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STREETERVILLE PEDIATRICS, S.C.

Company Details

Entity Name: STREETERVILLE PEDIATRICS, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 01 Sep 1987
Company Number: CORP_54787901
File Number: 54787901
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
STREETERVILLE PEDIATRICS, S. C. 401(K) PLAN 2023 363535360 2024-06-04 STREETERVILLE PEDIATRICS, S. C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3122801480
Plan sponsor’s address 233 EAST ERIE STREET #304, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2024-06-04
Name of individual signing FIDELIA LOPEZ
Valid signature Filed with authorized/valid electronic signature
STREETERVILLE PEDIATRICS, S. C. 401(K) PLAN 2022 363535360 2023-08-04 STREETERVILLE PEDIATRICS, S. C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3122801480
Plan sponsor’s address 233 EAST ERIE STREET #304, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2023-08-04
Name of individual signing FIDELIA LOPEZ
Valid signature Filed with authorized/valid electronic signature
STREETERVILLE PEDIATRICS, S. C. 401(K) PLAN 2021 363535360 2022-06-02 STREETERVILLE PEDIATRICS, S. C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3122801480
Plan sponsor’s address 233 EAST ERIE STREET #304, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2022-06-02
Name of individual signing FIDELIA LOPEZ
Valid signature Filed with authorized/valid electronic signature
STREETERVILLE PEDIATRICS, S. C. 401(K) PLAN 2020 363535360 2021-06-01 STREETERVILLE PEDIATRICS, S. C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3122801480
Plan sponsor’s address 233 EAST ERIE STREET #304, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2021-06-01
Name of individual signing FIDELIA LOPEZ
Valid signature Filed with authorized/valid electronic signature
STREETERVILLE PEDIATRICS, S. C. 401(K) PLAN 2019 363535360 2020-07-14 STREETERVILLE PEDIATRICS, S. C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3122801480
Plan sponsor’s address 233 EAST ERIE STREET #304, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2020-07-14
Name of individual signing FIDELIA LOPEZ
Valid signature Filed with authorized/valid electronic signature
STREETERVILLE PEDIATRICS, S. C. 401(K) PLAN 2018 363535360 2019-07-11 STREETERVILLE PEDIATRICS, S. C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3122801480
Plan sponsor’s address 233 EAST ERIE STREET #304, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2019-07-11
Name of individual signing FIDELIA LOPEZ
Valid signature Filed with authorized/valid electronic signature
STREETERVILLE PEDIATRICS, S. C. 401(K) PLAN 2017 363535360 2018-07-05 STREETERVILLE PEDIATRICS, S. C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3122801480
Plan sponsor’s address 233 EAST ERIE STREET #304, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2018-07-05
Name of individual signing FIDELIA LOPEZ
Valid signature Filed with authorized/valid electronic signature
STREETERVILLE PEDIATRICS, S. C. 401(K) PLAN 2016 363535360 2017-07-11 STREETERVILLE PEDIATRICS, S. C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3122801480
Plan sponsor’s address 233 EAST ERIE STREET #304, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2017-07-11
Name of individual signing FIDELIA LOPEZ
Valid signature Filed with authorized/valid electronic signature
STREETERVILLE PEDIATRICS, S. C. 401(K) PLAN 2015 363535360 2016-05-27 STREETERVILLE PEDIATRICS, S. C. 10
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3122801480
Plan sponsor’s address 233 EAST ERIE STREET 304, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2016-05-26
Name of individual signing FIDELIA LOPEZ
Valid signature Filed with authorized/valid electronic signature
STREETERVILLE PEDIATRICS, S. C. 401(K) PLAN 2014 363535360 2015-06-18 STREETERVILLE PEDIATRICS, S. C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3122801480
Plan sponsor’s address 233 EAST ERIE STREET #304, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2015-06-18
Name of individual signing FIDELIA LOPEZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
WILLIAM A WALKER, 180 N. LASALLE STREET #3600, CHICAGO, 60601, COOK-NOT IN CITY OF CHICAGO Agent 2023-09-27

President

Name and Address Role
DONALD K BROWN M.D. 233 E ERIE ST #304 CHICAGO IL 60611 President

Secretary

Name and Address Role
KATHLEEN K STARR M.D. 233 E ERIE ST #304 CHICAGO IL 60611 Secretary

Historical Names

Name Change Date
WILLIAM H. BARROWS, M.D. AND DONALD K. BROWN, M.D., S.C. 2004-03-03
WILLIAM H. BARROWS, M.D., S.C. 1992-02-05
HERBERT H. CIBUL, M.D. AND WILLIAM BARROWS, M.D., S.C. 1988-12-27

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 2000000 No data

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State