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WELLINGTON RADIOLOGY GROUP, S.C.

Company Details

Entity Name: WELLINGTON RADIOLOGY GROUP, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 14 Feb 2005
Company Number: CORP_64083163
File Number: 64083163
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
WELLINGTON RADIOLOGY GROUP, S. C. PROFIT SHARING PLAN 2020 020739682 2021-04-01 WELLINGTON RADIOLOGY GROUP, S.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 7732965939
Plan sponsor’s address 836 W. WELLINGTON AVENUE, CHICAGO, IL, 60657
WELLINGTON RADIOLOGY GROUP, S. C. PROFIT SHARING PLAN 2019 020739682 2020-06-24 WELLINGTON RADIOLOGY GROUP, S.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 7732965939
Plan sponsor’s address 836 W. WELLINGTON AVENUE, CHICAGO, IL, 60657

Signature of

Role Plan administrator
Date 2020-06-24
Name of individual signing KEVIN KIRSHENBAUM, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-24
Name of individual signing KEVIN KIRSHENBAUM, M.D.
Valid signature Filed with authorized/valid electronic signature
WELLINGTON RADIOLOGY GROUP, S. C. PROFIT SHARING PLAN 2018 020739682 2019-10-11 WELLINGTON RADIOLOGY GROUP, S.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 7732965939
Plan sponsor’s address 836 W. WELLINGTON AVENUE, CHICAGO, IL, 60657

Signature of

Role Plan administrator
Date 2019-10-11
Name of individual signing KEVIN KIRSHENBAUM, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-11
Name of individual signing KEVIN KIRSHENBAUM, M.D.
Valid signature Filed with authorized/valid electronic signature
WELLINGTON RADIOLOGY GROUP, S.C. PROFIT SHARING PLAN 2017 020739682 2018-09-05 WELLINGTON RADIOLOGY GROUP, S.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 7732965939
Plan sponsor’s address 836 W. WELLINGTON AVENUE, CHICAGO, IL, 60657

Signature of

Role Plan administrator
Date 2018-09-05
Name of individual signing MARK SAKER, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-05
Name of individual signing MARK SAKER, M.D.
Valid signature Filed with authorized/valid electronic signature
WELLINGTON RADIOLOGY GROUP, S.C. PROFIT SHARING PLAN 2016 020739682 2017-08-11 WELLINGTON RADIOLOGY GROUP, S.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 7732967820
Plan sponsor’s address 836 W. WELLINGTON AVENUE, CHICAGO, IL, 60657

Signature of

Role Plan administrator
Date 2017-08-10
Name of individual signing S.R. NADIMPALLI, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-10
Name of individual signing S.R. NADIMPALLI, M.D.
Valid signature Filed with authorized/valid electronic signature
WELLINGTON RADIOLOGY GROUP, S.C. PROFIT SHARING PLAN 2015 020739682 2016-10-06 WELLINGTON RADIOLOGY GROUP, S.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 7732967820
Plan sponsor’s address 836 W. WELLINGTON AVENUE, CHICAGO, IL, 60657

Signature of

Role Plan administrator
Date 2016-10-06
Name of individual signing S.R. NADIMPALLI, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-06
Name of individual signing S.R. NADIMPALLI, M.D.
Valid signature Filed with authorized/valid electronic signature
WELLINGTON RADIOLOGY GROUP, S.C. PROFIT SHARING PLAN 2014 020739682 2015-07-26 WELLINGTON RADIOLOGY GROUP, S.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 7732967820
Plan sponsor’s address 836 W. WELLINGTON AVENUE, CHICAGO, IL, 60657

Signature of

Role Plan administrator
Date 2015-07-25
Name of individual signing S.R. NADIMPALLI, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-25
Name of individual signing S.R. NADIMPALLI, M.D.
Valid signature Filed with authorized/valid electronic signature
WELLINGTON RADIOLOGY GROUP, S.C. PROFIT SHARING PLAN 2013 020739682 2014-08-20 WELLINGTON RADIOLOGY GROUP, S.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 7732967820
Plan sponsor’s address 836 W. WELLINGTON AVENUE, CHICAGO, IL, 60657

Signature of

Role Plan administrator
Date 2014-08-20
Name of individual signing S.R. NADIMPALLI, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-08-20
Name of individual signing S.R. NADIMPALLI, M.D.
Valid signature Filed with authorized/valid electronic signature
WELLINGTON RADIOLOGY GROUP, S.C. PROFIT SHARING PLAN 2012 020739682 2013-10-02 WELLINGTON RADIOLOGY GROUP, S.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 7732967820
Plan sponsor’s address 836 W. WELLINGTON AVENUE, CHICAGO, IL, 60657

Signature of

Role Plan administrator
Date 2013-10-01
Name of individual signing S.R. NADIMPALLI, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-01
Name of individual signing S.R. NADIMPALLI, M.D.
Valid signature Filed with authorized/valid electronic signature
WELLINGTON RADIOLOGY GROUP, S.C. PROFIT SHARING PLAN 2011 020739682 2012-10-03 WELLINGTON RADIOLOGY GROUP, S.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 7732967820
Plan sponsor’s address 836 W. WELLINGTON AVENUE, CHICAGO, IL, 60657

Plan administrator’s name and address

Administrator’s EIN 020739682
Plan administrator’s name WELLINGTON RADIOLOGY GROUP, S.C.
Plan administrator’s address 836 W. WELLINGTON AVENUE, CHICAGO, IL, 60657
Administrator’s telephone number 7732967820

Signature of

Role Plan administrator
Date 2012-10-03
Name of individual signing S.R. NADIMPALLI, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-03
Name of individual signing S.R. NADIMPALLI, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
KEVIN J KIRSHENBAUM, 836 W WELLINGTON AVE, CHICAGO, 60657, COOK-NOT IN CITY OF CHICAGO Agent 2005-02-14

Secretary

Name and Address Role
VANESSA WEAR, 836 W WELLINGTON AVE CHICAGO IL 60657 Secretary

President

Name and Address Role
KEVIN KIRSHENBAUM 836 W WELLINGTON AVE CHICAGO IL 60657 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON (VOTING) No data Voting Rights 1000 90000 1
COMMON (NON-VOTING) No data No Voting Rights 1000 207000 1

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State