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  5. ILLINOIS ANESTHESIA ASSOCIATES, P.C.

ILLINOIS ANESTHESIA ASSOCIATES, P.C.

Company Details

Entity Name: ILLINOIS ANESTHESIA ASSOCIATES, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 17 Jan 2003
Date of Dissolution: 13 Jun 2014
Company Number: CORP_62617632
File Number: 62617632
Type of Business: Incorporated under the Professional Service Corporation Act
Date Status Change: 13 Jun 2014
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
IAA, P.C. 401(K) PLAN 2012 820581923 2013-07-24 ILLINOIS ANESTHESIA ASSOCIATES, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 8159357515
Plan sponsor’s address 305 NORTH WALL STREET, KANKAKEE, IL, 60901

Signature of
Role Plan administrator
Date 2013-07-24
Name of individual signing JOHN MITCHELL, M.D.
Valid signature Filed with authorized/valid electronic signature
ILLINOIS ANESTHESIA ASSOCIATES, P.C. CASH BALANCE PENSION PLAN 2012 820581923 2013-10-15 ILLINOIS ANESTHESIA ASSOCIATES, P.C 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 8159357515
Plan sponsor’s address 350 N. WALL STREET, KANKAKEE, IL, 60901

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing JOHN MITCHELL, M.D.
Valid signature Filed with authorized/valid electronic signature
ILLINOIS ANESTHESIA ASSOCIATES, P.C. CASH BALANCE PENSION PLAN 2011 820581923 2012-10-14 ILLINOIS ANESTHESIA ASSOCIATES, P.C 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 8159357515
Plan sponsor’s address 350 N. WALL STREET, KANKAKEE, IL, 60901

Plan administrator’s name and address
Administrator’s EIN 820581923
Plan administrator’s name ILLINOIS ANESTHESIA ASSOCIATES, P.C
Plan administrator’s address 350 N. WALL STREET, KANKAKEE, IL, 60901
Administrator’s telephone number 8159357515

Signature of
Role Plan administrator
Date 2012-10-14
Name of individual signing JOHN MITCHELL, M.D.
Valid signature Filed with authorized/valid electronic signature
IAA, P.C. 401(K) PLAN 2011 820581923 2012-10-14 ILLINOIS ANESTHESIA ASSOCIATES, P.C 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 8159357515
Plan sponsor’s address 350 N. WALL STREET, KANKAKEE, IL, 60901

Plan administrator’s name and address
Administrator’s EIN 820581923
Plan administrator’s name ILLINOIS ANESTHESIA ASSOCIATES, P.C
Plan administrator’s address 350 N. WALL STREET, KANKAKEE, IL, 60901
Administrator’s telephone number 8159357515

Signature of
Role Plan administrator
Date 2012-10-14
Name of individual signing JOHN MITCHELL, M.D.
Valid signature Filed with authorized/valid electronic signature
ILLINOIS ANESTHESIA ASSOCIATES, P.C. CASH BALANCE PENSION PLAN 2010 820581923 2012-11-30 ILLINOIS ANESTHESIA ASSOCIATES, P.C 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 8159357515
Plan sponsor’s address 350 N. WALL STREET, KANKAKEE, IL, 60901

Plan administrator’s name and address
Administrator’s EIN 820581923
Plan administrator’s name ILLINOIS ANESTHESIA ASSOCIATES, P.C
Plan administrator’s address 350 N. WALL STREET, KANKAKEE, IL, 60901
Administrator’s telephone number 8159357515

Signature of
Role Plan administrator
Date 2012-11-30
Name of individual signing DAVID YEUNG, M.D.
Valid signature Filed with authorized/valid electronic signature
IAA, P.C. 401(K) PLAN 2010 820581923 2011-10-17 ILLINOIS ANESTHESIA ASSOCIATES, P.C 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 8159357515
Plan sponsor’s address 350 N. WALL STREET, KANKAKEE, IL, 60901

Plan administrator’s name and address
Administrator’s EIN 820581923
Plan administrator’s name ILLINOIS ANESTHESIA ASSOCIATES, P.C
Plan administrator’s address 350 N. WALL STREET, KANKAKEE, IL, 60901
Administrator’s telephone number 8159357515

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing JOHN MITCHELL, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-17
Name of individual signing JOHN MITCHELL, M.D.
Valid signature Filed with authorized/valid electronic signature
ILLINOIS ANESTHESIA ASSOCIATES, P.C. CASH BALANCE PENSION PLAN 2010 820581923 2011-10-13 ILLINOIS ANESTHESIA ASSOCIATES, P.C 5
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 8159357515
Plan sponsor’s address 350 N. WALL STREET, KANKAKEE, IL, 60901

Plan administrator’s name and address
Administrator’s EIN 820581923
Plan administrator’s name ILLINOIS ANESTHESIA ASSOCIATES, P.C
Plan administrator’s address 350 N. WALL STREET, KANKAKEE, IL, 60901
Administrator’s telephone number 8159357515

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing JOHN MITCHELL, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-13
Name of individual signing JOHN MITCHELL, M.D.
Valid signature Filed with authorized/valid electronic signature
ILLINOIS ANESTHESIA ASSOCIATES, P.C. CASH BALANCE PENSION PLAN 2009 820581923 2010-10-15 ILLINOIS ANESTHESIA ASSOCIATES, P.C 5
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 8159357515
Plan sponsor’s address 350 N. WALL STREET, KANKAKEE, IL, 60901

Plan administrator’s name and address
Administrator’s EIN 820581923
Plan administrator’s name ILLINOIS ANESTHESIA ASSOCIATES, P.C
Plan administrator’s address 350 N. WALL STREET, KANKAKEE, IL, 60901
Administrator’s telephone number 8159357515

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing JOHN MITCHELL
Valid signature Filed with incorrect/unrecognized electronic signature
ILLINOIS ANESTHESIA ASSOCIATES, P.C. CASH BALANCE PENSION PLAN 2009 820581923 2010-10-14 ILLINOIS ANESTHESIA ASSOCIATES, P.C 5
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 8159357515
Plan sponsor’s address 350 N. WALL STREET, KANKAKEE, IL, 60901

Plan administrator’s name and address
Administrator’s EIN 820581923
Plan administrator’s name ILLINOIS ANESTHESIA ASSOCIATES, P.C
Plan administrator’s address 350 N. WALL STREET, KANKAKEE, IL, 60901
Administrator’s telephone number 8159357515

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing JOHN MITCHELL
Valid signature Filed with incorrect/unrecognized electronic signature
IAA, P.C. 401(K) PLAN 2009 820581923 2011-01-03 ILLINOIS ANESTHESIA ASSOCIATES, P.C 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 8159357515
Plan sponsor’s address 350 N. WALL STREET, KANKAKEE, IL, 60901

Plan administrator’s name and address
Administrator’s EIN 820581923
Plan administrator’s name ILLINOIS ANESTHESIA ASSOCIATES, P.C
Plan administrator’s address 350 N. WALL STREET, KANKAKEE, IL, 60901
Administrator’s telephone number 8159357515

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing JOHN MITCHELL
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DAVID J HOCHMAN, 7250 N CICERO AVENUE STE 200, LINCOLNWOOD, 60712, COOK-NOT IN CITY OF CHICAGO Agent 2007-02-02

President

Name and Address Role
JOHN MITCHELL M.D. 236 COE RD CLAREDON HILLS IL 60514 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100 28000 No data

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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