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NORTHWESTERN PERINATAL ASSOCIATES, S.C.

Company Details

Entity Name: NORTHWESTERN PERINATAL ASSOCIATES, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 28 Feb 2001
Date of Dissolution: 08 Jul 2022
Company Number: CORP_61498516
File Number: 61498516
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 08 Jul 2022
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHWESTERN PERINATAL ASSOCIATES, S.C. RETIREMENT PLAN 2014 364431341 2015-10-07 NORTHWESTERN PERINATAL ASSOCIATES, S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8478235446
Plan sponsor’s address 2002 DEVON AVE., PARK RIDGE, IL, 60068

Signature of

Role Plan administrator
Date 2015-10-07
Name of individual signing MARILYNN C. FREDERIKSEN
Valid signature Filed with authorized/valid electronic signature
NORTHWESTERN PERINATAL ASSOCIATES, S.C. RETIREMENT PLAN 2013 364431341 2014-10-02 NORTHWESTERN PERINATAL ASSOCIATES, S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8478235446
Plan sponsor’s address 2002 DEVON AVE., PARK RIDGE, IL, 60068

Signature of

Role Plan administrator
Date 2014-10-02
Name of individual signing MARILYNN C. FREDERIKSEN
Valid signature Filed with authorized/valid electronic signature
NORTHWESTERN PERINATAL ASSOCIATES, S.C. RETIREMENT PLAN 2012 364431341 2013-08-30 NORTHWESTERN PERINATAL ASSOCIATES, S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3129814350
Plan sponsor’s address 680 N. LAKE SHORE DRIVE, SUITE 1428, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2013-08-30
Name of individual signing MARILYNN C. FREDERIKSEN
Valid signature Filed with authorized/valid electronic signature
NORTHWESTERN PERINATAL ASSOCIATES, S.C. RETIREMENT PLAN 2011 364431341 2012-09-17 NORTHWESTERN PERINATAL ASSOCIATES, S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3129814350
Plan sponsor’s address 680 N. LAKE SHORE DRIVE, SUITE 1428, CHICAGO, IL, 60611

Plan administrator’s name and address

Administrator’s EIN 364431341
Plan administrator’s name NORTHWESTERN PERINATAL ASSOCIATES, S.C.
Plan administrator’s address 680 N. LAKE SHORE DRIVE, SUITE 1428, CHICAGO, IL, 60611
Administrator’s telephone number 3129814350

Signature of

Role Plan administrator
Date 2012-09-17
Name of individual signing MARILYNN C. FREDERIKSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-17
Name of individual signing MARILYNN C. FREDERIKSEN
Valid signature Filed with authorized/valid electronic signature
NORTHWESTERN PERINATAL ASSOCIATES, S.C. RETIREMENT PLAN 2010 364431341 2011-08-31 NORTHWESTERN PERINATAL ASSOCIATES, S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3129814350
Plan sponsor’s address 680 N. LAKE SHORE DRIVE, SUITE 1428, CHICAGO, IL, 60611

Plan administrator’s name and address

Administrator’s EIN 364431341
Plan administrator’s name NORTHWESTERN PERINATAL ASSOCIATES, S.C.
Plan administrator’s address 680 N. LAKE SHORE DRIVE, SUITE 1428, CHICAGO, IL, 60611
Administrator’s telephone number 3129814350

Signature of

Role Plan administrator
Date 2011-08-31
Name of individual signing MARILYNN C. FREDERIKSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-31
Name of individual signing MARILYNN C. FREDERIKSEN
Valid signature Filed with authorized/valid electronic signature
NORTHWESTERN PERINATAL ASSOCIATES, S.C. RETIREMENT PLAN 2009 364431341 2010-08-12 NORTHWESTERN PERINATAL ASSOCIATES, S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3129814350
Plan sponsor’s address 680 N. LAKE SHORE DRIVE, SUITE 1428, CHICAGO, IL, 60611

Plan administrator’s name and address

Administrator’s EIN 364431341
Plan administrator’s name NORTHWESTERN PERINATAL ASSOCIATES, S.C.
Plan administrator’s address 680 N. LAKE SHORE DRIVE, SUITE 1428, CHICAGO, IL, 60611
Administrator’s telephone number 3129814350

Signature of

Role Plan administrator
Date 2010-08-12
Name of individual signing MARILYNN C. FREDERIKSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-12
Name of individual signing MARILYNN C. FREDERIKSEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MARILYNN FREDERIKSEN, 2002 DEVON AVE, PARK RIDGE, 60068, COOK-NOT IN CITY OF CHICAGO Agent 2018-11-29

President

Name and Address Role
MARILYNN FREDERIKSEN 2002 DEVON PARK RIDGE IL 60068 President

Shares

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

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State