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  5. CHILDREN'S MEDICAL GROUP, S.C.

CHILDREN'S MEDICAL GROUP, S.C.

Company Details

Entity Name: CHILDREN'S MEDICAL GROUP, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 02 May 2007
Company Number: CORP_65529033
File Number: 65529033
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
CHILDREN'S MEDICAL GROUP, S.C. CASH BALANCE PLAN 2023 260229933 2024-10-09 CHILDREN'S MEDICAL GROUP, S.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8476586065
Plan sponsor’s address 1301 PYOTT ROAD, SUITE 106, LAKE IN THE HILLS, IL, 60156
CHILDREN'S MEDICAL GROUP, S.C. 401(K) PLAN 2023 260229933 2024-10-07 CHILDREN'S MEDICAL GROUP, S.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8476586065
Plan sponsor’s address 301 N RANDALL RD, LAKE IN THE HILLS, IL, 60156
CHILDREN'S MEDICAL GROUP, S.C. CASH BALANCE PLAN 2022 260229933 2023-06-19 CHILDREN'S MEDICAL GROUP, S.C. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8476586065
Plan sponsor’s address 1301 PYOTT ROAD, SUITE 106, LAKE IN THE HILLS, IL, 60156

Signature of
Role Plan administrator
Date 2023-06-19
Name of individual signing ERIN OBRIEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-19
Name of individual signing ERIN OBRIEN
Valid signature Filed with authorized/valid electronic signature
CHILDREN'S MEDICAL GROUP, S.C. 401(K) PLAN 2022 260229933 2023-06-19 CHILDREN'S MEDICAL GROUP, S.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8476586065
Plan sponsor’s address 301 N RANDALL RD, LAKE IN THE HILLS, IL, 60156

Signature of
Role Plan administrator
Date 2023-06-19
Name of individual signing ERIN OBRIEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-19
Name of individual signing ERIN OBRIEN
Valid signature Filed with authorized/valid electronic signature
CHILDREN'S MEDICAL GROUP, S.C. CASH BALANCE PLAN 2021 260229933 2022-05-23 CHILDREN'S MEDICAL GROUP, S.C. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8476586065
Plan sponsor’s address 1301 PYOTT ROAD, SUITE 106, LAKE IN THE HILLS, IL, 60156
CHILDREN'S MEDICAL GROUP, S.C. 401(K) PLAN 2021 260229933 2022-05-23 CHILDREN'S MEDICAL GROUP, S.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8476586065
Plan sponsor’s address 301 N RANDALL RD, LAKE IN THE HILLS, IL, 60156
CHILDREN'S MEDICAL GROUP, S.C. CASH BALANCE PLAN 2020 260229933 2021-06-14 CHILDREN'S MEDICAL GROUP, S.C. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8476586065
Plan sponsor’s address 1301 PYOTT ROAD, SUITE 106, LAKE IN THE HILLS, IL, 60156
CHILDREN'S MEDICAL GROUP, S.C. 401(K) PLAN 2020 260229933 2021-06-14 CHILDREN'S MEDICAL GROUP, S.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8476586065
Plan sponsor’s address 301 N RANDALL RD, LAKE IN THE HILLS, IL, 60156
CHILDREN'S MEDICAL GROUP, S.C. CASH BALANCE PLAN 2019 260229933 2020-05-01 CHILDREN'S MEDICAL GROUP, S.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8476586065
Plan sponsor’s address 1301 PYOTT ROAD, SUITE 106, LAKE IN THE HILLS, IL, 60156
CHILDREN'S MEDICAL GROUP, S.C. 401(K) PLAN 2019 260229933 2020-05-01 CHILDREN'S MEDICAL GROUP, S.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8476586065
Plan sponsor’s address 301 N RANDALL RD, LAKE IN THE HILLS, IL, 60156

Agent

Name and Address Role Appointment Date
MEGHAN N O'BRIEN, 301 N RANDALL RD, LAKE IN THE HILLS, 60156, MC HENRY Agent 2018-11-21

Secretary

Name and Address Role
ERIN OBRIEN MD 301 RANDALL ROAD LAKE IN THE HILLS IL 60156 Secretary

President

Name and Address Role
JASON TJADEN MD 301 RANDALL ROAD LAKE IN THE HILLS IL 60156 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: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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