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WINDY CITY ANESTHESIA, P.C.

Company Details

Entity Name: WINDY CITY ANESTHESIA, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 26 Mar 2001
Company Number: CORP_61555315
File Number: 61555315
Type of Business: Incorporated under the Professional Service Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WINDY CITY ANESTHESIA P C 401(K) PLAN 2023 364431853 2024-05-31 WINDY CITY ANESTHESIA P C 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8155344792
Plan sponsor’s address 21120 WASHINGTON PARKWAY, FRANKFORT, IL, 60423

Signature of

Role Plan administrator
Date 2024-05-31
Name of individual signing WENDY BENDOTTI
Valid signature Filed with authorized/valid electronic signature
WINDY CITY ANESTHESIA P C 401(K) PLAN 2022 364431853 2023-06-01 WINDY CITY ANESTHESIA P C 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8155344792
Plan sponsor’s address 21120 WASHINGTON PKWY., FRANKFORT, IL, 60423

Signature of

Role Plan administrator
Date 2023-06-01
Name of individual signing WENDY BENDOTTI
Valid signature Filed with authorized/valid electronic signature
WINDY CITY ANESTHESIA P C 401(K) PLAN 2021 364431853 2022-05-19 WINDY CITY ANESTHESIA P C 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8154699750
Plan sponsor’s address 21120 WASHINGTON PARKWAY, FRANKFORT, IL, 60423

Signature of

Role Plan administrator
Date 2022-05-19
Name of individual signing AMANDA BORVAN
Valid signature Filed with authorized/valid electronic signature
WINDY CITY ANESTHESIA P C 401(K) PLAN 2020 364431853 2021-07-02 WINDY CITY ANESTHESIA P C 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8154699750
Plan sponsor’s address 21120 WASHINGTON PARKWAY, FRANKFORT, IL, 60423

Signature of

Role Plan administrator
Date 2021-07-02
Name of individual signing AMANDA BORVAN
Valid signature Filed with authorized/valid electronic signature
WINDY CITY ANESTHESIA P C 401(K) PLAN 2019 364431853 2020-07-16 WINDY CITY ANESTHESIA P C 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8154699750
Plan sponsor’s address 21120 WASHINGTON PARKWAY, FRANKFORT, IL, 60423

Signature of

Role Plan administrator
Date 2020-07-16
Name of individual signing WENDY ESTRADA
Valid signature Filed with authorized/valid electronic signature
WINDY CITY ANESTHESIA P C 401(K) PLAN 2017 364431853 2018-10-24 WINDY CITY ANESTHESIA P C 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621399
Plan sponsor’s address 21120 WASHINGTON PARKWAY, FRANKFORT, IL, 60423
WINDY CITY ANESTHESIA P C 401(K) PLAN 2017 364431853 2018-07-27 WINDY CITY ANESTHESIA P C 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8154699750
Plan sponsor’s address 21120 WASHINGTON PARKWAY, FRANKFORT, IL, 60423

Signature of

Role Plan administrator
Date 2018-07-27
Name of individual signing MARIA JUAREZ
Valid signature Filed with authorized/valid electronic signature
WINDY CITY ANESTHESIA P C 401(K) PLAN 2016 364431853 2017-06-09 WINDY CITY ANESTHESIA P C 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8154699750
Plan sponsor’s address 21120 WASHINGTON PARKWAY, FRANKFORT, IL, 60423

Signature of

Role Plan administrator
Date 2017-06-09
Name of individual signing AMANDA SPRINKLE
Valid signature Filed with authorized/valid electronic signature
WINDY CITY ANESTHESIA P C 401(K) PLAN 2015 364431853 2016-09-19 WINDY CITY ANESTHESIA P C 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8154699750
Plan sponsor’s address 21120 WASHINGTON PARKWAY, FRANKFORT, IL, 60423

Signature of

Role Plan administrator
Date 2016-09-19
Name of individual signing LUANN BORVAN
Valid signature Filed with authorized/valid electronic signature
WINDY CITY ANESTHESIA P C 401(K) PLAN 2014 364431853 2017-05-11 WINDY CITY ANESTHESIA P C 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621399
Sponsor’s telephone number 8154699750
Plan sponsor’s address 21120 WASHINGTON PARKWAY, FRANKFORT, IL, 60423

Signature of

Role Plan administrator
Date 2017-05-11
Name of individual signing AMANDA SPRINKLE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DANIEL W BORVAN, 21120 WASHINGTON PARKWAY, FRANKFORT, 60423, WILL Agent 2015-07-21

President

Name and Address Role
DANIEL BORVAN, 12605 CHISZAR DRIVE, MOKENA IL 60448 President

Secretary

Name and Address Role
DANIEL BORVAN, 12605 CHISZAR DRIVE, MOKENA IL 60448 Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PROF SERVICE CORP 060011543 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 2015-08-11 2016-05-20 2017-01-01

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
MOTOR CITY ANESTHESIA, P.C. No data 2012-05-10 2015-08-01 Involuntary Cancellation No data

Shares

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1526117710 2020-05-01 0507 PPP 12605 CHISZAR DR, MOKENA, IL, 60448
Loan Status Date 2022-01-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 375000
Loan Approval Amount (current) 375000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MOKENA, WILL, IL, 60448-0001
Project Congressional District IL-01
Number of Employees 32
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 380931.04
Forgiveness Paid Date 2021-12-06
5818048709 2021-04-03 0507 PPS 12605 Chiszar Dr, Mokena, IL, 60448-1681
Loan Status Date 2022-02-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 148297
Loan Approval Amount (current) 148297
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Mokena, WILL, IL, 60448-1681
Project Congressional District IL-01
Number of Employees 56
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 48270
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address COLUMBUS, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 149370.84
Forgiveness Paid Date 2021-12-29

Date of last update: 13 Feb 2025

Sources: Illinois Office of the Secretary of State