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NORTHWESTERN INTERNISTS, LTD.

Company Details

Entity Name: NORTHWESTERN INTERNISTS, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 30 Sep 1991
Date of Dissolution: 12 Feb 2016
Company Number: CORP_56551468
File Number: 56551468
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 12 Feb 2016
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHWESTERN INTERNISTS, LTD. PROFIT SHARING PLAN & TRUST 2014 363789994 2015-12-29 NORTHWESTERN INTERNISTS, LTD. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3123351133
Plan sponsor’s address 676 NORTH SAINT CLAIR STREET,, SUITE 415, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2015-12-29
Name of individual signing DR. DAVID BRANDT
Valid signature Filed with authorized/valid electronic signature
NORTHWESTERN INTERNISTS, LTD. PROFIT SHARING PLAN & TRUST 2014 363789994 2015-10-02 NORTHWESTERN INTERNISTS, LTD. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3123351133
Plan sponsor’s address 676 NORTH SAINT CLAIR STREET, SUITE 415, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2015-10-02
Name of individual signing DR. DAVID BRANDT
Valid signature Filed with authorized/valid electronic signature
NORTHWESTERN INTERNISTS, LTD. PROFIT SHARING PLAN & TRUST 2013 363789994 2014-08-18 NORTHWESTERN INTERNISTS, LTD. 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3123351133
Plan sponsor’s address 676 NORTH SAINT CLAIR STREET, SUITE 415, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2014-08-18
Name of individual signing DR. DAVID BRANDT
Valid signature Filed with authorized/valid electronic signature
NORTHWESTERN INTERNISTS, LTD. PROFIT SHARING PLAN & TRUST 2012 363789994 2013-08-09 NORTHWESTERN INTERNISTS, LTD. 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3123351133
Plan sponsor’s address 676 NORTH SAINT CLAIR STREET,, SUITE 415, CHICAGO, IL, 60611

Plan administrator’s name and address

Administrator’s EIN 363789994
Plan administrator’s name NORTHWESTERN INTERNISTS, LTD.
Plan administrator’s address 676 NORTH SAINT CLAIR STREET,, SUITE 415, CHICAGO, IL, 60611
Administrator’s telephone number 3123351133

Signature of

Role Plan administrator
Date 2013-08-09
Name of individual signing DR. DAVID BRANDT
Valid signature Filed with authorized/valid electronic signature
NORTHWESTERN INTERNISTS, LTD. PROFIT SHARING PLAN & TRUST 2011 363789994 2012-05-09 NORTHWESTERN INTERNISTS, LTD. 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3123351133
Plan sponsor’s address 676 NORTH SAINT CLAIR STREET,, SUITE 415, CHICAGO, IL, 60611

Plan administrator’s name and address

Administrator’s EIN 363789994
Plan administrator’s name NORTHWESTERN INTERNISTS, LTD.
Plan administrator’s address 676 NORTH SAINT CLAIR STREET,, SUITE 415, CHICAGO, IL, 60611
Administrator’s telephone number 3123351133

Signature of

Role Plan administrator
Date 2012-05-09
Name of individual signing AMY KISSINGER, M.D.
Valid signature Filed with authorized/valid electronic signature
NORTHWESTERN INTERNISTS, LTD. PROFIT SHARING PLAN & TRUST 2010 363789994 2011-07-01 NORTHWESTERN INTERNISTS, LTD. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3123351133
Plan sponsor’s address 676 NORTH SAINT CLAIR STREET,, SUITE 415, CHICAGO, IL, 60611

Plan administrator’s name and address

Administrator’s EIN 363789994
Plan administrator’s name NORTHWESTERN INTERNISTS, LTD.
Plan administrator’s address 676 NORTH SAINT CLAIR STREET,, SUITE 415, CHICAGO, IL, 60611
Administrator’s telephone number 3123351133

Signature of

Role Plan administrator
Date 2011-07-01
Name of individual signing AMY KISSINGER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-01
Name of individual signing AMY KISSINGER, M.D.
Valid signature Filed with authorized/valid electronic signature
NORTHWESTERN INTERNISTS, LTD. PROFIT SHARING PLAN & TRUST 2009 363789994 2010-09-16 NORTHWESTERN INTERNISTS, LTD. 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3123351133
Plan sponsor’s address 676 NORTH SAINT CLAIR STREET,, SUITE 415, CHICAGO, IL, 60611

Plan administrator’s name and address

Administrator’s EIN 363789994
Plan administrator’s name NORTHWESTERN INTERNISTS, LTD.
Plan administrator’s address 676 NORTH SAINT CLAIR STREET,, SUITE 415, CHICAGO, IL, 60611
Administrator’s telephone number 3123351133

Signature of

Role Plan administrator
Date 2010-09-16
Name of individual signing AMY KISSINGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-16
Name of individual signing AMY KISSINGER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
STEVEN M HARRIS, 300 N LASALLE ST #2100, CHICAGO, 60654, COOK-NOT IN CITY OF CHICAGO Agent 2010-01-29

President

Name and Address Role
MARK STOLAR MD, 676 N ST CLAIR STE 414, CHICAGO, IL, 60611 President

Historical Names

Name Change Date
INTERNISTS, LTD. 1992-02-19

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 500000 No data

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State