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WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD.

Company Details

Entity Name: WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 01 Jun 1984
Date of Dissolution: 28 Jan 2020
Company Number: CORP_53472338
File Number: 53472338
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 28 Jan 2020
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2021 363300615 2022-04-18 WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-06-30
Business code 621111
Sponsor’s telephone number 7082467222
Plan sponsor’s address 5600 S. WOLF ROAD, WESTERN SPRINGS, IL, 60558

Signature of

Role Plan administrator
Date 2022-04-18
Name of individual signing LAURA DABISCH
Valid signature Filed with authorized/valid electronic signature
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2020 363300615 2022-04-18 WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-06-30
Business code 621111
Sponsor’s telephone number 7082467222
Plan sponsor’s address 5600 S. WOLF ROAD, WESTERN SPRINGS, IL, 60558

Signature of

Role Plan administrator
Date 2022-04-18
Name of individual signing LAURA DABISCH
Valid signature Filed with authorized/valid electronic signature
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2019 363300615 2022-04-18 WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-05-01
Business code 621111
Sponsor’s telephone number 7082467222
Plan sponsor’s address 5600 S. WOLF ROAD, WESTERN SPRINGS, IL, 60558

Signature of

Role Plan administrator
Date 2022-04-18
Name of individual signing LAURA DABISCH
Valid signature Filed with authorized/valid electronic signature
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD. EMPLOYEES' 401(K) PROFIT SHARING 2017 363300615 2018-11-14 WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-06-30
Business code 621111
Sponsor’s telephone number 7082467222
Plan sponsor’s address 5600 S. WOLF ROAD, WESTERN SPRINGS, IL, 60558

Signature of

Role Plan administrator
Date 2018-11-14
Name of individual signing LAURA DABISCH
Valid signature Filed with authorized/valid electronic signature
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD. EMPLOYEES' 401(K) PROFIT SHARING 2016 363300615 2017-11-20 WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-06-30
Business code 621111
Sponsor’s telephone number 7082467222
Plan sponsor’s address 5600 S. WOLF ROAD, WESTERN SPRINGS, IL, 60558

Signature of

Role Plan administrator
Date 2017-11-20
Name of individual signing LAURA DABISCH
Valid signature Filed with authorized/valid electronic signature
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD. 2015 363300615 2016-11-14 WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-06-30
Business code 621111
Sponsor’s telephone number 7082467222
Plan sponsor’s address 5600 S. WOLF ROAD, WESTERN SPRINGS, IL, 60558

Signature of

Role Plan administrator
Date 2016-11-14
Name of individual signing LAURA C DABISCH
Valid signature Filed with authorized/valid electronic signature
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD. 2014 363300615 2015-11-17 WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-06-30
Business code 621111
Sponsor’s telephone number 7082467222
Plan sponsor’s address 5600 S. WOLF ROAD, WESTERN SPRINGS, IL, 60558

Signature of

Role Plan administrator
Date 2015-11-17
Name of individual signing LAURA DABISCH
Valid signature Filed with authorized/valid electronic signature
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD. 2013 363300615 2015-01-27 WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-06-30
Business code 621111
Sponsor’s telephone number 7082467222
Plan sponsor’s address 5600 S. WOLF ROAD, WESTERN SPRINGS, IL, 60558

Signature of

Role Plan administrator
Date 2015-01-27
Name of individual signing LAURA C. DABISCH
Valid signature Filed with authorized/valid electronic signature
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2012 363300615 2013-10-22 WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-06-30
Business code 621111
Sponsor’s telephone number 7082467222
Plan sponsor’s address 5600 S. WOLF ROAD, WESTERN SPRINGS, IL, 60558

Signature of

Role Plan administrator
Date 2013-10-22
Name of individual signing LAURA C. DABISCH
Valid signature Filed with authorized/valid electronic signature
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2011 363300615 2012-10-22 WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-06-30
Business code 621111
Sponsor’s telephone number 7082467222
Plan sponsor’s address 5600 S. WOLF ROAD, WESTERN SPRINGS, IL, 60558

Plan administrator’s name and address

Administrator’s EIN 363300615
Plan administrator’s name WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD.
Plan administrator’s address 5600 S. WOLF ROAD, WESTERN SPRINGS, IL, 60558
Administrator’s telephone number 7082467222

Signature of

Role Plan administrator
Date 2012-10-22
Name of individual signing LAURA C. DABISCH
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BERNAED T. MARTIN JR., 901 W HILLGROVE AVE STE 1, LA GRANGE, 60525, COOK-NOT IN CITY OF CHICAGO Agent 2019-04-08

President

Name and Address Role
JOSEPH REDA 5105 FAIR ELMS AVENUE WESTERN SPRINGS IL 60558 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 No data

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State