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SUBURBAN PRACTICE MANAGEMENT, INC.

Company Details

Entity Name: SUBURBAN PRACTICE MANAGEMENT, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 01 Jul 1986
Date of Dissolution: 01 Dec 2001
Company Number: CORP_54306539
File Number: 54306539
Type of Business: All Inclusive Purpose
Date Status Change: 01 Dec 2001
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUBURBAN PRACTICE MANAGEMENT, INC. PROFIT SHARING PLAN 2013 363448360 2014-10-15 SUBURBAN PRACTICE MANAGEMENT, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6309605310
Plan sponsor’s address 1034 WARREN AVENUE, DOWNERS GROVE, IL, 60515

Signature of

Role Plan administrator
Date 2014-10-15
Name of individual signing LAURENCE SOPHIAN
Valid signature Filed with authorized/valid electronic signature
SUBURBAN PRACTICE MANAGEMENT, INC. PROFIT SHARING PLAN 2012 363448360 2013-07-25 SUBURBAN PRACTICE MANAGEMENT, INC. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6309605310
Plan sponsor’s address 1034 WARREN AVENUE, DOWNERS GROVE, IL, 60515

Signature of

Role Plan administrator
Date 2013-07-25
Name of individual signing LAURENCE SOPHIAN
Valid signature Filed with authorized/valid electronic signature
SUBURBAN PRACTICE MANAGEMENT, INC. PROFIT SHARING PLAN 2011 363448360 2012-10-10 SUBURBAN PRACTICE MANAGEMENT, INC. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6309605310
Plan sponsor’s address 1034 WARREN AVENUE, DOWNERS GROVE, IL, 60515

Plan administrator’s name and address

Administrator’s EIN 363448360
Plan administrator’s name SUBURBAN PRACTICE MANAGEMENT, INC.
Plan administrator’s address 1034 WARREN AVENUE, DOWNERS GROVE, IL, 60515
Administrator’s telephone number 6309605310

Signature of

Role Plan administrator
Date 2012-10-10
Name of individual signing LAURENCE SOPHIAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-10
Name of individual signing LAURENCE SOPHIAN
Valid signature Filed with authorized/valid electronic signature
SUBURBAN PRACTICE MANAGEMENT, INC. PROFIT SHARING PLAN 2010 363448360 2011-10-17 SUBURBAN PRACTICE MANAGEMENT, INC. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6309605310
Plan sponsor’s address 1034 WARREN AVENUE, DOWNERS GROVE, IL, 60515

Plan administrator’s name and address

Administrator’s EIN 363448360
Plan administrator’s name SUBURBAN PRACTICE MANAGEMENT, INC.
Plan administrator’s address 1034 WARREN AVENUE, DOWNERS GROVE, IL, 60515
Administrator’s telephone number 6309605310

Signature of

Role Plan administrator
Date 2011-10-17
Name of individual signing DINO DELICATA, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-17
Name of individual signing DINO DELICATA, M.D.
Valid signature Filed with authorized/valid electronic signature
SUBURBAN PRACTICE MANAGEMENT, INC. PROFIT SHARING PLAN 2009 363448360 2010-10-09 SUBURBAN PRACTICE MANAGEMENT, INC. 11
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6309605310
Plan sponsor’s address 1034 WARREN AVENUE, DOWNERS GROVE, IL, 60515

Plan administrator’s name and address

Administrator’s EIN 363448360
Plan administrator’s name SUBURBAN PRACTICE MANAGEMENT, INC.
Plan administrator’s address 1034 WARREN AVENUE, DOWNERS GROVE, IL, 60515
Administrator’s telephone number 6309605310

Signature of

Role Plan administrator
Date 2010-10-09
Name of individual signing DINO DELICATA, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-09
Name of individual signing DINO DELICATA,M.D.
Valid signature Filed with authorized/valid electronic signature
SUBURBAN PRACTICE MANAGEMENT, INC. PROFIT SHARING PLAN 2009 363448360 2011-02-24 SUBURBAN PRACTICE MANAGEMENT, INC. 11
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6309605310
Plan sponsor’s address 1034 WARREN AVENUE, DOWNERS GROVE, IL, 60515

Plan administrator’s name and address

Administrator’s EIN 363448360
Plan administrator’s name SUBURBAN PRACTICE MANAGEMENT, INC.
Plan administrator’s address 1034 WARREN AVENUE, DOWNERS GROVE, IL, 60515
Administrator’s telephone number 6309605310

Signature of

Role Plan administrator
Date 2011-02-24
Name of individual signing DINO DELICATA, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-02-24
Name of individual signing DINO DELICATA , M.D.
Valid signature Filed with authorized/valid electronic signature
SUBURBAN PRACTICE MANAGEMENT, INC. PROFIT SHARING PLAN 2009 363448360 2011-04-04 SUBURBAN PRACTICE MANAGEMENT, INC. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6309605310
Plan sponsor’s address 1034 WARREN AVENUE, DOWNERS GROVE, IL, 60515

Plan administrator’s name and address

Administrator’s EIN 363448360
Plan administrator’s name SUBURBAN PRACTICE MANAGEMENT, INC.
Plan administrator’s address 1034 WARREN AVENUE, DOWNERS GROVE, IL, 60515
Administrator’s telephone number 6309605310

Signature of

Role Plan administrator
Date 2011-04-04
Name of individual signing DINO DELICATA, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-04
Name of individual signing DINO DELICATA, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MARTIN J CAPANELLA, 500 W MADISON 40TH FL, CHICAGO, 60661, COOK-NOT IN CITY OF CHICAGO Agent 1993-08-10

President

Name and Address Role
DINO S DELICATA, 3825 HIGHLAND STE 302 DOWNERS GROVE 60515 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 300000 No data

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State