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NORTH SUBURBAN MEDICAL OFFICE, LTD.

Company Details

Entity Name: NORTH SUBURBAN MEDICAL OFFICE, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 16 Apr 2002
Company Number: CORP_62165502
File Number: 62165502
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
NORTH SUBURBAN MEDICAL OFFICE, LTD. 401(K) PLAN & TRUST 2023 300068544 2024-10-09 NORTH SUBURBAN MEDICAL OFFICE, LTD. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 8478550300
Plan sponsor’s address 1445 N. HUNT CLUB ROAD, SUITE 102, GURNEE, IL, 600312656

Signature of

Role Plan administrator
Date 2024-10-09
Name of individual signing LISA MUN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-09
Name of individual signing LISA MUN
Valid signature Filed with authorized/valid electronic signature
NORTH SUBURBAN MEDICAL OFFICE, LTD. CASH BALANCE PLAN & TRUST 2023 300068544 2024-10-09 NORTH SUBURBAN MEDICAL OFFICE, LTD. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 8478550300
Plan sponsor’s address 1445 N. HUNT CLUB ROAD, SUITE 102, GURNEE, IL, 600312656

Signature of

Role Plan administrator
Date 2024-10-09
Name of individual signing LISA MUN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-09
Name of individual signing LISA MUN
Valid signature Filed with authorized/valid electronic signature
NORTH SUBURBAN MEDICAL OFFICE, LTD. 401(K) PLAN & TRUST 2022 300068544 2023-07-05 NORTH SUBURBAN MEDICAL OFFICE, LTD. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 8478550300
Plan sponsor’s address 1445 N. HUNT CLUB ROAD, SUITE 102, GURNEE, IL, 600312656

Signature of

Role Plan administrator
Date 2023-07-05
Name of individual signing JOSEPH MUN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-05
Name of individual signing JOSEPH MUN
Valid signature Filed with authorized/valid electronic signature
NORTH SUBURBAN MEDICAL OFFICE, LTD. CASH BALANCE PLAN & TRUST 2022 300068544 2023-08-25 NORTH SUBURBAN MEDICAL OFFICE, LTD. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 8478550300
Plan sponsor’s address 1445 N. HUNT CLUB ROAD, SUITE 102, GURNEE, IL, 600312656

Signature of

Role Plan administrator
Date 2023-08-25
Name of individual signing JOSEPH MUN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-25
Name of individual signing JOSEPH MUN
Valid signature Filed with authorized/valid electronic signature
NORTH SUBURBAN MEDICAL OFFICE, LTD. 401(K) PLAN & TRUST 2021 300068544 2022-07-05 NORTH SUBURBAN MEDICAL OFFICE, LTD. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 8478550300
Plan sponsor’s address 1445 N. HUNT CLUB ROAD, SUITE 102, GURNEE, IL, 600312656

Signature of

Role Plan administrator
Date 2022-07-05
Name of individual signing JOSEPH MUN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-05
Name of individual signing JOSEPH MUN
Valid signature Filed with authorized/valid electronic signature
NORTH SUBURBAN MEDICAL OFFICE, LTD. CASH BALANCE PLAN & TRUST 2021 300068544 2022-10-12 NORTH SUBURBAN MEDICAL OFFICE, LTD. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 8478550300
Plan sponsor’s address 1445 N. HUNT CLUB ROAD, SUITE 102, GURNEE, IL, 600312656

Signature of

Role Plan administrator
Date 2022-10-12
Name of individual signing JOSEPH MUN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-12
Name of individual signing JOSEPH MUN
Valid signature Filed with authorized/valid electronic signature
NORTH SUBURBAN MEDICAL OFFICE, LTD. CASH BALANCE PLAN & TRUST 2020 300068544 2021-10-14 NORTH SUBURBAN MEDICAL OFFICE, LTD. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 8478550300
Plan sponsor’s address 1445 N. HUNT CLUB ROAD, SUITE 102, GURNEE, IL, 600312656

Signature of

Role Plan administrator
Date 2021-10-14
Name of individual signing JOSEPH MUN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-14
Name of individual signing JOSEPH MUN
Valid signature Filed with authorized/valid electronic signature
NORTH SUBURBAN MEDICAL OFFICE, LTD. 401(K) PLAN & TRUST 2020 300068544 2021-07-13 NORTH SUBURBAN MEDICAL OFFICE, LTD. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 8478550300
Plan sponsor’s address 1445 N. HUNT CLUB ROAD, SUITE 102, GURNEE, IL, 600312656

Signature of

Role Plan administrator
Date 2021-07-13
Name of individual signing LISA MUN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-13
Name of individual signing LISA MUN
Valid signature Filed with authorized/valid electronic signature
NORTH SUBURBAN MEDICAL OFFICE, LTD. CASH BALANCE PLAN & TRUST 2019 300068544 2020-10-12 NORTH SUBURBAN MEDICAL OFFICE, LTD. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 8478550300
Plan sponsor’s address 1445 N. HUNT CLUB ROAD, SUITE 102, GURNEE, IL, 600312656

Signature of

Role Plan administrator
Date 2020-10-12
Name of individual signing JOSEPH MUN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-12
Name of individual signing JOSEPH MUN
Valid signature Filed with authorized/valid electronic signature
NORTH SUBURBAN MEDICAL OFFICE, LTD. 401(K) PLAN & TRUST 2019 300068544 2020-05-11 NORTH SUBURBAN MEDICAL OFFICE, LTD. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 8478550300
Plan sponsor’s address 1445 N. HUNT CLUB ROAD, SUITE 102, GURNEE, IL, 600312656

Signature of

Role Plan administrator
Date 2020-05-11
Name of individual signing JOSEPH MUN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-11
Name of individual signing JOSEPH MUN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOSEPH MUN, 1445 N HUNT CLUB RD STE 301, GURNEE, 60031, LAKE Agent 2003-07-03

President

Name and Address Role
JOSEPH MUN, 1445 N HUNT CLUB #102, GURNEE IL 60031 President

Secretary

Name and Address Role
JOSEPH MUN, 1445 N HUNT CLUB #102, GURNEE IL 60031 Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042617672 No data No data REGISTERED MEDICAL CORPORATION No data 2002-05-21 2002-05-21 2004-01-01

Shares

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

Date of last update: 13 Feb 2025

Sources: Illinois Office of the Secretary of State