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  5. DR. SUSAN RIFE AND ASSOCIATES FAMILY MEDICINE, S.C.

DR. SUSAN RIFE AND ASSOCIATES FAMILY MEDICINE, S.C.

Company Details

Entity Name: DR. SUSAN RIFE AND ASSOCIATES FAMILY MEDICINE, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 15 Jun 1999
Company Number: CORP_60538468
File Number: 60538468
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
DR. SUSAN RIFE AND ASSOCIATES FAMILY MEDICINE, S.C. CASH BALANCE PENSION PLAN AND TRUST 2023 364302433 2024-08-20 DR. SUSAN RIFE AND ASSOCIATES FAMILY MEDICINE, S.C. 16
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7088731187
Plan sponsor’s address 10755 W. 163RD PLACE, ORLAND PARK, IL, 60467

Signature of
Role Plan administrator
Date 2024-08-21
Name of individual signing ROBERT RIFE
Valid signature Filed with authorized/valid electronic signature
DR. SUSAN RIFE AND ASSOCIATES FAMILY MEDICINE, S.C. CASH BALANCE PENSION PLAN AND TRUST 2022 364302433 2023-04-27 DR. SUSAN RIFE AND ASSOCIATES FAMILY MEDICINE, S.C. 16
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7088731187
Plan sponsor’s address 10755 W. 163RD PLACE, ORLAND PARK, IL, 60467

Signature of
Role Plan administrator
Date 2023-04-27
Name of individual signing ROBERT RIFE
Valid signature Filed with authorized/valid electronic signature
SUSAN B. RIFE FAMILY MEDICINE SC PROFIT SHARING PLAN 2021 364302433 2022-10-10 DR. SUSAN RIFE AND ASSOCIATES FAMILY MEDICINE, S.C. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 7088731187
Plan sponsor’s address 10755 W. 163RD PLACE, ORLAND PARK, IL, 60467

Signature of
Role Plan administrator
Date 2022-10-10
Name of individual signing ROBERT RIFE
Valid signature Filed with authorized/valid electronic signature
DR. SUSAN RIFE AND ASSOCIATES FAMILY MEDICINE, S.C. CASH BALANCE PENSION PLAN AND TRUST 2021 364302433 2022-08-29 DR. SUSAN RIFE AND ASSOCIATES FAMILY MEDICINE, S.C. 22
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7088731187
Plan sponsor’s address 10755 W. 163RD PLACE, ORLAND PARK, IL, 60467

Signature of
Role Plan administrator
Date 2022-08-29
Name of individual signing ROBERT RIFE
Valid signature Filed with authorized/valid electronic signature
SUSAN B. RIFE FAMILY MEDICINE SC PROFIT SHARING PLAN 2020 364302433 2021-10-18 DR. SUSAN RIFE AND ASSOCIATES FAMILY MEDICINE, S.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 7088731187
Plan sponsor’s address 10755 W. 163RD PLACE, ORLAND PARK, IL, 60467

Signature of
Role Plan administrator
Date 2021-10-18
Name of individual signing ROBERT RIFE
Valid signature Filed with authorized/valid electronic signature
DR. SUSAN RIFE AND ASSOCIATES FAMILY MEDICINE, S.C. CASH BALANCE PENSION PLAN AND TRUST 2020 364302433 2021-10-13 DR. SUSAN RIFE AND ASSOCIATES FAMILY MEDICINE, S.C. 20
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7088731187
Plan sponsor’s address 10755 W. 163RD PLACE, ORLAND PARK, IL, 60467

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing ROBERT RIFE
Valid signature Filed with authorized/valid electronic signature
DR. SUSAN RIFE AND ASSOCIATES FAMILY MEDICINE, S.C. CASH BALANCE PENSION PLAN AND TRUST 2019 364302433 2020-06-29 DR. SUSAN RIFE AND ASSOCIATES FAMILY MEDICINE, S.C. 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7088731187
Plan sponsor’s address 10755 W. 163RD PLACE, ORLAND PARK, IL, 60467

Signature of
Role Plan administrator
Date 2020-06-29
Name of individual signing ROBERT RIFE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-29
Name of individual signing ROBERT RIFE
Valid signature Filed with authorized/valid electronic signature
SUSAN B. RIFE FAMILY MEDICINE SC PROFIT SHARING PLAN 2019 364302433 2020-06-29 DR. SUSAN RIFE AND ASSOCIATES FAMILY MEDICINE, S.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 7088731187
Plan sponsor’s address 10755 W. 163RD PLACE, ORLAND PARK, IL, 60467

Signature of
Role Plan administrator
Date 2020-06-29
Name of individual signing ROBERT RIFE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-29
Name of individual signing ROBERT RIFE
Valid signature Filed with authorized/valid electronic signature
SUSAN B. RIFE FAMILY MEDICINE SC PROFIT SHARING PLAN 2018 364302433 2019-10-08 DR. SUSAN RIFE AND ASSOCIATES FAMILY MEDICINE, S.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 7088731187
Plan sponsor’s address 10755 W. 163RD PLACE, ORLAND PARK, IL, 60467

Signature of
Role Plan administrator
Date 2019-10-08
Name of individual signing ROBERT RIFE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-08
Name of individual signing ROBERT RIFE
Valid signature Filed with authorized/valid electronic signature
DR. SUSAN RIFE AND ASSOCIATES FAMILY MEDICINE, S.C. CASH BALANCE PENSION PLAN AND TRUST 2018 364302433 2019-10-08 DR. SUSAN RIFE AND ASSOCIATES FAMILY MEDICINE, S.C. 17
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7088731187
Plan sponsor’s address 10755 W. 163RD PLACE, ORLAND PARK, IL, 60467

Signature of
Role Plan administrator
Date 2019-10-08
Name of individual signing ROBERT RIFE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-08
Name of individual signing ROBERT RIFE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
WILLIAM A. WALKER, 180 N. LASALLE STREET SUITE 3600, CHICAGO, 60601, COOK-NOT IN CITY OF CHICAGO Agent 2023-06-28

President

Name and Address Role
SUSAN RIFE, OD 10755 W, 163RDPLACE ORLAND PARK IL, 60467 President

Secretary

Name and Address Role
SUSAN RIFE, OD 10755 W, 163RDPLACE ORLAND PARK IL, 60467 Secretary

Historical Names

Name Change Date
DR. SUSAN RIFE FAMILY MEDICINE S.C. 2002-01-29

Shares

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

Related by officers

WILLIAM A. WALKER, 180 N. LASALLE STREET SUITE 3600, CHICAGO, 60601, COOK-NOT IN CITY OF CHICAGO

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Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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