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  5. EDGEWOOD CLINICAL SERVICES, P.C.

EDGEWOOD CLINICAL SERVICES, P.C.

Company Details

Entity Name: EDGEWOOD CLINICAL SERVICES, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 18 Jul 2006
Company Number: CORP_65021161
File Number: 65021161
Type of Business: Incorporated under the Professional Service Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EDGEWOOD CLINICAL SERVICES 401(K) & PROFIT SHARING PLAN 2020 205220961 2021-09-21 EDGEWOOD CLINICAL SERVICES 118
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-03-01
Business code 621420
Sponsor’s telephone number 6304287890
Plan sponsor’s address 2948 ARTESIAN ROAD, SUITE 112, NAPERVILLE, IL, 605648559

Signature of
Role Plan administrator
Date 2021-09-21
Name of individual signing ADAM RUSSO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-21
Name of individual signing ADAM RUSSO
Valid signature Filed with authorized/valid electronic signature
EDGEWOOD CLINICAL SERVICES 401(K) & PROFIT SHARING PLAN 2020 205220961 2021-09-21 EDGEWOOD CLINICAL SERVICES 111
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-03-01
Business code 621420
Sponsor’s telephone number 6304287890
Plan sponsor’s address 2948 ARTESIAN ROAD, SUITE 112, NAPERVILLE, IL, 605648559

Signature of
Role Plan administrator
Date 2021-09-21
Name of individual signing ADAM RUSSO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-21
Name of individual signing ADAM RUSSO
Valid signature Filed with authorized/valid electronic signature
EDGEWOOD CLINICAL SERVICES 401(K) & PROFIT SHARING PLAN 2019 205220961 2020-10-07 EDGEWOOD CLINICAL SERVICES 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-03-01
Business code 621420
Sponsor’s telephone number 6304287890
Plan sponsor’s address 2948 ARTESIAN ROAD, SUITE 112, NAPERVILLE, IL, 605648559

Signature of
Role Plan administrator
Date 2020-10-07
Name of individual signing ADAM RUSSO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-07
Name of individual signing ADAM RUSSO
Valid signature Filed with authorized/valid electronic signature
EDGEWOOD CLINICAL SERVICES 401(K) & PROFIT SHARING PLAN 2018 205220961 2019-09-16 EDGEWOOD CLINICAL SERVICES 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-03-01
Business code 621330
Sponsor’s telephone number 6304287890
Plan sponsor’s address 2948 ARTESIAN ROAD, SUITE 112, NAPERVILLE, IL, 60564

Signature of
Role Plan administrator
Date 2019-09-16
Name of individual signing ADAM RUSSO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-16
Name of individual signing ADAM RUSSO
Valid signature Filed with authorized/valid electronic signature
EDGEWOOD CLINICAL SERVICES 401(K) & PROFIT SHARING PLAN 2017 205220961 2018-10-12 EDGEWOOD CLINICAL SERVICES 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-03-01
Business code 621330
Sponsor’s telephone number 6304287890
Plan sponsor’s address 2948 ARTESIAN ROAD, SUITE 112, NAPERVILLE, IL, 60564

Signature of
Role Plan administrator
Date 2018-10-12
Name of individual signing ADAM RUSSO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-12
Name of individual signing ADAM RUSSO
Valid signature Filed with authorized/valid electronic signature
EDGEWOOD CLINICAL SERVICES 401(K) & PROFIT SHARING PLAN 2016 205220961 2017-10-11 EDGEWOOD CLINICAL SERVICES 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-03-01
Business code 621330
Sponsor’s telephone number 6304287890
Plan sponsor’s address 2948 ARTESIAN ROAD, SUITE 112, NAPERVILLE, IL, 60564

Signature of
Role Plan administrator
Date 2017-10-11
Name of individual signing ADAM RUSSO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-11
Name of individual signing ADAM RUSSO
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ILLINOIS CORPORATION SERVICE COMPANY, 801 ADLAI STEVENSON DRIVE, SPRINGFIELD, 62703, SANGAMON Agent 2022-07-14

President

Name and Address Role
ANISHA PATEL-DUNN 4800 N SCOTTSDALE RD STE 2500 SCOTTSDALE President

Secretary

Name and Address Role
RYAN PARDO, AZ 85251 Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
LIFESTANCE Assume Name 2021-06-17 No data No data No data

Historical Names

Name Change Date
EDGEWOOD CLINICAL SERVICES, INC. 2020-06-02

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 10000000 No data

Related by officers

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ILLINOIS CORPORATION SERVICE COMPANY, 801 ADLAI STEVENSON DRIVE, SPRINGFIELD, 62703, SANGAMON

SARGENT & LUNDY, L.L.C. DIEBOLD NIXDORF, INCORPORATED THE SHERWIN-WILLIAMS COMPANY BENJAMIN MOORE & CO. BUSINESS PROPERTY LENDING, INC. NORFOLK SOUTHERN RAILWAY COMPANY ALIGHT FINANCIAL SOLUTIONS, LLC MAPLE BROOK, L.L.C. INVESTMENT 10 L.L.C. ALIGHT SOLUTIONS LLC

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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