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  5. PEDIATRIC ANESTHESIA ASSOCIATES, LTD.

PEDIATRIC ANESTHESIA ASSOCIATES, LTD.

Company Details

Entity Name: PEDIATRIC ANESTHESIA ASSOCIATES, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 12 Jan 1984
Date of Dissolution: 17 Dec 2020
Company Number: CORP_53331548
File Number: 53331548
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 17 Dec 2020
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDIATRIC ANESTHESIA ASSOCIATES, LTD. CASH BALANCE PLAN 2019 363263722 2020-10-11 PEDIATRIC ANESTHESIA ASSOCIATES LTD 40
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3122275147
Plan sponsor’s address C/O WIPFLI LLP, 5 REVERE DRIVE, SUITE #400, NORTHBROOK, IL, 60062

Signature of
Role Plan administrator
Date 2020-10-11
Name of individual signing PATRICK BIRMINGHAM, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-11
Name of individual signing PATRICK BIRMINGHAM, M.D.
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ANESTHESIA ASSOCIATES, LTD. CASH BALANCE PLAN 2018 363263722 2019-10-08 PEDIATRIC ANESTHESIA ASSOCIATES LTD 34
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3122275147
Plan sponsor’s address C/O WIPFLI LLP, 5 REVERE DRIVE, SUITE #400, NORTHBROOK, IL, 60062

Signature of
Role Plan administrator
Date 2019-10-08
Name of individual signing PATRICK BIRMINGHAM, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-08
Name of individual signing PATRICK BIRMINGHAM, M.D.
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ANESTHESIA ASSOCIATES, LTD. CASH BALANCE PLAN 2017 363263722 2018-09-18 PEDIATRIC ANESTHESIA ASSOCIATES LTD 24
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3122275147
Plan sponsor’s address C/O WIPFLI LLP, 5 REVERE DRIVE, SUITE #400, NORTHBROOK, IL, 60062

Signature of
Role Plan administrator
Date 2018-09-18
Name of individual signing PATRICK BIRMINGHAM, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-18
Name of individual signing PATRICK BIRMINGHAM, M.D.
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ANESTHESIA ASSOCIATES, LTD. CASH BALANCE PLAN 2016 363263722 2017-07-24 PEDIATRIC ANESTHESIA ASSOCIATES LTD 29
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3122275147
Plan sponsor’s address C/O WIPFLI LLP, 5 REVERE DRIVE, SUITE #400, NORTHBROOK, IL, 60062

Signature of
Role Plan administrator
Date 2017-07-24
Name of individual signing PATRICK BIRMINGHAM, M.D.
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ANESTHESIA ASSOCIATES, LTD. CASH BALANCE PLAN 2015 363263722 2016-10-05 PEDIATRIC ANESTHESIA ASSOCIATES LTD 28
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3122275147
Plan sponsor’s address 225 E. CHICAGO AVE., 6TH FLOOR SUITE 06-C32, CHICAGO, IL, 60611

Signature of
Role Plan administrator
Date 2016-10-05
Name of individual signing PATRICK BIRMINGHAM, M.D.
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ANESTHESIA ASSOCIATES, LTD. CASH BALANC PLAN 2014 363263722 2015-09-30 PEDIATRIC ANESTHESIA ASSOCIATES LTD 26
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3122275147
Plan sponsor’s address 225 E. CHICAGO AVE., 6TH FLOOR SUITE 06-C32, CHICAGO, IL, 60611

Signature of
Role Plan administrator
Date 2015-09-30
Name of individual signing PATRICK BIRMINGHAM, M.D.
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ANESTHESIA ASSOCIATES, LTD. CASH BALANC PLAN 2013 363263722 2014-09-17 PEDIATRIC ANESTHESIA ASSOCIATES LTD 24
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3122275147
Plan sponsor’s address 225 E. CHICAGO AVE., 6TH FLOOR SUITE 06-C32, CHICAGO, IL, 60611

Signature of
Role Plan administrator
Date 2014-09-17
Name of individual signing PATRICK BIRMINGHAM, M.D.
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ANESTHESIA ASSOCIATES, LTD. CASH BALANC PLAN 2012 363263722 2013-10-08 PEDIATRIC ANESTHESIA ASSOCIATES LTD 25
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3122275147
Plan sponsor’s address 225 E. CHICAGO AVE., 6TH FLOOR SUITE 06-C32, CHICAGO, IL, 60611

Signature of
Role Plan administrator
Date 2013-10-08
Name of individual signing PATRICK BIRMINGHAM, M.D.
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ANESTHESIA ASSOCIATES, LTD. CASH BALANCE PLAN 2011 363263722 2012-07-26 PEDIATRIC ANESTHESIA ASSOCIATES, LTD. 24
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7738804414
Plan sponsor’s address 2300 CHILDREN S PLAZA, CHICAGO, IL, 60614

Plan administrator’s name and address
Administrator’s EIN 363263722
Plan administrator’s name PEDIATRIC ANESTHESIA ASSOCIATES, LTD.
Plan administrator’s address 2300 CHILDRENS PLAZA, CHICAGO, IL, 606143363
Administrator’s telephone number 7738804414

Signature of
Role Plan administrator
Date 2012-07-26
Name of individual signing ANDREW G. ROTH, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-26
Name of individual signing ANDREW G. ROTH, M.D.
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC ANESTHESIA ASSOCIATES, LTD. CASH BALANCE PLAN 2010 363263722 2011-07-14 PEDIATRIC ANESTHESIA ASSOCIATES, LTD. 21
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7738804414
Plan sponsor’s address 2300 CHILDREN S PLAZA, CHICAGO, IL, 60614

Plan administrator’s name and address
Administrator’s EIN 363263722
Plan administrator’s name PEDIATRIC ANESTHESIA ASSOCIATES, LTD.
Plan administrator’s address 2300 CHILDRENS PLAZA, CHICAGO, IL, 606143363
Administrator’s telephone number 7738804414

Signature of
Role Plan administrator
Date 2011-07-14
Name of individual signing ANDREW G. ROTH, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-14
Name of individual signing ANDREW G. ROTH, M.D.
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 2017-02-27

President

Name and Address Role
SANTHANAM SURESH MD, 225 E CHICAGO AVE BOX 19 CHICAGO 60611 President

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042005632 No data No data REGISTERED MEDICAL CORPORATION No data 1984-07-20 2019-01-15 2022-01-01

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 3400000 1

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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