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  5. CARL M. WAHLSTROM, JR., M.D. LIMITED

CARL M. WAHLSTROM, JR., M.D. LIMITED

Company Details

Entity Name: CARL M. WAHLSTROM, JR., M.D. LIMITED
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 17 Dec 2003
Company Number: CORP_63267716
File Number: 63267716
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
CARL M. WAHLSTROM, JR., M.D. LIMITED 401(K) PLAN 2023 200548504 2024-09-19 CARL M. WAHLSTROM, JR., M.D. LIMITED 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 3127827895
Plan sponsor’s address 307 N. MICHIGAN AVENUE, SUITE 1008, CHICAGO, IL, 60601

Signature of
Role Plan administrator
Date 2024-09-19
Name of individual signing CARL WAHLSTROM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-19
Name of individual signing CARL WAHLSTROM
Valid signature Filed with authorized/valid electronic signature
CARL M. WAHLSTROM, JR., M.D. LIMITED 401(K) PLAN 2022 200548504 2023-10-05 CARL M. WAHLSTROM, JR., M.D. LIMITED 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 3127827895
Plan sponsor’s address 307 N. MICHIGAN AVENUE, SUITE 1008, CHICAGO, IL, 60601

Signature of
Role Plan administrator
Date 2023-10-05
Name of individual signing CARL WAHLSTROM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-05
Name of individual signing CARL WAHLSTROM
Valid signature Filed with authorized/valid electronic signature
CARL M. WAHLSTROM, JR., M.D. LIMITED 401(K) PLAN 2021 200548504 2022-10-17 CARL M. WAHLSTROM, JR., M.D. LIMITED 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 3127827895
Plan sponsor’s address 307 N. MICHIGAN AVENUE, SUITE 1008, CHICAGO, IL, 60601

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing CARL WAHLSTROM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-17
Name of individual signing CARL WAHLSTROM
Valid signature Filed with authorized/valid electronic signature
CARL M. WAHLSTROM, JR., M.D. LIMITED 401(K) PLAN 2020 200548504 2021-10-06 CARL M. WAHLSTROM, JR., M.D. LIMITED 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 3127827895
Plan sponsor’s address 307 N. MICHIGAN AVENUE, SUITE 1008, CHICAGO, IL, 60601

Signature of
Role Plan administrator
Date 2021-09-27
Name of individual signing CARL WAHLSTROM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-27
Name of individual signing CARL WAHLSTROM
Valid signature Filed with authorized/valid electronic signature
CARL M. WAHLSTROM, JR., M.D. LIMITED 401(K) PLAN 2019 200548504 2020-10-09 CARL M. WAHLSTROM, JR., M.D. LIMITED 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 3127827895
Plan sponsor’s address 307 N. MICHIGAN AVENUE, SUITE 1008, CHICAGO, IL, 60601

Signature of
Role Plan administrator
Date 2020-10-08
Name of individual signing CARL WAHLSTROM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-08
Name of individual signing CARL WAHLSTROM
Valid signature Filed with authorized/valid electronic signature
CARL M. WAHLSTROM, JR., M.D. LIMITED 401(K) PLAN 2018 200548504 2019-10-04 CARL M. WAHLSTROM, JR., M.D. LIMITED 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 3127827895
Plan sponsor’s address 307 N. MICHIGAN AVENUE, SUITE 1008, CHICAGO, IL, 60601

Signature of
Role Plan administrator
Date 2019-10-03
Name of individual signing CARL WAHLSTROM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-03
Name of individual signing CARL WAHLSTROM
Valid signature Filed with authorized/valid electronic signature
CARL M. WAHLSTROM, JR., M.D. LIMITED 401(K) PLAN 2017 200548504 2018-10-04 CARL M. WAHLSTROM, JR., M.D. LIMITED 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 3127827895
Plan sponsor’s address 307 N. MICHIGAN AVENUE, SUITE 1008, CHICAGO, IL, 60601

Signature of
Role Plan administrator
Date 2018-10-03
Name of individual signing CARL WAHLSTROM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-03
Name of individual signing CARL WAHLSTROM
Valid signature Filed with authorized/valid electronic signature
CARL M. WAHLSTROM, JR., M.D. LIMITED 401(K) PLAN 2016 200548504 2017-10-04 CARL M. WAHLSTROM, JR., M.D. LIMITED 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 3127827895
Plan sponsor’s address 307 N. MICHIGAN AVENUE, SUITE 1008, CHICAGO, IL, 60601

Signature of
Role Plan administrator
Date 2017-09-21
Name of individual signing CARL WAHLSTROM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-21
Name of individual signing CARL WAHLSTROM
Valid signature Filed with authorized/valid electronic signature
CARL M. WAHLSTROM, JR., M.D. LIMITED 401(K) PLAN 2015 200548504 2016-10-04 CARL M. WAHLSTROM, JR., M.D. LIMITED 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 3127827895
Plan sponsor’s address 307 N. MICHIGAN AVENUE, SUITE 1008, CHICAGO, IL, 60601

Signature of
Role Plan administrator
Date 2016-10-03
Name of individual signing CARL WAHLSTROM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-03
Name of individual signing CARL WAHLSTROM
Valid signature Filed with authorized/valid electronic signature
CARL M. WAHLSTROM, JR., M.D. LIMITED 401(K) PLAN 2014 200548504 2015-09-29 CARL M. WAHLSTROM, JR., M.D. LIMITED 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 3127827895
Plan sponsor’s address 307 N. MICHIGAN AVENUE, SUITE 1008, CHICAGO, IL, 60601

Signature of
Role Plan administrator
Date 2015-09-29
Name of individual signing CARL WAHLSTROM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-29
Name of individual signing CARL WAHLSTROM
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
HURLEY STANNERS & MATSKO, LLC, 2622 W PETERSON AVE STE 9, CHICAGO, 60659, COOK-NOT IN CITY OF CHICAGO Agent 2020-11-09

President

Name and Address Role
CARL M WAHLSTROM JR 307 N MICHIGAN #1008 CHICAGO IL 60601 President

Secretary

Name and Address Role
CARL M WAHLSTROM JR 307 N MICHIGAN #1008 CHICAGO IL 60601 Secretary

Shares

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

Related by officers

HURLEY STANNERS & MATSKO, LLC, 2622 W PETERSON AVE STE 9, CHICAGO, 60659, COOK-NOT IN CITY OF CHICAGO

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Related by address

No related companies by address

Date of last update: 30 Jan 2025

Sources: Illinois Office of the Secretary of State

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