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  5. NORTHWEST SUBURBAN IMAGING ASSOCIATES, S.C.

NORTHWEST SUBURBAN IMAGING ASSOCIATES, S.C.

Company Details

Entity Name: NORTHWEST SUBURBAN IMAGING ASSOCIATES, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 20 Aug 2002
Company Number: CORP_62377526
File Number: 62377526
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
NORTHWEST SUBURBAN IMAGING ASSOCIATES. S.C. PROFIT SHARING PLAN & TRUST 2020 721531979 2021-09-29 NORTHWEST SUBURBAN IMAGING ASSOCIATES. S.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8474298732
Plan sponsor’s address 38W808 GOLDENROD DRIVE, ST CHARLES, IL, 60175
NORTHWEST SUBURBAN IMAGING ASSOCIATES. S.C. PROFIT SHARING PLAN & TRUST 2019 721531979 2020-07-14 NORTHWEST SUBURBAN IMAGING ASSOCIATES. S.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8474298732
Plan sponsor’s address 38W808 GOLDENROD DRIVE, ST CHARLES, IL, 60175
NORTHWEST SUBURBAN IMAGING ASSOCIATES. S.C. PROFIT SHARING PLAN & TRUST 2018 721531979 2019-09-17 NORTHWEST SUBURBAN IMAGING ASSOCIATES. S.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8474298732
Plan sponsor’s address 38W808 GOLDENROD DRIVE, ST CHARLES, IL, 60175
NORTHWEST SUBURBAN IMAGING ASSOCIATES. S.C. PROFIT SHARING PLAN & TRUST 2017 721531979 2018-10-10 NORTHWEST SUBURBAN IMAGING ASSOCIATES. S.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8474298732
Plan sponsor’s address 38W808 GOLDENROD DRIVE, ST CHARLES, IL, 60175
NORTHWEST SUBURBAN IMAGING ASSOCIATES. S.C. PROFIT SHARING PLAN & TRUST 2016 721531979 2017-09-27 NORTHWEST SUBURBAN IMAGING ASSOCIATES. S.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8474298732
Plan sponsor’s address 38W808 GOLDENROD DRIVE, ST CHARLES, IL, 60175
NORTHWEST SUBURBAN IMAGING ASSOCIATES. S.C. PROFIT SHARING PLAN & TRUST 2015 721531979 2016-08-26 NORTHWEST SUBURBAN IMAGING ASSOCIATES. S.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8474298732
Plan sponsor’s address 38W808 GOLDENROD DRIVE, ST CHARLES, IL, 60175
NORTHWEST SUBURBAN IMAGING ASSOCIATES. S.C. PROFIT SHARING PLAN & TRUST 2014 721531979 2015-09-03 NORTHWEST SUBURBAN IMAGING ASSOCIATES. S.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8474298732
Plan sponsor’s address 38W808 GOLDENROD DRIVE, ST CHARLES, IL, 60175
NORTHWEST SUBURBAN IMAGING ASSOCIATES. S.C. PROFIT SHARING PLAN & TRUST 2013 721531979 2014-09-08 NORTHWEST SUBURBAN IMAGING ASSOCIATES. S.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8474298732
Plan sponsor’s address 14 STONE RIDGE DRIVE, SO. BARRINGTON, IL, 60010
NORTHWEST SUBURBAN IMAGING ASSOCIATES. S.C. PROFIT SHARING PLAN & TRUST 2012 721531979 2013-10-14 NORTHWEST SUBURBAN IMAGING ASSOCIATES. S.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8474298732
Plan sponsor’s address 14 STONE RIDGE DRIVE, SO. BARRINGTON, IL, 60010

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing AJAY MEHTA, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-14
Name of individual signing AJAY MEHTA, M.D.
Valid signature Filed with authorized/valid electronic signature
NORTHWEST SUBURBAN IMAGING ASSOCIATES. S.C. PROFIT SHARING PLAN & TRUST 2011 721531979 2012-10-12 NORTHWEST SUBURBAN IMAGING ASSOCIATES. S.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 8474298732
Plan sponsor’s address 14 STONE RIDGE DRIVE, SO. BARRINGTON, IL, 60010

Plan administrator’s name and address
Administrator’s EIN 721531979
Plan administrator’s name NORTHWEST SUBURBAN IMAGING ASSOCIATES. S.C.
Plan administrator’s address 14 STONE RIDGE DRIVE, SO. BARRINGTON, IL, 60010
Administrator’s telephone number 8474298732

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing AJAY MEHTA, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-12
Name of individual signing AJAY MEHTA, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
AMITABH SINGH, DEPT OF RADIOLOGY 1425 RANDALL, ELGIN, 60123, KANE Agent 2015-08-06

President

Name and Address Role
AMITABH SINGH 39W808 GOLDENRODDR ST CHARLES IL 60175 President

Secretary

Name and Address Role
SUBBA RAJU 3 BROOKE LANE SOUTH BARRINGTON IL 60010 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 9000000 1

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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