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  5. PAMELA E. DORNE, M.D.,S.C.

PAMELA E. DORNE, M.D.,S.C.

Company Details

Entity Name: PAMELA E. DORNE, M.D.,S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 11 Dec 1992
Company Number: CORP_57101237
File Number: 57101237
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
PAMELA E. DORNE, M.D., S.C. PROFIT SHARING PLAN 2016 363857192 2017-05-31 PAMELA E. DORNE, M.D., S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 7087713883
Plan sponsor’s address 7420 CENTRAL AVENUE - SUITE 2010, RIVER FOREST, IL, 603051893

Signature of
Role Plan administrator
Date 2017-05-31
Name of individual signing PAMELA E. DORNE, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-31
Name of individual signing PAMELA E. DORNE, M.D.
Valid signature Filed with authorized/valid electronic signature
PAMELA E. DORNE, M.D., S.C. PROFIT SHARING PLAN 2015 363857192 2016-06-01 PAMELA E. DORNE, M.D., S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 7087713883
Plan sponsor’s address 7420 CENTRAL AVENUE - SUITE 2010, RIVER FOREST, IL, 603051893

Signature of
Role Plan administrator
Date 2016-06-01
Name of individual signing PAMELA E. DORNE, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-01
Name of individual signing PAMELA E. DORNE, M.D.
Valid signature Filed with authorized/valid electronic signature
PAMELA E DORNE MD SC PROFIT SHARING PLAN 2014 363857192 2015-10-12 PAMELA E. DORNE, M.D., S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 7087713883
Plan sponsor’s address 7420 CENTRAL AVENUE - SUITE 2010, RIVER FOREST, IL, 603051893

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing PAMELA E. DORNE, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-12
Name of individual signing PAMELA E. DORNE, M.D.
Valid signature Filed with authorized/valid electronic signature
PAMELA E. DORNE, M.D., S.C. PROFIT SHARING PLAN 2013 363857192 2014-10-15 PAMELA E. DORNE, M.D., S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 7087713883
Plan sponsor’s address 7420 CENTRAL AVENUE - SUITE 2010, RIVER FOREST, IL, 603051893

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing PAMELA E. DORNE, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-15
Name of individual signing PAMELA E. DORNE, M.D.
Valid signature Filed with authorized/valid electronic signature
PAMELA E. DORNE, M.D., S.C. PROFIT SHARING PLAN 2012 363857192 2013-09-06 PAMELA E. DORNE, M.D., S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 7087713883
Plan sponsor’s address 7420 CENTRAL AVENUE - SUITE 2010, RIVER FOREST, IL, 603051893

Signature of
Role Plan administrator
Date 2013-09-06
Name of individual signing PAMELA E. DORNE, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-06
Name of individual signing PAMELA E. DORNE, M.D.
Valid signature Filed with authorized/valid electronic signature
PAMELA E. DORNE, M.D., S.C. PROFIT SHARING PLAN 2011 363857192 2012-07-23 PAMELA E. DORNE, M.D., S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 7087713883
Plan sponsor’s address 7420 CENTRAL AVENUE - SUITE 2010, RIVER FOREST, IL, 603051893

Plan administrator’s name and address
Administrator’s EIN 363857192
Plan administrator’s name PAMELA E. DORNE, M.D., S.C.
Plan administrator’s address 7420 CENTRAL AVENUE - SUITE 2010, RIVER FOREST, IL, 603051893
Administrator’s telephone number 7087713883

Signature of
Role Plan administrator
Date 2012-07-23
Name of individual signing PAMELA E. DORNE, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-23
Name of individual signing PAMELA E. DORNE, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
PAMELA E DORNE, 201 E OGDEN AVE, STE 212, HINSDALE, 60521, DU PAGE Agent 2023-02-01

President

Name and Address Role
PAMELA DORNE 201 E OGDEN AVE, STE 212 HINSDALE IL, 60521 President

Secretary

Name and Address Role
PAMELA DORNE 201 E OGDEN AVE, STE 212 HINSDALE IL, 60521 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100 100000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State

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