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PATRICIA M. BOATWRIGHT, M.D., P.C.

Company Details

Entity Name: PATRICIA M. BOATWRIGHT, M.D., P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 26 Sep 2003
Company Number: CORP_63109525
File Number: 63109525
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
PATRICIA M. BOATWRIGHT, M.D., P.C. PROFIT SHARING PLAN AND TRUST 2019 363632106 2020-10-13 PATRICIA M. BOATWRIGHT, M.D., P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3127380055
Plan sponsor’s address 1725 WEST HARRISON STREET, SUITE 351, CHICAGO, IL, 60612

Signature of

Role Plan administrator
Date 2020-10-13
Name of individual signing KENDRA DICKENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-13
Name of individual signing KENDRA DICKENS
Valid signature Filed with authorized/valid electronic signature
PATRICIA M. BOATWRIGHT, M.D., P.C. 2018 363632106 2019-12-30 PATRICIA M. BOATWRIGHT, M.D., P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3127380055
Plan sponsor’s address 1725 WEST HARRISON STREET, SUITE 351, CHICAGO, IL, 60612

Signature of

Role Plan administrator
Date 2019-12-30
Name of individual signing PATRICIA M BOATWRIGHT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-12-30
Name of individual signing PATRICIA M BOATWRIGHT
Valid signature Filed with authorized/valid electronic signature
PATRICIA M. BOATWRIGHT, M.D., P.C. PROFIT SHARING PLAN AND TRUST 2017 363632106 2018-06-28 PATRICIA M. BOATWRIGHT, M.D., P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3127380055
Plan sponsor’s address 1725 W. HARRISON ST., CHICAGO, IL, 606123852

Signature of

Role Plan administrator
Date 2018-06-27
Name of individual signing PATRICIA M. BOATWRIGHT, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-27
Name of individual signing PATRICIA M. BOATWRIGHT, M.D.
Valid signature Filed with authorized/valid electronic signature
PATRICIA M. BOATWRIGHT, M.D., P.C. PROFIT SHARING PLAN AND TRUST 2016 363632106 2017-10-11 PATRICIA M. BOATWRIGHT, M.D., P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3127380055
Plan sponsor’s address 1725 W. HARRISON ST., CHICAGO, IL, 606123852

Signature of

Role Plan administrator
Date 2017-10-11
Name of individual signing PATRICIA M. BOATWRIGHT, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-11
Name of individual signing PATRICIA M. BOATWRIGHT, M.D.
Valid signature Filed with authorized/valid electronic signature
PATRICIA M. BOATWRIGHT, M.D., P.C. PROFIT SHARING PLAN AND TRUST 2015 363632106 2016-10-09 PATRICIA M. BOATWRIGHT, M.D., P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3127380055
Plan sponsor’s address 1725 W. HARRISON ST., CHICAGO, IL, 606123852

Signature of

Role Plan administrator
Date 2016-10-07
Name of individual signing PATRICIA M. BOATWRIGHT, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-07
Name of individual signing PATRICIA M. BOATWRIGHT, M.D.
Valid signature Filed with authorized/valid electronic signature
PATRICIA M. BOATWRIGHT, M.D., P.C. PROFIT SHARING PLAN AND TRUST 2014 363632106 2015-10-13 PATRICIA M. BOATWRIGHT, M.D., P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3127380055
Plan sponsor’s address 1725 W. HARRISON ST., CHICAGO, IL, 606123852

Signature of

Role Plan administrator
Date 2015-10-13
Name of individual signing PATRICIA M. BOATWRIGHT, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-13
Name of individual signing PATRICIA M. BOATWRIGHT, M.D.
Valid signature Filed with authorized/valid electronic signature
PATRICIA M. BOATWRIGHT, M.D., P.C. PROFIT SHARING PLAN AND TRUST 2013 363632106 2014-08-19 PATRICIA M. BOATWRIGHT, M.D., P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3127380055
Plan sponsor’s address 1725 W. HARRISON ST., CHICAGO, IL, 606123852

Signature of

Role Plan administrator
Date 2014-08-19
Name of individual signing PATRICIA M. BOATWRIGHT, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-08-19
Name of individual signing PATRICIA M. BOATWRIGHT, M.D.
Valid signature Filed with authorized/valid electronic signature
PATRICIA M. BOATWRIGHT, M.D., P.C. PROFIT SHARING PLAN AND TRUST 2012 363632106 2013-09-26 PATRICIA M. BOATWRIGHT, M.D., P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3127380055
Plan sponsor’s address 1725 W. HARRISON ST., CHICAGO, IL, 606123852

Signature of

Role Plan administrator
Date 2013-09-26
Name of individual signing PATRICIA M. BOATWRIGHT, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-26
Name of individual signing PATRICIA M. BOATWRIGHT, M.D.
Valid signature Filed with authorized/valid electronic signature
PATRICIA M. BOATWRIGHT, M.D., P.C. PROFIT SHARING PLAN AND TRUST 2011 363632106 2012-10-12 PATRICIA M. BOATWRIGHT, M.D., P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3127380055
Plan sponsor’s address 1725 W. HARRISON ST., CHICAGO, IL, 606123852

Plan administrator’s name and address

Administrator’s EIN 363632106
Plan administrator’s name PATRICIA M. BOATWRIGHT, M.D., P.C.
Plan administrator’s address 1725 W. HARRISON ST., CHICAGO, IL, 606123852
Administrator’s telephone number 3127380055

Signature of

Role Plan administrator
Date 2012-10-11
Name of individual signing PATRICIA M. BOATWRIGHT, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-11
Name of individual signing PATRICIA M. BOATWRIGHT, M.D.
Valid signature Filed with authorized/valid electronic signature
PATRICIA M. BOATWRIGHT, M.D., P.C. PROFIT SHARING PLAN AND TRUST 2010 363632106 2011-10-10 PATRICIA M. BOATWRIGHT, M.D., P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3127380055
Plan sponsor’s address 1725 W. HARRISON ST., CHICAGO, IL, 606123852

Plan administrator’s name and address

Administrator’s EIN 363632106
Plan administrator’s name PATRICIA M. BOATWRIGHT, M.D., P.C.
Plan administrator’s address 1725 W. HARRISON ST., CHICAGO, IL, 606123852
Administrator’s telephone number 3127380055

Signature of

Role Plan administrator
Date 2011-10-10
Name of individual signing PATRICIA M. BOATWRIGHT, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-10
Name of individual signing PATRICIA M. BOATWRIGHT, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JEFFREY T STUART, 2100 SANDERS RD STE 200, NORTHBROOK, 60062, COOK-NOT IN CITY OF CHICAGO Agent 2008-08-27

President

Name and Address Role
PARTRICIA M BOATWRIGHT 4646 NMARINE DR #A3300 CHGO IL 60640 President

Secretary

Name and Address Role
PARTRICIA M BOATWRIGHT, ASABOVE Secretary

Shares

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

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State