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  5. PEDIATRIC CANCER INSTITUTE, S.C.

PEDIATRIC CANCER INSTITUTE, S.C.

Company Details

Entity Name: PEDIATRIC CANCER INSTITUTE, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 26 Jul 1995
Date of Dissolution: 09 Dec 2016
Company Number: CORP_58440949
File Number: 58440949
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 09 Dec 2016
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDIATRIC CANCER INSTITUTE S.C. PROFIT SHARING PLAN AND TRUST 2014 364031167 2015-10-14 PEDIATRIC CANCER INSTITUTE, S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6302680214
Plan sponsor’s address 3 ROANOAKE COURT, BURR RIDGE, IL, 60527

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing SHARAD SALVI
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC CANCER INSTITUTE S.C. PROFIT SHARING PLAN AND TRUST 2014 364031167 2015-10-14 PEDIATRIC CANCER INSTITUTE, S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6302680214
Plan sponsor’s address 3 ROANOAKE COURT, BURR RIDGE, IL, 60527

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing SHARAD SALVI
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC CANCER INSTITUTE S.C. PROFIT SHARING PLAN AND TRUST 2013 364031167 2014-07-25 PEDIATRIC CANCER INSTITUTE, S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6302680214
Plan sponsor’s address 3 ROANOAKE COURT, BURR RIDGE, IL, 60527

Signature of
Role Plan administrator
Date 2014-07-25
Name of individual signing SHARAD SALVI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-25
Name of individual signing SHARAD SALVI
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC CANCER INSTITUTE S.C. PROFIT SHARING PLAN AND TRUST 2012 364031167 2013-07-12 PEDIATRIC CANCER INSTITUTE, S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6302680214
Plan sponsor’s address 3 ROANOKE COURT, BURR RIDGE, IL, 60527

Signature of
Role Plan administrator
Date 2013-07-12
Name of individual signing SHARAD SALVI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-12
Name of individual signing SHARAD SALVI
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC CANCER INSTITUTE S.C. PROFIT SHARING PLAN AND TRUST 2011 364031167 2012-10-04 PEDIATRIC CANCER INSTITUTE, S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6302680214
Plan sponsor’s address 3 ROANOKE COURT, BURR RIDGE, IL, 60527

Plan administrator’s name and address
Administrator’s EIN 364031167
Plan administrator’s name PEDIATRIC CANCER INSTITUTE, S.C.
Plan administrator’s address 3 ROANOKE COURT, BURR RIDGE, IL, 60527
Administrator’s telephone number 6302680214

Signature of
Role Plan administrator
Date 2012-10-03
Name of individual signing SHARAD SALVI
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC CANCER INSTITUTE S.C. PROFIT SHARING PLAN AND TRUST 2010 364031167 2011-09-29 PEDIATRIC CANCER INSTITUTE, S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6302680214
Plan sponsor’s address 3 ROANOKE COURT, BURR RIDGE, IL, 60527

Plan administrator’s name and address
Administrator’s EIN 364031167
Plan administrator’s name PEDIATRIC CANCER INSTITUTE, S.C.
Plan administrator’s address 3 ROANOKE COURT, BURR RIDGE, IL, 60527
Administrator’s telephone number 6302680214

Signature of
Role Plan administrator
Date 2011-09-29
Name of individual signing SHARAD SALVI
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC CANCER INSTITUTE S.C. PROFIT SHARING PLAN AND TRUST 2009 364031167 2010-10-08 PEDIATRIC CANCER INSTITUTE, S. C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6302680214
Plan sponsor’s address 3 ROANOKE COURT, BURR RIDGE, IL, 60527

Plan administrator’s name and address
Administrator’s EIN 364031167
Plan administrator’s name PEDIATRIC CANCER INSTITUTE, S. C.
Plan administrator’s address 3 ROANOKE COURT, BURR RIDGE, IL, 60527
Administrator’s telephone number 6302680214

Signature of
Role Plan administrator
Date 2010-10-08
Name of individual signing SHARAD SALVI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-08
Name of individual signing SHARAD SALVI
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOHN L ZAVISLAK, 1 SOUTH 280 SUMMIT C2, OAKBROOK TERRACE, 60181, DU PAGE Agent 2000-07-24

President

Name and Address Role
SHARAD N SALVI, 3 ROANOKE BURR RIDGE IL 60527 President

Historical Names

Name Change Date
PEDIATRIC CANCER INSTITUTE, INC. 1995-12-08

Shares

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

Related by officers

JOHN L ZAVISLAK, 1 SOUTH 280 SUMMIT C2, OAKBROOK TERRACE, 60181, DU PAGE

R.A.H., JR., LTD. R.A.H., SR., LTD. T.E.D., LTD. VIJAY H. VOHRA, M.D., S.C. EDWARD M. WYDRA, D.D.S., P.C. JMED AND ASSOCIATES, LTD. V.J. SUCHY, M.D., S.C. HATEM A. E. GALAL, M.D., S.C. JAMES V. GARAMONI, LTD. ASAD A. BAKIR, M.D., S.C.

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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