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  5. FREEPORT PEDIATRICS, S.C.

FREEPORT PEDIATRICS, S.C.

Company Details

Entity Name: FREEPORT PEDIATRICS, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 27 Jul 1993
Date of Dissolution: 14 Dec 2018
Company Number: CORP_57406712
File Number: 57406712
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 14 Dec 2018
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FREEPORT PEDIATRICS, S.C. PROFIT SHARING PLAN 2017 363905486 2019-07-09 FREEPORT PEDIATRICS, S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8152359233
Plan sponsor’s address 750 S. KIWANIS DR., SUITE 209, FREEPORT, IL, 61032
FREEPORT PEDIATRICS, S.C. PROFIT SHARING PLAN 2016 363905486 2018-04-09 FREEPORT PEDIATRICS, 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 8152359233
Plan sponsor’s address 750 S. KIWANIS DR., SUITE 209, FREEPORT, IL, 61032
FREEPORT PEDIATRICS, S.C. PROFIT SHARING PLAN 2015 363905486 2017-04-17 FREEPORT PEDIATRICS, 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 8152359233
Plan sponsor’s address 750 S. KIWANIS DR., SUITE 209, FREEPORT, IL, 61032
FREEPORT PEDIATRICS, S.C. PROFIT SHARING PLAN 2014 363905486 2015-12-18 FREEPORT PEDIATRICS, S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8152359233
Plan sponsor’s address 750 S. KIWANIS DR., SUITE 209, FREEPORT, IL, 61032
FREEPORT PEDIATRICS, S.C. PROFIT SHARING PLAN 2013 363905486 2015-07-06 FREEPORT PEDIATRICS, S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8152359233
Plan sponsor’s address 750 S. KIWANIS DR., SUITE 209, FREEPORT, IL, 61032
FREEPORT PEDIATRICS, S.C. PROFIT SHARING PLAN 2013 363905486 2015-06-01 FREEPORT PEDIATRICS, S.C. 6
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8152359233
Plan sponsor’s address 750 S. KIWANIS DR., SUITE 209, FREEPORT, IL, 61032
FREEPORT PEDIATRICS, S.C. PROFIT SHARING PLAN 2012 363905486 2014-01-13 FREEPORT PEDIATRICS, S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8152359233
Plan sponsor’s address 750 S. KIWANIS DR., SUITE 209, FREEPORT, IL, 61032

Signature of
Role Plan administrator
Date 2014-01-13
Name of individual signing PRASAD THOMAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-01-13
Name of individual signing PRASAD THOMAS
Valid signature Filed with authorized/valid electronic signature
FREEPORT PEDIATRICS, S.C. PROFIT SHARING PLAN 2011 363905486 2013-01-10 FREEPORT PEDIATRICS, S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8152359233
Plan sponsor’s address 750 S. KIWANIS DR., SUITE 209, FREEPORT, IL, 61032

Plan administrator’s name and address
Administrator’s EIN 363905486
Plan administrator’s name FREEPORT PEDIATRICS, S.C.
Plan administrator’s address 750 S. KIWANIS DR., SUITE 209, FREEPORT, IL, 61032
Administrator’s telephone number 8152359233

Signature of
Role Plan administrator
Date 2013-01-10
Name of individual signing PRASAD THOMAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-01-10
Name of individual signing PRASAD THOMAS
Valid signature Filed with authorized/valid electronic signature
FREEPORT PEDIATRICS, S.C. PROFIT SHARING PLAN 2010 363905486 2011-12-19 FREEPORT PEDIATRICS, S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8152359233
Plan sponsor’s address 750 S. KIWANIS DR., SUITE 209, FREEPORT, IL, 61032

Plan administrator’s name and address
Administrator’s EIN 363905486
Plan administrator’s name FREEPORT PEDIATRICS, S.C.
Plan administrator’s address 750 S. KIWANIS DR., SUITE 209, FREEPORT, IL, 61032
Administrator’s telephone number 8152359233

Signature of
Role Plan administrator
Date 2011-12-19
Name of individual signing PRASAD THOMAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-12-19
Name of individual signing PRASAD THOMAS
Valid signature Filed with authorized/valid electronic signature
FREEPORT PEDIATRICS, S.C. PROFIT SHARING PLAN 2009 363905486 2011-01-13 FREEPORT PEDIATRICS, S.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8152359233
Plan sponsor’s address 750 S. KIWANIS DR., SUITE 209, FREEPORT, IL, 61032

Plan administrator’s name and address
Administrator’s EIN 363905486
Plan administrator’s name FREEPORT PEDIATRICS, S.C.
Plan administrator’s address 750 S. KIWANIS DR., SUITE 209, FREEPORT, IL, 61032
Administrator’s telephone number 8152359233

Signature of
Role Plan administrator
Date 2011-01-13
Name of individual signing PRASAD THOMAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-01-13
Name of individual signing PRASAD THOMAS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
PRASAD THOMAS, 750 S KIWANIS DR #209, FREEPORT, 61032, STEPHENSON Agent 1993-07-27

President

Name and Address Role
PRASAD THOMAS, 750 S KIWANIS DR, FREEPORT 61032 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: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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