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  5. DENNIS L. CITRIN, M.D., S.C.

DENNIS L. CITRIN, M.D., S.C.

Company Details

Entity Name: DENNIS L. CITRIN, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 12 Jun 1987
Date of Dissolution: 11 Nov 2022
Company Number: CORP_54698119
File Number: 54698119
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 11 Nov 2022
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DENNIS L. CITRIN, M.D., S.C. DEFINED BENEFIT PENSION PLAN 2019 363525281 2021-06-25 DENNIS L. CITRIN, M.D., S.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621111
Sponsor’s telephone number 7737646538
Plan sponsor’s address 6706 NORTH MOZART, CHICAGO, IL, 60645

Signature of
Role Plan administrator
Date 2021-06-25
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-25
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
DENNIS L. CITRIN, M.D., S.C. DEFINED BENEFIT PENSION PLAN 2018 363525281 2020-08-12 DENNIS L. CITRIN, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621111
Sponsor’s telephone number 7737646538
Plan sponsor’s address 6706 NORTH MOZART, CHICAGO, IL, 60645

Signature of
Role Plan administrator
Date 2020-08-12
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-12
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
DENNIS L. CITRIN, M.D., S.C. DEFINED BENEFIT PENSION PLAN 2017 363525281 2019-08-15 DENNIS L. CITRIN, M.D., S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621111
Sponsor’s telephone number 7737646538
Plan sponsor’s address 6706 NORTH MOZART, CHICAGO, IL, 60645

Signature of
Role Plan administrator
Date 2019-08-15
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-15
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
DENNIS L. CITRIN, M.D., S.C. DEFINED BENEFIT PENSION PLAN 2016 363525281 2018-08-15 DENNIS L. CITRIN, M.D., S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621111
Sponsor’s telephone number 7737646538
Plan sponsor’s address 6706 NORTH MOZART, CHICAGO, IL, 60645

Signature of
Role Plan administrator
Date 2018-08-15
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-08-15
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
DENNIS L. CITRIN, M.D., S.C. DEFINED BENEFIT PENSION PLAN 2015 363525281 2017-08-15 DENNIS L. CITRIN, M.D., S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621111
Sponsor’s telephone number 7737646538
Plan sponsor’s address 6706 NORTH MOZART, CHICAGO, IL, 60645

Signature of
Role Plan administrator
Date 2017-08-15
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-15
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
DENNIS L. CITRIN, M.D., S.C. DEFINED BENEFIT PENSION PLAN 2014 363525281 2016-08-15 DENNIS L. CITRIN, M.D., S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621111
Sponsor’s telephone number 7737646538
Plan sponsor’s address 6706 NORTH MOZART, CHICAGO, IL, 60645

Signature of
Role Plan administrator
Date 2016-08-15
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-15
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
DENNIS L. CITRIN, M.D., S.C. DEFINED BENEFIT PENSION PLAN 2013 363525281 2015-08-11 DENNIS L. CITRIN, M.D., S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621111
Sponsor’s telephone number 7737646538
Plan sponsor’s address 6706 NORTH MOZART, CHICAGO, IL, 60645

Signature of
Role Plan administrator
Date 2015-08-11
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-11
Name of individual signing LEO J. WAYMAN
Valid signature Filed with authorized/valid electronic signature
DENNIS L. CITRIN, M.D., S.C. DEFINED BENEFIT PENSION PLAN 2012 363525281 2014-08-07 DENNIS L. CITRIN, M.D., S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621111
Sponsor’s telephone number 7737646538
Plan sponsor’s address 6706 NORTH MOZART, CHICAGO, IL, 60645

Signature of
Role Plan administrator
Date 2014-08-06
Name of individual signing DENNIS L CITRIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-08-06
Name of individual signing DENNIS L CITRIN
Valid signature Filed with authorized/valid electronic signature
DENNIS L. CITRIN, M.D., S.C. DEFINED BENEFIT PENSION PLAN 2011 363525281 2013-07-29 DENNIS L. CITRIN, M.D., S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621111
Sponsor’s telephone number 7737646538
Plan sponsor’s address 6706 NORTH MOZART, CHICAGO, IL, 60645

Plan administrator’s name and address
Administrator’s EIN 363525281
Plan administrator’s name DENNIS L. CITRIN, M.D., S.C.
Plan administrator’s address 6706 NORTH MOZART, CHICAGO, IL, 60645
Administrator’s telephone number 7737646538

Signature of
Role Plan administrator
Date 2013-07-28
Name of individual signing DENNIS CITRIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-28
Name of individual signing DENNIS CITRIN
Valid signature Filed with authorized/valid electronic signature
DENNIS L. CITRIN, M.D., S.C. DEFINED BENEFIT PENSION PLAN 2010 363525281 2012-08-10 DENNIS L. CITRIN, M.D., S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621111
Sponsor’s telephone number 7737646538
Plan sponsor’s address 6706 NORTH MOZART, CHICAGO, IL, 60645

Plan administrator’s name and address
Administrator’s EIN 363525281
Plan administrator’s name DENNIS L. CITRIN, M.D., S.C.
Plan administrator’s address 6706 NORTH MOZART, CHICAGO, IL, 60645
Administrator’s telephone number 7737646538

Signature of
Role Plan administrator
Date 2012-08-10
Name of individual signing DENNIS CITRIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-10
Name of individual signing DENNIS CITRIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SIDNEY M LEVINE, 221 N LA SALLE ST STE 3700, CHICAGO, 60601, COOK-NOT IN CITY OF CHICAGO Agent 2020-03-02

President

Name and Address Role
DENNIS CITRIN 6706 N MOZART CHICAGO IL 60645 President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
CHICAGO CENTER FOR CANCER PREVENTION AND DETECTION No data 2003-02-11 2003-02-28 Voluntary Cancellation No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100000 10000000 No data

Related by officers

SIDNEY M LEVINE, 221 N LA SALLE ST STE 3700, CHICAGO, 60601, COOK-NOT IN CITY OF CHICAGO

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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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