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  5. NORMAL BLOOMINGTON ANESTHESIOLOGISTS, LTD.

NORMAL BLOOMINGTON ANESTHESIOLOGISTS, LTD.

Company Details

Entity Name: NORMAL BLOOMINGTON ANESTHESIOLOGISTS, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 09 Feb 2012
Company Number: CORP_68270553
File Number: 68270553
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
NORMAL BLOOMINGTON ANESTHESIOLOGISTS, LTD. 401(K) PROFIT-SHARING PLAN AND TRUST 2023 454216947 2024-08-27 NORMAL BLOOMINGTON ANESTHESIOLOGISTS, LTD. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-02-09
Business code 621111
Sponsor’s telephone number 6308682200
Plan sponsor’s address 387 SHUMAN BLVD SUITE 240W, NAPERVILLE, IL, 60563

Signature of
Role Plan administrator
Date 2024-08-27
Name of individual signing SMITA VYAS
Valid signature Filed with authorized/valid electronic signature
NORMAL BLOOMINGTON ANESTHESIOLOGISTS, LTD. 401(K) PROFIT-SHARING PLAN AND TRUST 2022 454216947 2023-10-03 NORMAL BLOOMINGTON ANESTHESIOLOGISTS, LTD. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-02-09
Business code 621111
Sponsor’s telephone number 6308682200
Plan sponsor’s address 387 SHUMAN BLVD SUITE 240W, NAPERVILLE, IL, 60563

Signature of
Role Plan administrator
Date 2023-10-03
Name of individual signing SMITA VYAS
Valid signature Filed with authorized/valid electronic signature
NORMAL BLOOMINGTON ANESTHESIOLOGISTS, LTD. 401(K) PROFIT-SHARING PLAN AND TRUST 2021 454216947 2022-09-16 NORMAL BLOOMINGTON ANESTHESIOLOGISTS, LTD. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-02-09
Business code 621111
Sponsor’s telephone number 6308682200
Plan sponsor’s address 387 SHUMAN BLVD SUITE 240W, NAPERVILLE, IL, 60563

Signature of
Role Plan administrator
Date 2022-09-16
Name of individual signing CHRISTOPHER HOLST
Valid signature Filed with authorized/valid electronic signature
NORMAL BLOOMINGTON ANESTHESIOLOGISTS, LTD. 401(K) PROFIT-SHARING PLAN AND TRUST 2020 454216947 2021-10-07 NORMAL BLOOMINGTON ANESTHESIOLOGISTS, LTD. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-02-09
Business code 621111
Sponsor’s telephone number 6308682200
Plan sponsor’s address 387 SHUMAN BLVD SUITE 240W, NAPERVILLE, IL, 60563

Signature of
Role Plan administrator
Date 2021-10-07
Name of individual signing CHRISTOPHER HOLST
Valid signature Filed with authorized/valid electronic signature
NORMAL BLOOMINGTON ANESTHESIOLOGISTS, LTD. 401(K) PROFIT-SHARING PLAN AND TRUST 2019 454216947 2020-10-08 NORMAL BLOOMINGTON ANESTHESIOLOGISTS, LTD. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-02-09
Business code 621111
Sponsor’s telephone number 6308682200
Plan sponsor’s address 387 SHUMAN BLVD SUITE 240W, NAPERVILLE, IL, 60563

Signature of
Role Plan administrator
Date 2020-10-08
Name of individual signing DANIEL ALYEA
Valid signature Filed with authorized/valid electronic signature
NORMAL BLOOMINGTON ANESTHESIOLOGISTS, LTD. 401(K) PROFIT-SHARING PLAN AND TRUST 2018 454216947 2019-10-02 NORMAL BLOOMINGTON ANESTHESIOLOGISTS, LTD. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-02-09
Business code 621111
Sponsor’s telephone number 6308682200
Plan sponsor’s address 387 SHUMAN BLVD SUITE 240W, NAPERVILLE, IL, 60563

Signature of
Role Plan administrator
Date 2019-10-02
Name of individual signing DANIEL ALYEA
Valid signature Filed with authorized/valid electronic signature
NORMAL BLOOMINGTON ANESTHESIOLOGISTS, LTD. 401(K) PROFIT-SHARING PLAN AND TRUST 2017 454216947 2018-09-28 NORMAL BLOOMINGTON ANESTHESIOLOGISTS, LTD. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-02-09
Business code 621111
Sponsor’s telephone number 6308682200
Plan sponsor’s address 387 SHUMAN BLVD SUITE 240W, NAPERVILLE, IL, 60563

Signature of
Role Plan administrator
Date 2018-09-28
Name of individual signing DANIEL ALYEA
Valid signature Filed with authorized/valid electronic signature
NORMAL BLOOMINGTON ANESTHESIOLOGISTS, LTD. 401(K) PROFIT-SHARING PLAN AND TRUST 2016 454216947 2017-10-10 NORMAL BLOOMINGTON ANESTHESIOLOGISTS, LTD. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-02-09
Business code 621111
Sponsor’s telephone number 6308682200
Plan sponsor’s address 387 SHUMAN BLVD SUITE 240W, NAPERVILLE, IL, 60563

Signature of
Role Plan administrator
Date 2017-10-10
Name of individual signing SMITA VYAS
Valid signature Filed with authorized/valid electronic signature
NORMAL BLOOMINGTON ANESTHESIOLOGISTS, LTD. 401(K) PROFIT-SHARING PLAN AND TRUST 2015 454216947 2016-08-09 NORMAL BLOOMINGTON ANESTHESIOLOGISTS, LTD. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-02-09
Business code 621111
Sponsor’s telephone number 6308682200
Plan sponsor’s address 387 SHUMAN BLVD SUITE 240W, NAPERVILLE, IL, 60563

Signature of
Role Plan administrator
Date 2016-08-09
Name of individual signing JOHN JAWOROWICZ
Valid signature Filed with authorized/valid electronic signature
NORMAL BLOOMINGTON ANESTHESIOLOGISTS, LTD. 401(K) PROFIT-SHARING PLAN AND TRUST 2014 454216947 2015-07-30 NORMAL BLOOMINGTON ANESTHESIOLOGISTS, LTD. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-02-09
Business code 621111
Sponsor’s telephone number 6308682200
Plan sponsor’s address 40 SHUMAN BLVD SUITE 275, NAPERVILLE, IL, 60563

Signature of
Role Plan administrator
Date 2015-07-30
Name of individual signing JOHN JAWOROWICZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DONALD JONES, 387 SHUMAN BLVD #240W, NAPERVILLE, 60563, DU PAGE Agent 2017-02-14

President

Name and Address Role
BENJAMIN KEATING, 1304 FRANKLIN AVE NORMAL IL 61761 President

Secretary

Name and Address Role
CHRISTOPHER HOLST Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042620590 No data No data REGISTERED MEDICAL CORPORATION No data 2016-10-12 2016-10-12 2018-01-01
MEDICAL CORP 042620589 No data No data REGISTERED MEDICAL CORPORATION No data 2016-10-12 2016-10-12 2018-01-01

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 375000 No data

Related by officers

DONALD JONES, 387 SHUMAN BLVD #240W, NAPERVILLE, 60563, DU PAGE

NORTHWEST SUBURBAN ANESTHESIOLOGISTS, LTD. BARRINGTON ANESTHESIA ASSOCIATES, S.C. ELMHURST ANESTHESIOLOGISTS, P.C. DUPAGE VALLEY ANESTHESIOLOGISTS, LTD. PAIN CARE CONSULTANTS, S.C.

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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