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  5. PRIMECARE COMMUNITY HEALTH, INC.

PRIMECARE COMMUNITY HEALTH, INC.

Company Details

Entity Name: PRIMECARE COMMUNITY HEALTH, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 21 Apr 1992
Company Number: CORP_56808973
File Number: 56808973
Type of Business: Educational, research or scientific
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
KLMEULZWMN23 2024-08-06 2211 N ELSTON AVE, SUITE 301, CHICAGO, IL, 60614, 2918, USA 2211 N ELSTON AVE STE 301, CHICAGO, IL, 60614, 9278, USA

Business Information
URL www.primecarechi.org
Division Name PRIMECARE COMMUNITY HEALTH, INC
Division Number NA
Congressional District 05
State/Country of Incorporation IL, USA
Activation Date 2023-08-09
Initial Registration Date 2006-10-17
Entity Start Date 1992-04-21
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621112, 621493, 621999
Product and Service Codes Q201

Points of Contacts
Electronic Business
Title PRIMARY POC
Name MIKE HOLTROP
Role CHIEF FINANCIAL OFFICER
Address 2211 N. ELSTON AVE, SUITE 301, CHICAGO, IL, 60614, USA
Government Business
Title PRIMARY POC
Name LYNN HOPKINS
Role CEO
Address 2211 N. ELSTON AVE, SUITE 301, CHICAGO, IL, 60614, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRIMECARE COMMUNITY HEALTH, INC. EMPLOYEES RETIREMENT PLAN 2013 363845253 2014-06-26 PRIMECARE COMMUNITY HEALTH, INC. 104
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 621112
Sponsor’s telephone number 3124915026
Plan sponsor’s address SUITE 401, CHICAGO, IL, 60622

Signature of
Role Plan administrator
Date 2014-06-26
Name of individual signing STEPHEN STABILE
Valid signature Filed with authorized/valid electronic signature
PRIMECARE COMMUNITY HEALTH, INC EMPLOYEES RETIREMENT PLAN 2012 363845253 2013-07-10 PRIMECARE COMMUNITY HEALTH, INC 98
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 621112
Sponsor’s telephone number 3124915086
Plan sponsor’s address 1431 NORTH WESTERN AVENUE, SUITE 401, CHICAGO, IL, 606221797

Signature of
Role Plan administrator
Date 2013-07-10
Name of individual signing VIRGINIA SCHLOSSBERG
Valid signature Filed with authorized/valid electronic signature
PRIMECARE COMMUNITY HEALTH INC EMPLOYEES RETIREMENT PLAN 2011 363845253 2012-06-26 PRIMECARE COMMUNITY HEALTH INC 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 621112
Sponsor’s telephone number 3124915086
Plan sponsor’s address 1431 NORTH WESTERN AVE STE 401, CHICAGO, IL, 606221797

Plan administrator’s name and address
Administrator’s EIN 363845253
Plan administrator’s name PRIMECARE COMMUNITY HEALTH INC
Plan administrator’s address 1431 NORTH WESTERN AVE STE 401, CHICAGO, IL, 606221797
Administrator’s telephone number 3124915086

Signature of
Role Plan administrator
Date 2012-06-26
Name of individual signing DONNA WOLAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-26
Name of individual signing DONNA WOLAK
Valid signature Filed with authorized/valid electronic signature
PRIMECARE COMMUNITY HEALTH INC EMPLOYEES RETIREMENT PLAN 2010 363845253 2011-07-29 PRIMECARE COMMUNITY HEALTH INC 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 621112
Sponsor’s telephone number 3124915086
Plan sponsor’s address 1431 NORTH WESTERN AVE STE 401, CHICAGO, IL, 606221797

Plan administrator’s name and address
Administrator’s EIN 363845253
Plan administrator’s name PRIMECARE COMMUNITY HEALTH INC
Plan administrator’s address 1431 NORTH WESTERN AVE STE 401, CHICAGO, IL, 606221797
Administrator’s telephone number 3124915086

Signature of
Role Plan administrator
Date 2011-07-29
Name of individual signing JOAN SHEFORGEN
Valid signature Filed with authorized/valid electronic signature
PRIMECARE COMMUNITY HEALTH INC EMPLOYEES RETIREMENT PLAN 2009 363845253 2010-07-29 PRIMECARE COMMUNITY HEALTH INC 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 624100
Sponsor’s telephone number 3124915086
Plan sponsor’s address 1431 NORTH WESTERN AVE STE 401, CHICAGO, IL, 606221797

Plan administrator’s name and address
Administrator’s EIN 363845253
Plan administrator’s name PRIMECARE COMMUNITY HEALTH INC
Plan administrator’s address 1431 NORTH WESTERN AVE STE 401, CHICAGO, IL, 606221797
Administrator’s telephone number 3124915086

Signature of
Role Plan administrator
Date 2010-07-29
Name of individual signing JASIM DIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
TED A DONNER, 800 ROOSEVELT RD STE B210, GLEN ELLYN, 60137, DU PAGE Agent 2023-11-28

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
PRIMECARE HEALTH NFP Assume Name 2023-01-17 No data No data No data
FAMILY HEALTH CENTER OF WICKER PARK No data 1995-03-09 1999-09-01 Involuntary Cancellation No data
FAMILY HEALTH CENTER OF WEST TOWN No data 1995-03-09 1999-09-01 Involuntary Cancellation No data

Historical Names

Name Change Date
FAMILY PRACTICE COMMUNITY WELLNESS CENTER 2002-07-18

Related by officers

TED A DONNER, 800 ROOSEVELT RD STE B210, GLEN ELLYN, 60137, DU PAGE

RAM MECHANICAL SERVICES TOO, INC. ORGANIZED NOISE, INC. SOLE UNIQUE, INC. DANCE DYNAMICS, INC. GREAT LAKES CUSTOM MACHINE, INC. ALMINGTON CAPITAL INC. S.U.D.C., INC. RESTORATIVE RESOURCES FOUNDATION OF DUPAGE COUNTY ONLINE COURTROOM PROJECT INC. WHISKEY HILL BREWERY & KITCHEN CO.

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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