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  5. DUMAIS PEDIATRICS, S.C.

DUMAIS PEDIATRICS, S.C.

Company Details

Entity Name: DUMAIS PEDIATRICS, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 08 Aug 2005
Company Number: CORP_64414089
File Number: 64414089
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
DUMAIS PEDIATRICS, S.C. 401(K) PLAN 2016 203302161 2017-07-31 DUMAIS PEDIATRICS, S.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7083641600
Plan sponsor’s address 10710 143RD ST, STE 13, ORLAND PARK, IL, 604621833

Signature of
Role Plan administrator
Date 2017-07-31
Name of individual signing BRIAN DUMAIS
Valid signature Filed with authorized/valid electronic signature
DUMAIS PEDIATRICS, S.C. 401(K) PLAN 2015 203302161 2016-07-22 DUMAIS PEDIATRICS, S.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7083641600
Plan sponsor’s address 10750 143RD STREET, SUITE 50, ORLAND PARK, IL, 604621929

Signature of
Role Plan administrator
Date 2016-07-22
Name of individual signing BRIAN DUMAIS
Valid signature Filed with authorized/valid electronic signature
DUMAIS PEDIATRICS, S.C. 401(K) PLAN 2014 203302161 2015-10-14 DUMAIS PEDIATRICS, S.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7083641600
Plan sponsor’s address 10750 143RD STREET, SUITE 50, ORLAND PARK, IL, 604621929

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing BRIAN DUMAIS
Valid signature Filed with authorized/valid electronic signature
DUMAIS PEDIATRICS, S.C. 401(K) PLAN 2013 203302161 2014-09-18 DUMAIS PEDIATRICS, S.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7083641600
Plan sponsor’s address 10750 143RD STREET, SUITE 50, ORLAND PARK, IL, 604621929

Plan administrator’s name and address
Administrator’s EIN 203302161
Plan administrator’s name DUMAIS PEDIATRICS, S.C.
Plan administrator’s address 10750 143RD STREET, SUITE 50, ORLAND PARK, IL, 604621929
Administrator’s telephone number 7083641600

Signature of
Role Plan administrator
Date 2014-09-18
Name of individual signing BRIAN DUMAIS
Valid signature Filed with authorized/valid electronic signature
DUMAIS PEDIATRICS, S.C. 401(K) PLAN 2012 203302161 2013-10-14 DUMAIS PEDIATRICS, S.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7083641600
Plan sponsor’s address 10750 143RD STREET, SUITE 50, ORLAND PARK, IL, 604621929

Plan administrator’s name and address
Administrator’s EIN 203302161
Plan administrator’s name DUMAIS PEDIATRICS, S.C.
Plan administrator’s address 10750 143RD STREET, SUITE 50, ORLAND PARK, IL, 604621929
Administrator’s telephone number 7083641600

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing BRIAN DUMAIS
Valid signature Filed with authorized/valid electronic signature
DUMAIS PEDIATRICS, S.C. 401(K) PLAN 2011 203302161 2012-10-12 DUMAIS PEDIATRICS, S.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7083641600
Plan sponsor’s address 10750 143RD STREET, SUITE 50, ORLAND PARK, IL, 604621929

Plan administrator’s name and address
Administrator’s EIN 203302161
Plan administrator’s name DUMAIS PEDIATRICS, S.C.
Plan administrator’s address 10750 143RD STREET, SUITE 50, ORLAND PARK, IL, 604621929
Administrator’s telephone number 7083641600

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing BRIAN DUMAIS MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BRIAN PATRICK DUMAIS, 10710 W 143RD ST STE 13, ORLAND PARK, 60462, COOK-NOT IN CITY OF CHICAGO Agent 2016-07-29

President

Name and Address Role
BRIAN P DUMAIS, 10710 W 143RDST/#13, ORLAND PARK, IL, 60462 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 1000000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State

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