |
| Name and Address | Role | Account Number |
|---|---|---|
| TOTAL RENAL CARE INC. | Shareholder | 85360 |
| DAVITA HEALTH CARE PARTNERS, INC. | Shareholder | 85360 |
| Name and Address | Role | Account Number |
|---|---|---|
| JAMES HILGER | Other | 85360 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| BUSINESS LICENSE | 2374634 | Cancelled | 1010 | Limited Business License | 708 - Miscellaneous Commercial Services | 2017-01-05 | 2017-02-16 | 2019-02-15 |
| BUSINESS LICENSE | 1740665 | Cancelled | 1010 | Limited Business License | No data | 2017-01-05 | 2017-02-16 | 2019-02-15 |
| BUSINESS LICENSE | 2501547 | Issued | 1010 | Limited Business License | 708 - Miscellaneous Commercial Services | 2016-12-23 | 2016-12-23 | 2019-02-15 |
| BUSINESS LICENSE | 81958 | Cancelled | 1010 | Limited Business License | No data | 2015-03-06 | 2015-02-16 | 2017-02-15 |
| BUSINESS LICENSE | 1821295 | Issued | 1010 | Limited Business License | No data | 2013-02-07 | 2013-02-16 | 2015-02-15 |
| BUSINESS LICENSE | 81959 | Issued | 1010 | Limited Business License | No data | 2005-02-16 | 2005-02-16 | 2006-02-15 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| KENNEDY HOME DIALYSIS | No data | 2007-04-10 | 2020-09-11 | Involuntary Cancellation | No data |
| LINCOLN PARK P.D. | No data | 2004-06-30 | 2010-06-18 | Expired | No data |
| LINCOLN PARK DIALYSIS | No data | 2004-06-30 | 2020-09-11 | Involuntary Cancellation | No data |
| HOME DIALYSIS CARE, LTD. | No data | 1996-12-31 | 2000-06-28 | Expired | No data |
| Name | Change Date |
|---|---|
| LINCOLN PARK NEPHROLOGY ASSOCIATES, S.C. | 1995-04-20 |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM | No data | Voting Rights | 1000 | 1000000 | No data |
Date of last update: 16 Jan 2025
