| Entity Name: | LURIE CHILDREN'S PEDIATRIC ANESTHESIA ASSOCIATES |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Not-for-Profit |
| Status: | Goodstanding |
| Date Formed: | 07 Sep 2016 |
| Company Number: | CORP_70940361 |
| File Number: | 70940361 |
| Type of Business: | Not for Profit |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LURIE CHILDREN'S PEDIATRIC ANESTHESIA ASSOCIATES 403(B) PLAN | 2023 | 371838535 | 2024-10-14 | LURIE CHILDREN'S PEDIATRIC ANESTHESIA ASSOCIATES | 45 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-10-14 |
| Name of individual signing | ALEX MILLER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-10-14 |
| Name of individual signing | ALEX MILLER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2019-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3122273030 |
| Plan sponsor’s address | 225 E. CHICAGO AVENUE, BOX 282, CHICAGO, IL, 60611 |
Signature of
| Role | Plan administrator |
| Date | 2024-10-09 |
| Name of individual signing | ALEX MILLER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2019-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3122273030 |
| Plan sponsor’s address | 225 E. CHICAGO AVENUE, BOX 282, CHICAGO, IL, 60611 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| FATEMA ZANZI, 225 E CHICAGO AVE BOX #261, CHICAGO, 60611, COOK-NOT IN CITY OF CHICAGO | Agent | 2020-03-13 |
Date of last update: 16 Jan 2025
