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MED-PEDS ASSOCIATES, P.C.

Company Details

Entity Name: MED-PEDS ASSOCIATES, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 29 Nov 1999
Company Number: CORP_60779317
File Number: 60779317
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
MED-PEDS ASSOCIATES, P.C. PROFIT SHARING PLAN AND TRUST 2016 364332222 2017-07-17 MED-PEDS ASSOCIATES, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8159330194
Plan sponsor’s address 375 N. WALL STREET - SUITE P520, KANKAKEE, IL, 60901

Signature of

Role Plan administrator
Date 2017-07-17
Name of individual signing STONEWALL MCCUISTON JR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-17
Name of individual signing STONEWALL MCCUISTON JR
Valid signature Filed with authorized/valid electronic signature
MED-PEDS ASSOCIATES, P.C. PROFIT SHARING PLAN 2015 364332222 2016-09-08 MED-PEDS ASSOCIATES, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8159330194
Plan sponsor’s address 375 N. WALL STREET - SUITE P520, KANKAKEE, IL, 60901

Signature of

Role Plan administrator
Date 2016-09-08
Name of individual signing STONEWALL MCCUISTON, JR, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-08
Name of individual signing STONEWALL MCCUISTON, JR, MD
Valid signature Filed with authorized/valid electronic signature
MED-PEDS ASSOCIATES, P.C. PROFIT SHARING PLAN 2014 364332222 2015-10-15 MED-PEDS ASSOCIATES, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8159330194
Plan sponsor’s address 375 N. WALL STREET - SUITE P520, KANKAKEE, IL, 60901

Signature of

Role Plan administrator
Date 2015-10-15
Name of individual signing STONEWALL MCCUISTON JR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-15
Name of individual signing STONEWALL MCCUISTON JR
Valid signature Filed with authorized/valid electronic signature
MED-PEDS ASSOCIATES, P.C. PROFIT SHARING PLAN 2013 364332222 2014-07-23 MED-PEDS ASSOCIATES, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8159330194
Plan sponsor’s address 375 N. WALL STREET - SUITE P520, KANKAKEE, IL, 60901

Signature of

Role Plan administrator
Date 2014-07-22
Name of individual signing STONEWALL MCCUISTON, JR.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-22
Name of individual signing STONEWALL MCCUISTON, JR.
Valid signature Filed with authorized/valid electronic signature
MED-PEDS ASSOCIATES, P.C. PROFIT SHARING PLAN 2012 364332222 2013-05-08 MED-PEDS ASSOCIATES, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8159330194
Plan sponsor’s address 375 N. WALL STREET - SUITE P520, KANKAKEE, IL, 60901

Signature of

Role Plan administrator
Date 2013-05-08
Name of individual signing STONEWALL MCCUISTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-08
Name of individual signing STONEWALL MCCUISTON
Valid signature Filed with authorized/valid electronic signature
MED-PEDS ASSOCIATES, P.C. PROFIT SHARING PLAN 2011 364332222 2012-07-19 MED-PEDS ASSOCIATES, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8159330194
Plan sponsor’s address 375 N. WALL STREET - SUITE P520, KANKAKEE, IL, 60901

Plan administrator’s name and address

Administrator’s EIN 364332222
Plan administrator’s name MED-PEDS ASSOCIATES, P.C.
Plan administrator’s address 375 N. WALL STREET - SUITE P520, KANKAKEE, IL, 60901
Administrator’s telephone number 8159330194

Signature of

Role Plan administrator
Date 2012-07-18
Name of individual signing STONEWALL MCCUISTON, JR, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-18
Name of individual signing STONEWALL MCCUISTON, JR, MD
Valid signature Filed with authorized/valid electronic signature
MED-PEDS ASSOCIATES, P.C. PROFIT SHARING PLAN 2010 364332222 2011-06-17 MED-PEDS ASSOCIATES, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8159330194
Plan sponsor’s address 375 N. WALL STREET - SUITE P520, KANKAKEE, IL, 60901

Plan administrator’s name and address

Administrator’s EIN 364332222
Plan administrator’s name MED-PEDS ASSOCIATES, P.C.
Plan administrator’s address 375 N. WALL STREET - SUITE P520, KANKAKEE, IL, 60901
Administrator’s telephone number 8159330194

Signature of

Role Plan administrator
Date 2011-06-16
Name of individual signing STONEWALL MCCUISTON, JR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-16
Name of individual signing STONEWALL MCCUISTON, JR
Valid signature Filed with authorized/valid electronic signature
MED-PEDS ASSOCIATES, P.C. PROFIT SHARING PLAN 2009 364332222 2010-10-04 MED-PEDS ASSOCIATES, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 8159330194
Plan sponsor’s address 375 N. WALL STREET - SUITE P520, KANKAKEE, IL, 60901

Plan administrator’s name and address

Administrator’s EIN 364332222
Plan administrator’s name MED-PEDS ASSOCIATES, P.C.
Plan administrator’s address 375 N. WALL STREET - SUITE P520, KANKAKEE, IL, 60901
Administrator’s telephone number 8159330194

Signature of

Role Plan administrator
Date 2010-10-04
Name of individual signing STONEWALL MCCUISTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-04
Name of individual signing STONEWALL MCCUISTON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MARC E SHERWOOD, 218 N JEFFERSON ST #401, CHICAGO, 60661, COOK-NOT IN CITY OF CHICAGO Agent 2006-10-12

President

Name and Address Role
STONEWALL MCCUISTON, 375 N WALL ST, KANKAKEE 60901 President

Secretary

Name and Address Role
STONEWALL MCCUISTON 375 N WALLST KANKAKEE IL 60901 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 1

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State