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  5. FAMILY PRACTICE SPECIALIST, S.C.

FAMILY PRACTICE SPECIALIST, S.C.

Company Details

Entity Name: FAMILY PRACTICE SPECIALIST, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 11 Dec 1989
Date of Dissolution: 02 Aug 2024
Company Number: CORP_55761787
File Number: 55761787
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 02 Aug 2024
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY PRACTICE SPECIALIST, S. C. PROFIT SHARING AND SAVINGS PLAN AND TRUST 2023 363676808 2024-05-15 FAMILY PRACTICE SPECIALIST, S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8472779707
Plan sponsor’s address 379 MALLARD POINT, LAKE BARRINGTON, IL, 60010

Signature of
Role Plan administrator
Date 2024-05-15
Name of individual signing RICHARD J. FEROLO, M.D.
Valid signature Filed with authorized/valid electronic signature
FAMILY PRACTICE SPECIALIST, S. C. PROFIT SHARING AND SAVINGS PLAN AND TRUST 2022 363676808 2023-04-26 FAMILY PRACTICE SPECIALIST, S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8472779707
Plan sponsor’s address 22285 PEPPER ROAD, SUITE 211, LAKE BARRINGTON, IL, 600102540

Signature of
Role Plan administrator
Date 2023-04-26
Name of individual signing RICHARD J. FEROLO, M.D.
Valid signature Filed with authorized/valid electronic signature
FAMILY PRACTICE SPECIALIST, S. C. PROFIT SHARING AND SAVINGS PLAN AND TRUST 2021 363676808 2022-05-02 FAMILY PRACTICE SPECIALIST, S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8472779707
Plan sponsor’s address 22285 PEPPER ROAD, SUITE 211, LAKE BARRINGTON, IL, 600102540

Signature of
Role Plan administrator
Date 2022-05-02
Name of individual signing RICHARD J. FEROLO, M.D.
Valid signature Filed with authorized/valid electronic signature
FAMILY PRACTICE SPECIALIST, S. C. PROFIT SHARING AND SAVINGS PLAN AND TRUST 2020 363676808 2021-05-10 FAMILY PRACTICE SPECIALIST, S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8472779707
Plan sponsor’s address 22285 PEPPER ROAD, SUITE 211, LAKE BARRINGTON, IL, 600102540

Signature of
Role Plan administrator
Date 2021-05-10
Name of individual signing RICHARD J. FEROLO, M.D.
Valid signature Filed with authorized/valid electronic signature
FAMILY PRACTICE SPECIALIST, S. C. PROFIT SHARING & SAVINGS PLAN & TRUST 2019 363676808 2020-04-24 FAMILY PRACTICE SPECIALIST, S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8472779707
Plan sponsor’s address 22285 PEPPER ROAD, SUITE 211, LAKE BARRINGTON, IL, 600102540

Signature of
Role Plan administrator
Date 2020-04-24
Name of individual signing RICHARD J. FEROLO, M.D.
Valid signature Filed with authorized/valid electronic signature
FAMILY PRACTICE SPECIALIST, S. C. PROFIT SHARING & SAVINGS PLAN & TRUST 2018 363676808 2019-07-10 FAMILY PRACTICE SPECIALIST, S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8472779707
Plan sponsor’s address 22285 PEPPER ROAD, SUITE 211, LAKE BARRINGTON, IL, 600102540

Signature of
Role Plan administrator
Date 2019-07-10
Name of individual signing RICHARD J. FEROLO, M.D.
Valid signature Filed with authorized/valid electronic signature
FAMILY PRACTICE SPECIALIST, S. C. PROFIT SHARING & SAVINGS PLAN & TRUST 2017 363676808 2018-05-15 FAMILY PRACTICE SPECIALIST, S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8472779707
Plan sponsor’s address 22285 PEPPER ROAD, SUITE 211, LAKE BARRINGTON, IL, 600102540

Signature of
Role Plan administrator
Date 2018-05-14
Name of individual signing RICHARD J. FEROLO, M.D.
Valid signature Filed with authorized/valid electronic signature
FAMILY PRACTICE SPECIALIST, S. C. PROFIT SHARING & SAVINGS PLAN & TRUST 2016 363676808 2017-08-23 FAMILY PRACTICE SPECIALIST, S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8472779707
Plan sponsor’s address 22285 PEPPER ROAD, SUITE 211, LAKE BARRINGTON, IL, 600102540

Signature of
Role Plan administrator
Date 2017-08-23
Name of individual signing RICHARDJ. FEROLO, M.D.
Valid signature Filed with authorized/valid electronic signature
FAMILY PRACTICE SPECIALIST, S.C. PROFIT SHARING & SAVINGS PLAN & TRUST 2015 363676808 2016-09-26 FAMILY PRACTICE SPECIALIST, S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8472779707
Plan sponsor’s address 22285 PEPPER ROAD SUITE 211, LAKE BARRINGTON, IL, 600102540

Plan administrator’s name and address
Administrator’s EIN 363676808
Plan administrator’s name FAMILY PRACTICE SPECIALIST, S.C.
Plan administrator’s address 22285 PEPPER ROAD SUITE 211, LAKE BARRINGTON, IL, 600102540
Administrator’s telephone number 8472779707
FAMILY PRACTICE SPECIALIST, S.C. PROFIT SHARING & SAVINGS PLAN & TRUST 2014 363676808 2015-07-23 FAMILY PRACTICE SPECIALIST, S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8472779707
Plan sponsor’s address 22285 PEPPER ROAD SUITE 211, LAKE BARRINGTON, IL, 600102540

Plan administrator’s name and address
Administrator’s EIN 363676808
Plan administrator’s name FAMILY PRACTICE SPECIALIST, S.C.
Plan administrator’s address 22285 PEPPER ROAD SUITE 211, LAKE BARRINGTON, IL, 600102540
Administrator’s telephone number 8472779707

Signature of
Role Plan administrator
Date 2015-07-23
Name of individual signing RICHARD J. FEROLO, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
FEDOTA CHILDERS, 137 N OAK PARK AVE SUITE 414, OAK PARK, 60301, COOK-NOT IN CITY OF CHICAGO Agent 2017-10-18

President

Name and Address Role
RICHARD J FEROLO MD 22285 PEPPER RD #211 LAKE BARRINGTON IL President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 1000000 1

Related by officers

No related officers

Related by address

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Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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