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  5. BARRINGTON FAMILY HEALTHCARE, S.C.

BARRINGTON FAMILY HEALTHCARE, S.C.

Company Details

Entity Name: BARRINGTON FAMILY HEALTHCARE, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 21 Dec 1994
Date of Dissolution: 16 Dec 2021
Company Number: CORP_58116068
File Number: 58116068
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 16 Dec 2021
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BARRINGTON FAMILY HEATLTHCARE RETIREMENT PLAN 2016 363994282 2017-06-01 BARRINGTON FAMILY HEALTHCARE, S.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8473829150
Plan sponsor’s address 400 FOX GLEN DRIVE, BARRINGTON, IL, 60010

Signature of
Role Plan administrator
Date 2017-06-01
Name of individual signing LISA DERKEN, MD
Valid signature Filed with authorized/valid electronic signature
BARRINGTON FAMILY HEATLTHCARE RETIREMENT PLAN 2015 363994282 2016-03-24 BARRINGTON FAMILY HEALTHCARE, S.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8473829150
Plan sponsor’s address 400 FOX GLEN DRIVE, BARRINGTON, IL, 60010

Signature of
Role Plan administrator
Date 2016-03-24
Name of individual signing LISA DERKEN, MD
Valid signature Filed with authorized/valid electronic signature
BARRINGTON FAMILY HEATLTHCARE RETIREMENT PLAN 2014 363994282 2015-04-29 BARRINGTON FAMILY HEALTHCARE, S.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8473829150
Plan sponsor’s address 400 FOX GLEN DRIVE, BARRINGTON, IL, 60010

Signature of
Role Plan administrator
Date 2015-04-29
Name of individual signing LISA DERKEN, MD
Valid signature Filed with authorized/valid electronic signature
BARRINGTON FAMILY HEATLTHCARE RETIREMENT PLAN 2013 363994282 2014-06-24 BARRINGTON FAMILY HEALTHCARE, S.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8473829150
Plan sponsor’s address 400 FOX GLEN DRIVE, BARRINGTON, IL, 60010

Signature of
Role Plan administrator
Date 2014-06-24
Name of individual signing LISA DERKEN, MD
Valid signature Filed with authorized/valid electronic signature
BARRINGTON FAMILY HEATLTHCARE RETIREMENT PLAN 2012 363994282 2013-03-14 BARRINGTON FAMILY HEALTHCARE, S.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8473829150
Plan sponsor’s address 400 FOX GLEN DRIVE, BARRINGTON, IL, 60010

Plan administrator’s name and address
Administrator’s EIN 363994282
Plan administrator’s name BARRINGTON FAMILY HEALTHCARE, S.C.
Plan administrator’s address 400 FOX GLEN DRIVE, BARRINGTON, IL, 60010
Administrator’s telephone number 8473829150

Signature of
Role Plan administrator
Date 2013-03-14
Name of individual signing LISA DERKEN, MD
Valid signature Filed with authorized/valid electronic signature
BARRINGTON FAMILY HEATLTHCARE RETIREMENT PLAN 2011 363994282 2012-07-25 BARRINGTON FAMILY HEALTHCARE, S.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8473829150
Plan sponsor’s address 400 FOX GLEN DRIVE, BARRINGTON, IL, 60010

Plan administrator’s name and address
Administrator’s EIN 363994282
Plan administrator’s name BARRINGTON FAMILY HEALTHCARE, S.C.
Plan administrator’s address 400 FOX GLEN DRIVE, BARRINGTON, IL, 60010
Administrator’s telephone number 8473829150

Signature of
Role Plan administrator
Date 2012-07-25
Name of individual signing LISA DERKEN, MD
Valid signature Filed with authorized/valid electronic signature
BARRINGTON FAMILY HEATLTHCARE RETIREMENT PLAN 2010 363994282 2011-03-14 BARRINGTON FAMILY HEALTHCARE, S.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8473829150
Plan sponsor’s address 400 FOX GLEN DRIVE, BARRINGTON, IL, 60010

Plan administrator’s name and address
Administrator’s EIN 363994282
Plan administrator’s name BARRINGTON FAMILY HEALTHCARE, S.C.
Plan administrator’s address 400 FOX GLEN DRIVE, BARRINGTON, IL, 60010
Administrator’s telephone number 8473829150

Signature of
Role Plan administrator
Date 2011-03-14
Name of individual signing LISA DERKEN, MD
Valid signature Filed with authorized/valid electronic signature
BARRINGTON FAMILY HEATLTHCARE RETIREMENT PLAN 2009 363994282 2010-06-24 BARRINGTON FAMILY HEALTHCARE, S.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8473829150
Plan sponsor’s address 400 FOX GLEN DRIVE, BARRINGTON, IL, 60010

Plan administrator’s name and address
Administrator’s EIN 363994282
Plan administrator’s name BARRINGTON FAMILY HEALTHCARE, S.C.
Plan administrator’s address 400 FOX GLEN DRIVE, BARRINGTON, IL, 60010
Administrator’s telephone number 8473829150

Signature of
Role Plan administrator
Date 2010-06-24
Name of individual signing LISA DERKEN, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BRENDA BRAK, 400 FOX GLEN COURT, BARRINGTON, 60010, LAKE Agent 2016-12-27

President

Name and Address Role
BRENDA BRAK, 15 OLD BARRINGTONRD LAKE BARRINGTON 60010 President

Historical Names

Name Change Date
BRENDA L. BRAK, M.D., S.C., 1996-07-30

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 1000000 No data

Related by officers

No related officers

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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