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  5. BARD & DIDRIKSEN PEDIATRICS, P.C.

BARD & DIDRIKSEN PEDIATRICS, P.C.

Company Details

Entity Name: BARD & DIDRIKSEN PEDIATRICS, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 25 Nov 1992
Company Number: CORP_57076127
File Number: 57076127
Type of Business: Business Corporations
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BARD & DIDRIKSEN PEDIATRICS, P.C. 401K PLAN 2023 371300721 2024-09-27 BARD & DIDRIKSEN PEDIATRICS, P.C. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6186921212
Plan sponsor’s address 2160 S STATE ROUTE 157 STE B, GLEN CARBON, IL, 620341720

Plan administrator’s name and address
Administrator’s EIN 371300721
Plan administrator’s name BARD & DIDRIKSEN PEDIATRICS, P.C.
Plan administrator’s address 2160 S STATE ROUTE 157 STE B, GLEN CARBON, IL, 620341720
Administrator’s telephone number 6186921212

Signature of
Role Plan administrator
Date 2024-09-27
Name of individual signing LIZBETH DIDRIKSEN
Valid signature Filed with authorized/valid electronic signature
BARD & DIDRIKSEN PEDIATRICS, P.C. 401K PLAN 2022 371300721 2023-06-14 BARD & DIDRIKSEN PEDIATRICS, P.C. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6186921212
Plan sponsor’s address 2160 S STATE ROUTE 157 STE B, GLEN CARBON, IL, 620341720

Plan administrator’s name and address
Administrator’s EIN 371300721
Plan administrator’s name BARD & DIDRIKSEN PEDIATRICS, P.C.
Plan administrator’s address 2160 S STATE ROUTE 157 STE B, GLEN CARBON, IL, 620341720
Administrator’s telephone number 6186921212

Signature of
Role Plan administrator
Date 2023-06-14
Name of individual signing LIZBETH DIDRIKSEN
Valid signature Filed with authorized/valid electronic signature
BARD & DIDRIKSEN PEDIATRICS, P.C. 401K PLAN 2021 371300721 2022-09-09 BARD & DIDRIKSEN PEDIATRICS, P.C. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6186921212
Plan sponsor’s address 2160 S STATE ROUTE 157 STE B, GLEN CARBON, IL, 620341720

Plan administrator’s name and address
Administrator’s EIN 371300721
Plan administrator’s name BARD & DIDRIKSEN PEDIATRICS, P.C.
Plan administrator’s address 2160 S STATE ROUTE 157 STE B, GLEN CARBON, IL, 620341720
Administrator’s telephone number 6186921212

Signature of
Role Plan administrator
Date 2022-09-09
Name of individual signing LIZBETH DIDRIKSEN
Valid signature Filed with authorized/valid electronic signature
BARD & DIDRIKSEN PEDIATRICS, P.C. 401K PLAN 2020 371300721 2021-06-11 BARD & DIDRIKSEN PEDIATRICS, P.C. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6186921212
Plan sponsor’s address 2160 S STATE ROUTE 157 STE B, GLEN CARBON, IL, 620341720

Plan administrator’s name and address
Administrator’s EIN 371300721
Plan administrator’s name BARD & DIDRIKSEN PEDIATRICS, P.C.
Plan administrator’s address 2160 S STATE ROUTE 157 STE B, GLEN CARBON, IL, 620341720
Administrator’s telephone number 6186921212

Signature of
Role Plan administrator
Date 2021-06-11
Name of individual signing LIZBETH DIDRIKSEN
Valid signature Filed with authorized/valid electronic signature
BARD & DIDRIKSEN PEDIATRICS, P.C. 401K PLAN 2019 371300721 2020-07-01 BARD & DIDRIKSEN PEDIATRICS, P.C. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6186921212
Plan sponsor’s address 2160 S STATE ROUTE 157 STE B, GLEN CARBON, IL, 620341720

Plan administrator’s name and address
Administrator’s EIN 371300721
Plan administrator’s name BARD & DIDRIKSEN PEDIATRICS, P.C.
Plan administrator’s address 2160 S STATE ROUTE 157 STE B, GLEN CARBON, IL, 620341720
Administrator’s telephone number 6186921212

Signature of
Role Plan administrator
Date 2020-07-01
Name of individual signing LIZBETH DIDRIKSEN
Valid signature Filed with authorized/valid electronic signature
BARD & DIDRIKSEN PEDIATRICS, P.C. 401K PLAN 2018 371300721 2019-07-17 BARD & DIDRIKSEN PEDIATRICS, P.C. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6186921212
Plan sponsor’s address 2160 S STATE ROUTE 157 STE B, GLEN CARBON, IL, 620341720

Plan administrator’s name and address
Administrator’s EIN 371300721
Plan administrator’s name BARD & DIDRIKSEN PEDIATRICS, P.C.
Plan administrator’s address 2160 S STATE ROUTE 157 STE B, GLEN CARBON, IL, 620341720
Administrator’s telephone number 6186921212

Signature of
Role Plan administrator
Date 2019-07-17
Name of individual signing LIZBETH DIDRIKSEN
Valid signature Filed with authorized/valid electronic signature
BARD & DIDRIKSEN PEDIATRICS, P.C. 401K PLAN 2017 371300721 2018-05-17 BARD & DIDRIKSEN PEDIATRICS, P.C. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6186921212
Plan sponsor’s address 2160 S STATE ROUTE 157 STE B, GLEN CARBON, IL, 620341720

Plan administrator’s name and address
Administrator’s EIN 371300721
Plan administrator’s name BARD & DIDRIKSEN PEDIATRICS, P.C.
Plan administrator’s address 2160 S STATE ROUTE 157 STE B, GLEN CARBON, IL, 620341720
Administrator’s telephone number 6186921212

Signature of
Role Plan administrator
Date 2018-05-17
Name of individual signing LIZBETH DIDRIKSEN
Valid signature Filed with authorized/valid electronic signature
BARD & DIDRIKSEN PEDIATRICS, P.C. 401K PLAN 2016 371300721 2017-06-01 BARD & DIDRIKSEN PEDIATRICS, P.C. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6186921212
Plan sponsor’s address 2160 S STATE ROUTE 157 STE B, GLEN CARBON, IL, 620341720

Plan administrator’s name and address
Administrator’s EIN 371300721
Plan administrator’s name BARD & DIDRIKSEN PEDIATRICS, P.C.
Plan administrator’s address 2160 S STATE ROUTE 157 STE B, GLEN CARBON, IL, 620341720
Administrator’s telephone number 6186921212

Signature of
Role Plan administrator
Date 2017-06-01
Name of individual signing LIZBETH DIDRIKSEN
Valid signature Filed with authorized/valid electronic signature
BARD & DIDRIKSEN PEDIATRICS, P.C. 401K PLAN 2015 371300721 2016-06-06 BARD & DIDRIKSEN PEDIATRICS, P.C. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6186921212
Plan sponsor’s address 2160 S STATE ROUTE 157 STE B, GLEN CARBON, IL, 620341720

Plan administrator’s name and address
Administrator’s EIN 371300721
Plan administrator’s name BARD & DIDRIKSEN PEDIATRICS, P.C.
Plan administrator’s address 2160 S STATE ROUTE 157 STE B, GLEN CARBON, IL, 620341720
Administrator’s telephone number 6186921212

Signature of
Role Plan administrator
Date 2016-06-06
Name of individual signing LIZBETH DIDRIKSEN
Valid signature Filed with authorized/valid electronic signature
BARD & DIDRIKSEN PEDIATRICS, P.C. 401K PLAN 2014 371300721 2015-05-07 BARD & DIDRIKSEN PEDIATRICS, P.C. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6186921212
Plan sponsor’s address 2160 S STATE ROUTE 157 STE B, GLEN CARBON, IL, 620341720

Plan administrator’s name and address
Administrator’s EIN 371300721
Plan administrator’s name BARD & DIDRIKSEN PEDIATRICS, P.C.
Plan administrator’s address 2160 S STATE ROUTE 157 STE B, GLEN CARBON, IL, 620341720
Administrator’s telephone number 6186921212

Signature of
Role Plan administrator
Date 2015-05-07
Name of individual signing LIZBETH DIDRIKSEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
COGENCY GLOBAL INC., 600 SOUTH SECOND ST, SUITE 404, SPRINGFIELD, 62704, SANGAMON Agent 2024-05-30

President

Name and Address Role
LIZBETH DIDRIKSEN 2160 S IL RTE 157 GLEN CARBON IL 62034 President

Secretary

Name and Address Role
ANGELA BARD 2160 S. ILLINOIS RTE 157 GLEN CARBON IL 62034 Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
BARD & DIDRIKSEN PEDIATRICS Assume Name 1993-02-03 No data No data No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 200000 1

Related by officers

COGENCY GLOBAL INC., 600 SOUTH SECOND ST, SUITE 404, SPRINGFIELD, 62704, SANGAMON

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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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