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  5. THE FRIEDELL CLINIC, S.C.

THE FRIEDELL CLINIC, S.C.

Company Details

Entity Name: THE FRIEDELL CLINIC, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 16 Apr 1984
Company Number: CORP_53430147
File Number: 53430147
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
THE FRIEDELL CLINIC, S.C. SECTION 401(K) PLAN AND TRUST 2023 363290656 2024-06-19 THE FRIEDELL CLINIC, S.C.. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 7739477771
Plan sponsor’s address 7531 S. STONY ISLAND AVE., CHICAGO, IL, 606493954

Signature of
Role Plan administrator
Date 2024-06-19
Name of individual signing WILLIAM DORSEY, MD
Valid signature Filed with authorized/valid electronic signature
THE FRIEDELL CLINIC, S.C. SECTION 401(K) PLAN AND TRUST 2022 363290656 2023-07-20 THE FRIEDELL CLINIC, S.C.. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 7739477771
Plan sponsor’s address 7531 S. STONY ISLAND AVE., CHICAGO, IL, 606493954

Signature of
Role Plan administrator
Date 2023-07-20
Name of individual signing WILLIAM DORSEY, M.D.
Valid signature Filed with authorized/valid electronic signature
THE FRIEDELL CLINIC, S.C. SECTION 401(K) PLAN AND TRUST 2021 363290656 2022-07-18 THE FRIEDELL CLINIC, S.C.. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 7739477771
Plan sponsor’s address 7531 S. STONY ISLAND AVE., CHICAGO, IL, 606493954

Signature of
Role Plan administrator
Date 2022-07-18
Name of individual signing WILLIAM DORSEY MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-18
Name of individual signing WILLIAM DORSEY MD
Valid signature Filed with authorized/valid electronic signature
THE FRIEDELL CLINIC, S.C. SECTION 401(K) PLAN AND TRUST 2020 363290656 2021-06-29 THE FRIEDELL CLINIC, S.C.. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 7739477771
Plan sponsor’s address 7531 S. STONY ISLAND AVE., CHICAGO, IL, 606493954

Signature of
Role Plan administrator
Date 2021-06-29
Name of individual signing WILLIAM DORSEY, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-29
Name of individual signing WILLIAM DORSEY, M.D.
Valid signature Filed with authorized/valid electronic signature
THE FRIEDELL CLINIC, S. C. SECTION 401(K) PLAN AND TRUST 2019 363290656 2020-09-15 THE FRIEDELL CLINIC, S.C.. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 7739477771
Plan sponsor’s address 7531 S. STONY ISLAND AVE., CHICAGO, IL, 606493954

Signature of
Role Plan administrator
Date 2020-09-15
Name of individual signing WILLIAM DORSEY, M.D.
Valid signature Filed with authorized/valid electronic signature
THE FRIEDELL CLINIC, S. C. SECTION 401(K) PLAN AND TRUST 2018 363290656 2019-07-05 THE FRIEDELL CLINIC, S.C.. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 7739477771
Plan sponsor’s address 7531 S. STONY ISLAND AVE., CHICAGO, IL, 606493954

Signature of
Role Plan administrator
Date 2019-07-05
Name of individual signing WILLIAM DORSEY, M.D.
Valid signature Filed with authorized/valid electronic signature
THE FRIEDELL CLINIC, S.C. SECTION 401(K) PLAN AND TRUST 2016 363290656 2017-05-01 THE FRIEDELL CLINIC, S.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 7739477771
Plan sponsor’s address 7531 S. STONY ISLAND AVE., CHICAGO, IL, 60649

Signature of
Role Plan administrator
Date 2017-05-01
Name of individual signing WILLIAM DORSEY, M.D.
Valid signature Filed with authorized/valid electronic signature
THE FRIEDELL CLINIC, S.C. SECTION 401(K) PLAN AND TRUST 2015 363290656 2016-07-28 THE FRIEDELL CLINIC, S.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 7739477771
Plan sponsor’s address 7531 S. STONY ISLAND AVE., CHICAGO, IL, 60649

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing WILLIAM DORSEY, M.D.
Valid signature Filed with authorized/valid electronic signature
THE FRIEDELL CLINIC, S.C. SECTION 401(K) PLAN AND TRUST 2014 363290656 2015-05-11 THE FRIEDELL CLINIC, S.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 3125777224
Plan sponsor’s address 7531 S. STONY ISLAND AVE., CHICAGO, IL, 60649

Signature of
Role Plan administrator
Date 2015-05-11
Name of individual signing WILLIAM DORSEY, M.D.
Valid signature Filed with authorized/valid electronic signature
THE FRIEDELL CLINIC, S.C. SECTION 401(K) PLAN AND TRUST 2013 363290656 2014-07-09 THE FRIEDELL CLINIC, S.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 3125777224
Plan sponsor’s address 7531 S. STONY ISLAND AVE., CHICAGO, IL, 60649

Signature of
Role Plan administrator
Date 2014-07-09
Name of individual signing WILLIAM O. DORSEY, III
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
WILLIAM O DORSEY, 7531 S STONY ISLAND AVE, CHICAGO, 60649, COOK-NOT IN CITY OF CHICAGO Agent 2014-04-10

President

Name and Address Role
WILLIAM O DORSEY, 7531 S STONY ISLAND, CHICAGO, IL, 60649 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000000 1000000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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