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  5. MOBILE ANESTHESIOLOGISTS CHICAGO, PLLC

MOBILE ANESTHESIOLOGISTS CHICAGO, PLLC

Company Details

Entity Name: MOBILE ANESTHESIOLOGISTS CHICAGO, PLLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 29 Apr 1996
Company Number: LLC_00066982
File Number: 00066982
Type of Management: Member Managed
Date Status Change: 02 Jul 2024
Expiration Date: 29 Apr 2046
Address 8420 W. BRYN MAWR AVE STE 300, CHICAGO, 60631, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MOBILE ANESTHESIOLOGISTS LLC 401(K) PROFIT SHARING PLAN 2022 364079086 2023-09-08 MOBILE ANESTHESIOLOGISTS LLC 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7737565760
Plan sponsor’s address 8420 W BRYN MAWR AVE, STE 300, CHICAGO, IL, 60631

Signature of
Role Plan administrator
Date 2023-09-08
Name of individual signing KENDALL POWELL
Valid signature Filed with authorized/valid electronic signature
MOBILE ANESTHESIOLOGISTS LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 364079086 2022-04-13 MOBILE ANESTHESIOLOGISTS LLC 80
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7737565760
Plan sponsor’s address 8420 W BRYN MAWR AVE STE 300, CHICAGO, IL, 60631

Signature of
Role Plan administrator
Date 2022-04-13
Name of individual signing JOSHUA GANTZ
Valid signature Filed with authorized/valid electronic signature
MOBILE ANESTHESIOLOGISTS LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 364079086 2021-05-03 MOBILE ANESTHESIOLOGISTS LLC 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7737565760
Plan sponsor’s address 8420 W BRYN MAWR AVE STE 300, CHICAGO, IL, 60631

Signature of
Role Plan administrator
Date 2021-05-03
Name of individual signing JOSH GANTZ
Valid signature Filed with authorized/valid electronic signature
MOBILE ANESTHESIOLOGISTS LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 364079086 2020-04-08 MOBILE ANESTHESIOLOGISTS LLC 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7737565760
Plan sponsor’s address 8420 W BRYN MAWR AVE STE 300, CHICAGO, IL, 60631

Signature of
Role Plan administrator
Date 2020-04-08
Name of individual signing JOSHUA GANTZ
Valid signature Filed with authorized/valid electronic signature
MOBILE ANESTHESIOLOGISTS LLC 401 K PROFIT SHARING PLAN TRUST 2018 364079086 2019-03-26 MOBILE ANESTHESIOLOGISTS LLC 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 7737565760
Plan sponsor’s address 8420 W BRYN MAWR AVE STE 300, CHICAGO, IL, 60631

Signature of
Role Plan administrator
Date 2019-03-26
Name of individual signing JOSH GANTZ
Valid signature Filed with authorized/valid electronic signature
MOBILE ANESTHESIOLOGISTS LLC 401 K PROFIT SHARING PLAN TRUST 2017 364079086 2018-04-10 MOBILE ANESTHESIOLOGISTS LLC 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 336410
Sponsor’s telephone number 7737565736
Plan sponsor’s address 8420 W BRYN MAWR AVE STE 300, CHICAGO, IL, 60631

Signature of
Role Plan administrator
Date 2018-04-10
Name of individual signing JOSHUA GANTZ
Valid signature Filed with authorized/valid electronic signature
MOBILE ANESTHESIOLOGISTS LLC 401 K PROFIT SHARING PLAN TRUST 2016 364079086 2017-06-01 MOBILE ANESTHESIOLOGISTS LLC 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 336410
Sponsor’s telephone number 7737565736
Plan sponsor’s address 8420 W BRYN MAWR AVE STE 300, CHICAGO, IL, 60631

Signature of
Role Plan administrator
Date 2017-06-01
Name of individual signing JOSHUA GANTZ
Valid signature Filed with authorized/valid electronic signature
MOBILE ANESTHESIOLOGISTS,LLC 401(K) & PROFIT SHARING PLAN 2011 364079086 2012-11-13 MOBILE ANESTHESIOLOGISTS, LLC 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-02-01
Business code 621900
Sponsor’s telephone number 7733555300
Plan sponsor’s address 8420 WEST BRYN MAWR, SUITE 300, CHICAGO, IL, 606313440

Plan administrator’s name and address
Administrator’s EIN 364079086
Plan administrator’s name MOBILE ANESTHESIOLOGISTS, LLC
Plan administrator’s address 8420 WEST BRYN MAWR, SUITE 300, CHICAGO, IL, 606313440
Administrator’s telephone number 7733555300

Signature of
Role Plan administrator
Date 2012-11-13
Name of individual signing DAVID BARINHOLTZ
Valid signature Filed with authorized/valid electronic signature
MOBILE ANESTHESIOLOGISTS,LLC 401(K) & PROFIT SHARING PLAN 2011 364079086 2012-07-24 MOBILE ANESTHESIOLOGISTS, LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-02-01
Business code 621900
Sponsor’s telephone number 7733555300
Plan sponsor’s address 8420 WEST BRYN MAWR, SUITE 300, CHICAGO, IL, 606313440

Plan administrator’s name and address
Administrator’s EIN 364079086
Plan administrator’s name MOBILE ANESTHESIOLOGISTS, LLC
Plan administrator’s address 8420 WEST BRYN MAWR, SUITE 300, CHICAGO, IL, 606313440
Administrator’s telephone number 7733555300

Signature of
Role Plan administrator
Date 2012-07-24
Name of individual signing DAVID BARINHOLTZ
Valid signature Filed with authorized/valid electronic signature
MOBILE ANESTHESIOLOGISTS,LLC 401(K) & PROFIT SHARING PLAN 2010 364079086 2011-07-26 MOBILE ANESTHESIOLOGISTS, LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-02-01
Business code 621900
Sponsor’s telephone number 7733555300
Plan sponsor’s address 8420 WEST BRYN MAWR, SUITE 300, CHICAGO, IL, 606313440

Plan administrator’s name and address
Administrator’s EIN 364079086
Plan administrator’s name MOBILE ANESTHESIOLOGISTS, LLC
Plan administrator’s address 8420 WEST BRYN MAWR, SUITE 300, CHICAGO, IL, 606313440
Administrator’s telephone number 7733555300

Signature of
Role Plan administrator
Date 2011-07-26
Name of individual signing DAVID BARINHOLTZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
KAREN HABAS, 9550 W HIGGINS RD STE 1100, ROSEMONT, 60018 Agent 2024-07-25

Manager

Name and Address Role Appointment Date
VALACH M.D., MEGHAN C., 417 56TH ST., CLARENDON HILLS, IL, 60514 Manager 2024-07-02

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
LIMITED LIABILITY CO 248003102 No data No data PROFESSIONAL LIMITED LIABILITY COMPANY No data 2021-03-08 2021-10-29 2025-01-01

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
MOBILE ANESTHESIOLOGISTS LLC Assumed name 2013-05-22 2020-08-04 Involuntary cancellation 2015-03-31

Historical Names

Name Change Date
MOBILE ANETHESIOLOGISTS, L.L.C. 1999-08-02
MOBILE ANESTHESIA CONSULTANTS, L.L.C. 1997-07-16

Related by officers

KAREN HABAS, 9550 W HIGGINS RD STE 1100, ROSEMONT, 60018

AMBULATORY MANAGEMENT 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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