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  5. NORTH GROVE INTERNAL MEDICINE, S.C.

NORTH GROVE INTERNAL MEDICINE, S.C.

Company Details

Entity Name: NORTH GROVE INTERNAL MEDICINE, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 27 Aug 1996
Date of Dissolution: 12 Jan 2024
Company Number: CORP_59017748
File Number: 59017748
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 12 Jan 2024
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH GROVE INTERNAL MEDICINE, S.C. PROFIT SHARING PLAN AND TRUST 2017 364102012 2018-03-26 NORTH GROVE INTERNAL MEDICINE, S.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 8477848870
Plan sponsor’s address DR. RICHARD STERN, 200 RED OAK LANE, HIGHLAND PARK, IL, 60035

Signature of
Role Plan administrator
Date 2018-03-26
Name of individual signing RICHARD STERN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-26
Name of individual signing RICHARD STERN
Valid signature Filed with authorized/valid electronic signature
NORTH GROVE INTERNAL MEDICINE, S.C. PROFIT SHARING PLAN AND TRUST 2016 364102012 2017-07-18 NORTH GROVE INTERNAL MEDICINE, S.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 8477848870
Plan sponsor’s address DR. RICHARD STERN, 200 RED OAK LANE, HIGHLAND PARK, IL, 60035

Signature of
Role Plan administrator
Date 2017-07-14
Name of individual signing RICHARD STERN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-14
Name of individual signing RICHARD STERN
Valid signature Filed with authorized/valid electronic signature
NORTH GROVE INTERNAL MEDICINE, S.C. PROFIT SHARING PLAN AND TRUST 2015 364102012 2016-10-06 NORTH GROVE INTERNAL MEDICINE, S.C. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 8477848870
Plan sponsor’s address 800 OAK ST., SUITE 111, WINNETKA, IL, 60093

Signature of
Role Plan administrator
Date 2016-10-06
Name of individual signing RICHARD STERN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-06
Name of individual signing RICHARD STERN
Valid signature Filed with authorized/valid electronic signature
NORTH GROVE INTERNAL MEDICINE, S.C. PROFIT SHARING PLAN AND TRUST 2014 364102012 2015-10-08 NORTH GROVE INTERNAL MEDICINE, S.C. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 8477848870
Plan sponsor’s address 800 OAK ST., SUITE 111, WINNETKA, IL, 60093

Signature of
Role Plan administrator
Date 2015-10-08
Name of individual signing RICHARD STERN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-08
Name of individual signing RICHARD STERN
Valid signature Filed with authorized/valid electronic signature
NORTH GROVE INTERNAL MEDICINE, S.C. PROFIT SHARING PLAN AND TRUST 2013 364102012 2014-10-09 NORTH GROVE INTERNAL MEDICINE, S.C. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 8477848870
Plan sponsor’s address 800 OAK ST., SUITE 111, WINNETKA, IL, 60093

Signature of
Role Plan administrator
Date 2014-10-09
Name of individual signing RICHARD STERN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-09
Name of individual signing RICHARD STERN
Valid signature Filed with authorized/valid electronic signature
NORTH GROVE INTERNAL MEDICINE, S.C. PROFIT SHARING PLAN AND TRUST 2012 364102012 2013-10-10 NORTH GROVE INTERNAL MEDICINE, S.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 8477848870
Plan sponsor’s address 800 OAK ST., SUITE 111, WINNETKA, IL, 60093

Signature of
Role Plan administrator
Date 2013-10-10
Name of individual signing RICHARD STERN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-10
Name of individual signing RICHARD STERN
Valid signature Filed with authorized/valid electronic signature
NORTH GROVE INTERNAL MEDICINE, S.C. PROFIT SHARING PLAN AND TRUST 2011 364102012 2012-10-08 NORTH GROVE INTERNAL MEDICINE, S.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 8477848870
Plan sponsor’s address 800 OAK ST., SUITE 111, WINNETKA, IL, 60093

Plan administrator’s name and address
Administrator’s EIN 364102012
Plan administrator’s name NORTH GROVE INTERNAL MEDICINE, S.C.
Plan administrator’s address 800 OAK ST., SUITE 111, WINNETKA, IL, 60093
Administrator’s telephone number 8477848870

Signature of
Role Plan administrator
Date 2012-10-08
Name of individual signing RICHARD STERN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-08
Name of individual signing RICHARD STERN
Valid signature Filed with authorized/valid electronic signature
NORTH GROVE INTERNAL MEDICINE, S.C. PROFIT SHARING PLAN AND TRUST 2010 364102012 2011-10-17 NORTH GROVE INTERNAL MEDICINE, S.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 8477848870
Plan sponsor’s address 800 OAK ST., SUITE 111, WINNETKA, IL, 60093

Plan administrator’s name and address
Administrator’s EIN 364102012
Plan administrator’s name NORTH GROVE INTERNAL MEDICINE, S.C.
Plan administrator’s address 800 OAK ST., SUITE 111, WINNETKA, IL, 60093
Administrator’s telephone number 8477848870

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing RICHARD STERN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-17
Name of individual signing RICHARD STERN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SANTIAGO CANDOCIA, 2807 WILDFLOWER CT, GLENVIEW, 60026, COOK-NOT IN CITY OF CHICAGO Agent 2018-08-02

President

Name and Address Role
SANTIAGO CANDOCIA 2807 WILDFLOWER CT GLENVIEW 60026 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100000 1000000 1
PREFERRED No data No Voting Rights 100000 1000000 1.8

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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