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NORTHWEST HEART SPECIALISTS, S.C.

Company Details

Entity Name: NORTHWEST HEART SPECIALISTS, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 22 Aug 1994
Date of Dissolution: 12 Jan 2018
Company Number: CORP_57955619
File Number: 57955619
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 12 Jan 2018
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHWEST HEART SPECIALISTS, S.C. PROFIT SHARING PLAN & TRUST 2015 363972452 2016-07-27 NORTHWEST HEART SPECIALISTS, S.C. 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-22
Business code 621111
Sponsor’s telephone number 8472538050
Plan sponsor’s address 1632 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005

Signature of

Role Plan administrator
Date 2016-07-27
Name of individual signing BURTON HERBSTMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-27
Name of individual signing BURTON HERBSTMAN
Valid signature Filed with authorized/valid electronic signature
NORTHWEST HEART SPECIALISTS, S.C. PROFIT SHARING PLAN & TRUST 2014 363972452 2015-10-01 NORTHWEST HEART SPECIALISTS, S.C. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8472538050
Plan sponsor’s address 1632 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005

Signature of

Role Plan administrator
Date 2015-10-01
Name of individual signing BURTON HERBSTMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-01
Name of individual signing BURTON HERBSTMAN
Valid signature Filed with authorized/valid electronic signature
NORTHWEST HEART SPECIALISTS, S.C. PROFIT SHARING PLAN & TRUST 2013 363972452 2014-09-24 NORTHWEST HEART SPECIALISTS, S.C. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-22
Business code 621111
Sponsor’s telephone number 8472538050
Plan sponsor’s address 1632 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005

Signature of

Role Plan administrator
Date 2014-09-24
Name of individual signing BURTON HERBSTMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-24
Name of individual signing BURTON HERBSTMAN
Valid signature Filed with authorized/valid electronic signature
NORTHWEST HEART SPECIALISTS, S.C. PROFIT SHARING PLAN & TRUST 2012 363972452 2013-10-15 NORTHWEST HEART SPECIALISTS, S.C. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-22
Business code 621111
Sponsor’s telephone number 8472538050
Plan sponsor’s address 1632 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005

Signature of

Role Plan administrator
Date 2013-10-15
Name of individual signing BURTON HERBSTMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing BURTON HERBSTMAN
Valid signature Filed with authorized/valid electronic signature
NORTHWEST HEART SPECIALISTS, S.C. CASH BALANCE PENSION PLAN & TRUST 2012 363972452 2013-10-15 NORTHWEST HEART SPECIALISTS, S.C. 54
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8472538050
Plan sponsor’s address 1632 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005

Signature of

Role Plan administrator
Date 2013-10-15
Name of individual signing BURTON HERBSTMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing BURTON HERBSTMAN
Valid signature Filed with authorized/valid electronic signature
NORTHWEST HEART SPECIALISTS, S.C. CASH BALANCE PENSION PLAN & TRUST 2012 363972452 2013-10-15 NORTHWEST HEART SPECIALISTS, S.C. 47
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8472538050
Plan sponsor’s address 1632 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005

Signature of

Role Plan administrator
Date 2013-10-15
Name of individual signing BURTON HERBSTMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing BURTON HERBSTMAN
Valid signature Filed with authorized/valid electronic signature
NORTHWEST HEART SPECIALISTS, S.C. CASH BALANCE PENSION PLAN & TRUST 2011 363972452 2012-10-05 NORTHWEST HEART SPECIALISTS, S.C. 49
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8472538050
Plan sponsor’s address 1632 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005

Plan administrator’s name and address

Administrator’s EIN 363972452
Plan administrator’s name NORTHWEST HEART SPECIALISTS, S.C.
Plan administrator’s address 1632 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005
Administrator’s telephone number 8472538050

Signature of

Role Plan administrator
Date 2012-10-05
Name of individual signing BURTON HERBSTMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-05
Name of individual signing BURTON HERBSTMAN
Valid signature Filed with authorized/valid electronic signature
NORTHWEST HEART SPECIALISTS, S.C. PROFIT SHARING PLAN & TRUST 2011 363972452 2012-10-05 NORTHWEST HEART SPECIALISTS, S.C. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-22
Business code 621111
Sponsor’s telephone number 8472538050
Plan sponsor’s address 1632 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005

Plan administrator’s name and address

Administrator’s EIN 363972452
Plan administrator’s name NORTHWEST HEART SPECIALISTS, S.C.
Plan administrator’s address 1632 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005
Administrator’s telephone number 8472538050

Signature of

Role Plan administrator
Date 2012-10-05
Name of individual signing BURTON HERBSTMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-05
Name of individual signing BURTON HERBSTMAN
Valid signature Filed with authorized/valid electronic signature
NORTHWEST HEART SPECIALISTS, S.C. PROFIT SHARING PLAN & TRUST 2010 363972452 2011-10-10 NORTHWEST HEART SPECIALISTS, S.C. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-22
Business code 621111
Sponsor’s telephone number 8472538050
Plan sponsor’s address 1632 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005

Plan administrator’s name and address

Administrator’s EIN 363972452
Plan administrator’s name NORTHWEST HEART SPECIALISTS, S.C.
Plan administrator’s address 1632 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005
Administrator’s telephone number 8472538050

Signature of

Role Plan administrator
Date 2011-10-10
Name of individual signing BURTON HERBSTMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-10
Name of individual signing BURTON HERBSTMAN
Valid signature Filed with authorized/valid electronic signature
NORTHWEST HEART SPECIALISTS, S.C. CASH BALANCE PENSION PLAN & TRUST 2010 363972452 2011-10-20 NORTHWEST HEART SPECIALISTS, S.C. 44
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8472538050
Plan sponsor’s address 1632 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005

Plan administrator’s name and address

Administrator’s EIN 363972452
Plan administrator’s name NORTHWEST HEART SPECIALISTS, S.C.
Plan administrator’s address 1632 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005
Administrator’s telephone number 8472538050

Signature of

Role Plan administrator
Date 2011-10-20
Name of individual signing BURTON HERBSTMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-20
Name of individual signing BURTON HERBSTMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BRIAN H ALBERT, 1632 WEST CENTRAL RD, ARLINGTON HEIGHTS, 60005, COOK-NOT IN CITY OF CHICAGO Agent 2007-06-29

President

Name and Address Role
BURTON L HERBSTMAN MD 600 PORTWINE ROAD RIVERWOOD IL 60015 President

Historical Names

Name Change Date
STEIN, HERBSTMAN, ALBERT, S.C. 1996-10-15

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 3000000 No data

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State