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THE ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C.

Company Details

Entity Name: THE ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Reinstated
Date Formed: 21 Oct 1993
Company Number: CORP_57524405
File Number: 57524405
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
ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C. PROFIT SHARING PLAN & TRUST 2018 363914202 2019-03-12 ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 7736278737
Plan sponsor’s address 1912 N LEAVITT ST, CHICAGO, IL, 606474409

Signature of

Role Plan administrator
Date 2019-03-12
Name of individual signing EDWARD LISBERG
Valid signature Filed with authorized/valid electronic signature
ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C. PROFIT SHARING PLAN & TRUST 2018 363914202 2019-03-12 ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 7736278737
Plan sponsor’s address 1912 N LEAVITT ST, CHICAGO, IL, 606474409

Signature of

Role Plan administrator
Date 2019-03-12
Name of individual signing EDWARD LISBERG
Valid signature Filed with authorized/valid electronic signature
ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C. PROFIT SHARING PLAN & TRUST 2017 363914202 2018-09-04 ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 7083669300
Plan sponsor’s address 7420 CENTRAL AVENUE SUITE 2020, RIVER FOREST, IL, 603051893

Signature of

Role Plan administrator
Date 2018-09-04
Name of individual signing EDWARD LISBERG, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-04
Name of individual signing EDWARD LISBERG, M.D.
Valid signature Filed with authorized/valid electronic signature
ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C. PROFIT SHARING PLAN & TRUST 2016 363914202 2017-04-03 ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 7083669300
Plan sponsor’s address 7420 CENTRAL AVENUE SUITE 2020, RIVER FOREST, IL, 603051893

Signature of

Role Plan administrator
Date 2017-03-31
Name of individual signing EDWARD LISBERG, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-03-31
Name of individual signing EDWARD LISBERG, M.D.
Valid signature Filed with authorized/valid electronic signature
ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C. PROFIT SHARING PLAN & TRUST 2015 363914202 2016-05-12 ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 7083669300
Plan sponsor’s address 7420 CENTRAL AVENUE SUITE 2020, RIVER FOREST, IL, 603051893

Signature of

Role Plan administrator
Date 2016-05-11
Name of individual signing EDWARD LISBERG, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-11
Name of individual signing EDWARD LISBERG, M.D.
Valid signature Filed with authorized/valid electronic signature
ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C. PROFIT SHARING PLAN & TRUST 2014 363914202 2015-05-09 ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 7083669300
Plan sponsor’s address 7420 CENTRAL AVENUE SUITE 2020, RIVER FOREST, IL, 603051893

Signature of

Role Plan administrator
Date 2015-05-08
Name of individual signing EDWARD LISBERG, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-08
Name of individual signing EDWARD LISBERG, M.D.
Valid signature Filed with authorized/valid electronic signature
ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C. PROFIT SHARING PLAN & TRUST 2013 363914202 2014-09-15 ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 7083669300
Plan sponsor’s address 7420 CENTRAL AVENUE SUITE 2020, RIVER FOREST, IL, 603051893

Signature of

Role Plan administrator
Date 2014-09-15
Name of individual signing EDWARD LISBERG, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-15
Name of individual signing EDWARD LISBERG, M.D.
Valid signature Filed with authorized/valid electronic signature
ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C. PROFIT SHARING PLAN & TRUST 2012 363914202 2013-08-05 ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 7083669300
Plan sponsor’s address 7420 CENTRAL AVENUE SUITE 2020, RIVER FOREST, IL, 603051893

Signature of

Role Plan administrator
Date 2013-08-05
Name of individual signing EDWARD LISBERG, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-08-05
Name of individual signing EDWARD LISBERG, M.D.
Valid signature Filed with authorized/valid electronic signature
ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C. PROFIT SHARING PLAN & TRUST 2011 363914202 2012-09-10 ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 7083669300
Plan sponsor’s address 7420 CENTRAL AVENUE SUITE 2020, RIVER FOREST, IL, 603051893

Plan administrator’s name and address

Administrator’s EIN 363914202
Plan administrator’s name ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C.
Plan administrator’s address 7420 CENTRAL AVENUE SUITE 2020, RIVER FOREST, IL, 603051893
Administrator’s telephone number 7083669300

Signature of

Role Plan administrator
Date 2012-09-10
Name of individual signing EDWARD LISBERG, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-10
Name of individual signing EDWARD LISBERG, M.D.
Valid signature Filed with authorized/valid electronic signature
ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C. PROFIT SHARING PLAN & TRUST 2010 363914202 2011-07-06 ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 7083669300
Plan sponsor’s address 7420 CENTRAL AVENUE SUITE 2020, RIVER FOREST, IL, 603051893

Plan administrator’s name and address

Administrator’s EIN 363914202
Plan administrator’s name ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C.
Plan administrator’s address 7420 CENTRAL AVENUE SUITE 2020, RIVER FOREST, IL, 603051893
Administrator’s telephone number 7083669300

Signature of

Role Plan administrator
Date 2011-07-05
Name of individual signing EDWARD LISBERG, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-05
Name of individual signing EDWARD LISBERG, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
RACHNA SHAH, 7420 CENTRAL AVE BLDG C STE 2020 NU, RIVER FOREST, 60305, COOK-NOT IN CITY OF CHICAGO Agent 2024-10-03

Secretary

Name and Address Role
RACHNA SHAH 180 E PEARSON ST, APT 7105 CHICAGO IL, 60611 Secretary

President

Name and Address Role
RACHNA SHAH 180 E PEARSON ST, APT 7105 CHICAGO IL, 60611 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 100000 No data

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State