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  5. PLATINUM PEDIATRIC THERAPY, P.C.

PLATINUM PEDIATRIC THERAPY, P.C.

Company Details

Entity Name: PLATINUM PEDIATRIC THERAPY, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 04 Apr 2012
Company Number: CORP_68387949
File Number: 68387949
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
PLATINUM PEDIATRIC THERAPY, P.C. RETIREMENT TRUST 2019 454978767 2020-03-17 PLATINUM PEDIATRIC THERAPY, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-07-01
Business code 541600
Sponsor’s telephone number 8155054463
Plan sponsor’s address 12937 BLUE SPRUCE DRIVE, PLAINFIELD, IL, 60585

Signature of
Role Plan administrator
Date 2020-03-17
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
PLATINUM PEDIATRIC THERAPY, P.C. RETIREMENT TRUST 2019 454978767 2020-03-17 PLATINUM PEDIATRIC THERAPY, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-07-01
Business code 541600
Sponsor’s telephone number 8155054463
Plan sponsor’s address 12937 BLUE SPRUCE DRIVE, PLAINFIELD, IL, 60585

Signature of
Role Plan administrator
Date 2020-03-17
Name of individual signing LORA CAMPBELL
Valid signature Filed with authorized/valid electronic signature
PLATINUM PEDIATRIC THERAPY, P.C. RETIREMENT TRUST 2018 454978767 2019-06-27 PLATINUM PEDIATRIC THERAPY, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-07-01
Business code 541600
Sponsor’s telephone number 8155054463
Plan sponsor’s address 12937 BLUE SPRUCE DRIVE, PLAINFIELD, IL, 60585

Signature of
Role Plan administrator
Date 2019-06-27
Name of individual signing LORA CAMPBELL
Valid signature Filed with authorized/valid electronic signature
PLATINUM PEDIATRIC THERAPY, P.C. RETIREMENT TRUST 2017 454978767 2018-07-23 PLATINUM PEDIATRIC THERAPY, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-07-01
Business code 541600
Sponsor’s telephone number 8155054463
Plan sponsor’s address 12937 BLUE SPRUCE DRIVE, PLAINFIELD, IL, 60585

Signature of
Role Plan administrator
Date 2018-07-23
Name of individual signing LORA CAMPBELL
Valid signature Filed with authorized/valid electronic signature
PLATINUM PEDIATRIC THERAPY, P.C. RETIREMENT TRUST 2016 454978767 2017-08-01 PLATINUM PEDIATRIC THERAPY, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-07-01
Business code 541600
Sponsor’s telephone number 8155054463
Plan sponsor’s address 12937 BLUE SPRUCE DRIVE, PLAINFIELD, IL, 60585

Signature of
Role Plan administrator
Date 2017-08-01
Name of individual signing LORA CAMPBELL
Valid signature Filed with authorized/valid electronic signature
PLATINUM PEDIATRIC THERAPY, P.C. RETIREMENT TRUST 2015 454978767 2016-07-05 PLATINUM PEDIATRIC THERAPY, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-07-01
Business code 541600
Sponsor’s telephone number 8155054463
Plan sponsor’s address 12937 BLUE SPRUCE DRIVE, PLAINFIELD, IL, 60585

Signature of
Role Plan administrator
Date 2016-07-05
Name of individual signing LORA BOOZELL
Valid signature Filed with authorized/valid electronic signature
PLATINUM PEDIATRIC THERAPY, P.C. RETIREMENT TRUST 2014 454978767 2015-06-18 PLATINUM PEDIATRIC THERAPY, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-01
Business code 541600
Sponsor’s telephone number 8155054463
Plan sponsor’s address 12937 BLUE SPRUCE DRIVE, PLAINFIELD, IL, 60585

Signature of
Role Plan administrator
Date 2015-06-18
Name of individual signing LORA BOOZELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-18
Name of individual signing LORA BOOZELL
Valid signature Filed with authorized/valid electronic signature
PLATINUM PEDIATRIC THERAPY, P.C. RETIREMENT TRUST 2013 454978767 2014-07-11 PLATINUM PEDIATRIC THERAPY, P.C. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-01
Business code 541600
Sponsor’s telephone number 8155054463
Plan sponsor’s address 12937 BLUE SPRUCE DRIVE, PLAINFIELD, IL, 60585

Signature of
Role Plan administrator
Date 2014-07-11
Name of individual signing LORA BOOZELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-11
Name of individual signing LORA BOOZELL
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
LORA PAULINE CAMPBELL, 12937 BLUE SPRUCE DRIVE, PLAINFIELD, 60585, KENDALL Agent 2017-03-03

President

Name and Address Role
LORA CAMPBELL 12937 BLUE SPRUCE DR PLAINFIELD IL 60585 President

Secretary

Name and Address Role
RICHARD OLSEN Secretary

Shares

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

Related by officers

RICHARD OLSEN

VCNA PRAIRIE ILLINOIS, INC.

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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