| Entity Name: | CHILDREN'S SURGICAL FOUNDATION, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Not-for-Profit |
| Status: | Goodstanding |
| Date Formed: | 06 Mar 1984 |
| Company Number: | CORP_53380379 |
| File Number: | 53380379 |
| Type of Business: | Charitable or benevolent |
| Address | 225 E CHICAGO AVE 4 04-183, CHICAGO, IL, 60611 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHILDREN'S SURGICAL FOUNDATION, INC. CASH BALANCE PLAN | 2018 | 363283051 | 2019-10-10 | CHILDREN'S SURGICAL FOUNDATION, INC. | 69 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2019-10-10 |
| Name of individual signing | REGINA LENZ ALLARD |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2019-10-10 |
| Name of individual signing | REGINA LENZ ALLARD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2017-01-01 |
| Business code | 813000 |
| Sponsor’s telephone number | 3122276421 |
| Plan sponsor’s address | 737 N. MICHIGAN AVE, SUITE 2050, CHICAGO, IL, 60611 |
Signature of
| Role | Plan administrator |
| Date | 2018-10-11 |
| Name of individual signing | REGINA ALLARD |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2018-10-11 |
| Name of individual signing | REGINA ALLARD |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| REGINA LENZ ALLARD, 737 N MICHIGAN AVE STE 2050, CHICAGO, 60611, COOK-NOT IN CITY OF CHICAGO | Agent | 2013-04-12 |
| Name and Address | Role | Account Number |
|---|---|---|
| JOHN MADDALOZZO M.D. | Secretary | 379450 |
| Name and Address | Role | Account Number |
|---|---|---|
| WILLIAM KAPLAN M.D. | President | 379450 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| BUSINESS LICENSE | 2240953 | Issued | 1010 | Limited Business License | 708 | 904 - Miscellaneous Commercial Services | Retail Sales of General Merchandise | 2015-06-01 | 2015-05-16 | 2017-05-15 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| OPTICAL FOR CHILDREN | No data | 2014-05-07 | 2020-08-14 | Involuntary Cancellation | No data |
| CEVL FOR HEALTHCARE, INC. | No data | 2010-04-12 | 2012-07-25 | Voluntary Cancellation | No data |
| INSTITUTE OF FETAL HEALTH | No data | 2004-12-17 | 2010-04-27 | Expired | No data |
| CHILDREN'S SURGICAL PHYSICIANS | No data | 2003-08-11 | 2010-04-27 | Expired | No data |
| CHILDREN'S SURGICAL AFFILIATES | No data | 2003-07-10 | 2010-04-27 | Expired | No data |
| CHILDREN'S SURGICAL SERVICES | No data | 2003-07-09 | 2010-04-27 | Expired | No data |
Date of last update: 16 Jan 2025
