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  5. PALOS ANESTHESIA ASSOCIATES, S.C.

PALOS ANESTHESIA ASSOCIATES, S.C.

Company Details

Entity Name: PALOS ANESTHESIA ASSOCIATES, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 04 Mar 1985
Date of Dissolution: 09 Aug 2024
Company Number: CORP_53767036
File Number: 53767036
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 09 Aug 2024
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PALOS ANESTHESIA ASSOCIATES, S.C. 401K AND PROFIT SHARING PLAN 2022 363358915 2023-09-14 PALOS ANESTHESIA ASSOCIATES, S.C. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-09-01
Business code 621111
Sponsor’s telephone number 6308682200
Plan sponsor’s address 387 SHUMAN BLVD STE 240W, NAPERVILLE, IL, 60563

Plan administrator’s name and address
Administrator’s EIN 363358915
Plan administrator’s name PALOS ANESTHESIA ASSOCIATES, S.C.
Plan administrator’s address 387 SHUMAN BLVD STE 240W, NAPERVILLE, IL, 60563
Administrator’s telephone number 6308682200

Signature of
Role Plan administrator
Date 2023-09-14
Name of individual signing STEPHEN L. HENNENFENT, M.D.
Valid signature Filed with authorized/valid electronic signature
PALOS ANESTHESIA ASSOCIATES, S.C. 401K AND PROFIT SHARING PLAN 2021 363358915 2023-06-15 PALOS ANESTHESIA ASSOCIATES, S.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-09-01
Business code 621111
Sponsor’s telephone number 6308682200
Plan sponsor’s address 387 SHUMAN BLVD STE 240W, NAPERVILLE, IL, 60563

Plan administrator’s name and address
Administrator’s EIN 363358915
Plan administrator’s name PALOS ANESTHESIA ASSOCIATES, S.C.
Plan administrator’s address 387 SHUMAN BLVD STE 240W, NAPERVILLE, IL, 60563
Administrator’s telephone number 6308682200

Signature of
Role Plan administrator
Date 2023-06-15
Name of individual signing STEPHEN L. HENNENFENT, M.D.
Valid signature Filed with authorized/valid electronic signature
PALOS ANESTHESIA ASSOC, S.C. INDIVIDUAL ACCT. PLAN 2021 363358915 2023-06-15 PALOS ANESTHESIA ASSOCIATES, S.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-09-01
Business code 621111
Sponsor’s telephone number 6308682200
Plan sponsor’s address 387 SHUMAN BLVD STE 240W, NAPERVILLE, IL, 60563

Plan administrator’s name and address
Administrator’s EIN 363358915
Plan administrator’s name PALOS ANESTHESIA ASSOCIATES, S.C.
Plan administrator’s address 387 SHUMAN BLVD STE 240W, NAPERVILLE, IL, 60563
Administrator’s telephone number 6308682200

Signature of
Role Plan administrator
Date 2023-06-15
Name of individual signing STEPHEN L. HENNENFENT, M.D.
Valid signature Filed with authorized/valid electronic signature
PALOS ANESTHESIA ASSOCIATES, S.C. 401K AND PROFIT SHARING PLAN 2020 363358915 2022-04-20 PALOS ANESTHESIA ASSOCIATES, S.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-09-01
Business code 621111
Sponsor’s telephone number 6308682200
Plan sponsor’s address 387 SHUMAN BLVD STE 240W, NAPERVILLE, IL, 60563

Plan administrator’s name and address
Administrator’s EIN 363358915
Plan administrator’s name PALOS ANESTHESIA ASSOCIATES, S.C.
Plan administrator’s address 387 SHUMAN BLVD STE 240W, NAPERVILLE, IL, 60563
Administrator’s telephone number 6308682200

Signature of
Role Plan administrator
Date 2022-04-20
Name of individual signing STEPHEN L. HENNENFENT, M.D.
Valid signature Filed with authorized/valid electronic signature
PALOS ANESTHESIA ASSOC, S.C. INDIVIDUAL ACCT. PLAN 2020 363358915 2022-04-20 PALOS ANESTHESIA ASSOCIATES, S.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-09-01
Business code 621111
Sponsor’s telephone number 6308682200
Plan sponsor’s address 387 SHUMAN BLVD STE 240W, NAPERVILLE, IL, 60563

Plan administrator’s name and address
Administrator’s EIN 363358915
Plan administrator’s name PALOS ANESTHESIA ASSOCIATES, S.C.
Plan administrator’s address 387 SHUMAN BLVD STE 240W, NAPERVILLE, IL, 60563
Administrator’s telephone number 6308682200

Signature of
Role Plan administrator
Date 2022-04-20
Name of individual signing STEPHEN L. HENNENFENT, M.D.
Valid signature Filed with authorized/valid electronic signature
PALOS ANESTHESIA ASSOCIATES, S.C. 401K AND PROFIT SHARING PLAN 2019 363358915 2021-05-28 PALOS ANESTHESIA ASSOCIATES, S.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-09-01
Business code 621111
Sponsor’s telephone number 6308682200
Plan sponsor’s address 387 SHUMAN BLVD STE 240W, NAPERVILLE, IL, 60563

Plan administrator’s name and address
Administrator’s EIN 363358915
Plan administrator’s name PALOS ANESTHESIA ASSOCIATES, S.C.
Plan administrator’s address 387 SHUMAN BLVD STE 240W, NAPERVILLE, IL, 60563
Administrator’s telephone number 6308682200

Signature of
Role Plan administrator
Date 2021-05-28
Name of individual signing STEPHEN L. HENNENFENT, M.D.
Valid signature Filed with authorized/valid electronic signature
PALOS ANESTHESIA ASSOC, S.C. INDIVIDUAL ACCT. PLAN 2019 363358915 2021-05-28 PALOS ANESTHESIA ASSOCIATES, S.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-09-01
Business code 621111
Sponsor’s telephone number 6308682200
Plan sponsor’s address 387 SHUMAN BLVD STE 240W, NAPERVILLE, IL, 60563

Plan administrator’s name and address
Administrator’s EIN 363358915
Plan administrator’s name PALOS ANESTHESIA ASSOCIATES, S.C.
Plan administrator’s address 387 SHUMAN BLVD STE 240W, NAPERVILLE, IL, 60563
Administrator’s telephone number 6308682200

Signature of
Role Plan administrator
Date 2021-05-28
Name of individual signing STEPHEN L. HENNENFENT, M.D.
Valid signature Filed with authorized/valid electronic signature
PALOS ANESTHESIA ASSOC, S.C. INDIVIDUAL ACCT. PLAN 2018 363358915 2020-05-06 PALOS ANESTHESIA ASSOCIATES, S.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-09-01
Business code 621111
Sponsor’s telephone number 6308682200
Plan sponsor’s address 387 SHUMAN BLVD STE 240W, NAPERVILLE, IL, 60563

Plan administrator’s name and address
Administrator’s EIN 363358915
Plan administrator’s name PALOS ANESTHESIA ASSOCIATES, S.C.
Plan administrator’s address 387 SHUMAN BLVD STE 240W, NAPERVILLE, IL, 60563
Administrator’s telephone number 6308682200

Signature of
Role Plan administrator
Date 2020-05-06
Name of individual signing STEPHEN L. HENNENFENT, M.D.
Valid signature Filed with authorized/valid electronic signature
PALOS ANESTHESIA ASSOCIATES, S.C. 401K AND PROFIT SHARING PLAN 2018 363358915 2020-05-06 PALOS ANESTHESIA ASSOCIATES, S.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-09-01
Business code 621111
Sponsor’s telephone number 6308682200
Plan sponsor’s address 387 SHUMAN BLVD STE 240W, NAPERVILLE, IL, 60563

Plan administrator’s name and address
Administrator’s EIN 363358915
Plan administrator’s name PALOS ANESTHESIA ASSOCIATES, S.C.
Plan administrator’s address 387 SHUMAN BLVD STE 240W, NAPERVILLE, IL, 60563
Administrator’s telephone number 6308682200

Signature of
Role Plan administrator
Date 2020-05-06
Name of individual signing STEPHEN L. HENNENFENT, M.D.
Valid signature Filed with authorized/valid electronic signature
PALOS ANESTHESIA ASSOC, S.C. INDIVIDUAL ACCT. PLAN 2017 363358915 2019-05-20 PALOS ANESTHESIA ASSOCIATES, S.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-09-01
Business code 621111
Sponsor’s telephone number 6308682200
Plan sponsor’s address 387 SHUMAN BLVD STE 240W, NAPERVILLE, IL, 60563

Plan administrator’s name and address
Administrator’s EIN 363358915
Plan administrator’s name PALOS ANESTHESIA ASSOCIATES, S.C.
Plan administrator’s address 387 SHUMAN BLVD STE 240W, NAPERVILLE, IL, 60563
Administrator’s telephone number 6308682200

Signature of
Role Plan administrator
Date 2019-05-20
Name of individual signing STEPHEN L. HENNENFENT, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MICHAEL J TURGEON, 222 N LASALLE ST #2600, CHICAGO, 60601, COOK-NOT IN CITY OF CHICAGO Agent 2022-03-04

President

Name and Address Role
STEPHEN L HENNENFENT MD, 13456 W LITTLE CREEK DR HOMER GLEN President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 20000 16000000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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