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MICHIGAN AVENUE INTERNISTS, P.L.L.C.

Company Details

Entity Name: MICHIGAN AVENUE INTERNISTS, P.L.L.C.
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 11 Mar 1998
Company Number: LLC_00175374
File Number: 00175374
Type of Management: Manager Managed
Date Status Change: 04 Mar 2024
Address 200 S. MICHIGAN AVE. STE. 1400, CHICAGO, 60604, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MICHIGAN AVENUE INTERNISTS, L.L.C. 401(K) PROFIT SHARING PLAN 2023 363762672 2024-06-03 MICHIGAN AVENUE INTERNISTS, L.L.C. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3129223815
Plan sponsor’s address 200 SOUTH MICHIGAN AVENUE, SUITE 1400, CHICAGO, IL, 60604

Signature of

Role Plan administrator
Date 2024-06-03
Name of individual signing DR. GREG EWERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-03
Name of individual signing DR. GREG EWERT
Valid signature Filed with authorized/valid electronic signature
MICHIGAN AVENUE INTERNISTS, L.L.C. CASH BALANCE PLAN 2023 363762672 2024-05-06 MICHIGAN AVENUE INTERNISTS, L.L.C. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3129223815
Plan sponsor’s address 200 SOUTH MICHIGAN AVENUE, SUITE 1400, CHICAGO, IL, 60604

Signature of

Role Plan administrator
Date 2024-05-06
Name of individual signing DR. GREG EWERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-06
Name of individual signing DR. GREG EWERT
Valid signature Filed with authorized/valid electronic signature
MICHIGAN AVENUE INTERNISTS, L.L.C. 401(K) PROFIT SHARING PLAN 2022 363762672 2023-10-09 MICHIGAN AVENUE INTERNISTS, L.L.C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3129223815
Plan sponsor’s address 200 SOUTH MICHIGAN AVENUE, SUITE 1400, CHICAGO, IL, 60604

Signature of

Role Plan administrator
Date 2023-10-09
Name of individual signing DR. GREG EWERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-09
Name of individual signing DR. GREG EWERT
Valid signature Filed with authorized/valid electronic signature
MICHIGAN AVENUE INTERNISTS, L.L.C. CASH BALANCE PLAN 2022 363762672 2023-10-09 MICHIGAN AVENUE INTERNISTS, L.L.C. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3129223815
Plan sponsor’s address 200 SOUTH MICHIGAN AVENUE, SUITE 1400, CHICAGO, IL, 60604

Signature of

Role Plan administrator
Date 2023-10-09
Name of individual signing DR. GREG EWERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-09
Name of individual signing DR. GREG EWERT
Valid signature Filed with authorized/valid electronic signature
MICHIGAN AVENUE INTERNISTS, L.L.C. 401(K) PROFIT SHARING PLAN 2021 363762672 2022-04-14 MICHIGAN AVENUE INTERNISTS, L.L.C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3129223815
Plan sponsor’s address 200 SOUTH MICHIGAN AVENUE, SUITE 1400, CHICAGO, IL, 60604

Signature of

Role Plan administrator
Date 2022-04-14
Name of individual signing DR. GREG EWERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-14
Name of individual signing DR. GREG EWERT
Valid signature Filed with authorized/valid electronic signature
MICHIGAN AVENUE INTERNISTS, L.L.C. CASH BALANCE PLAN 2021 363762672 2022-10-13 MICHIGAN AVENUE INTERNISTS, L.L.C. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3129223815
Plan sponsor’s address 200 SOUTH MICHIGAN AVENUE, SUITE 1400, CHICAGO, IL, 60604

Signature of

Role Plan administrator
Date 2022-10-12
Name of individual signing DR. GREG EWERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-12
Name of individual signing DR. GREG EWERT
Valid signature Filed with authorized/valid electronic signature
MICHIGAN AVENUE INTERNISTS, L.L.C. CASH BALANCE PLAN 2020 363762672 2021-08-25 MICHIGAN AVENUE INTERNISTS, L.L.C. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3129223815
Plan sponsor’s address 200 SOUTH MICHIGAN AVENUE, SUITE 1400, CHICAGO, IL, 60604

Signature of

Role Plan administrator
Date 2021-04-28
Name of individual signing DR. GREG EWERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-28
Name of individual signing DR. GREG EWERT
Valid signature Filed with authorized/valid electronic signature
MICHIGAN AVENUE INTERNISTS, L.L.C. CASH BALANCE PLAN 2020 363762672 2021-04-28 MICHIGAN AVENUE INTERNISTS, L.L.C. 19
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3129223815
Plan sponsor’s address 200 SOUTH MICHIGAN AVENUE, SUITE 1400, CHICAGO, IL, 60604

Signature of

Role Plan administrator
Date 2021-04-28
Name of individual signing DR. GREG EWERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-28
Name of individual signing DR. GREG EWERT
Valid signature Filed with authorized/valid electronic signature
MICHIGAN AVENUE INTERNISTS, L.L.C. 401(K) PROFIT SHARING PLAN 2020 363762672 2021-05-20 MICHIGAN AVENUE INTERNISTS, L.L.C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3129223815
Plan sponsor’s address 200 SOUTH MICHIGAN AVENUE, SUITE 1400, CHICAGO, IL, 60604

Signature of

Role Plan administrator
Date 2021-05-20
Name of individual signing DR. GREG EWERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-20
Name of individual signing DR. GREG EWERT
Valid signature Filed with authorized/valid electronic signature
MICHIGAN AVENUE INTERNISTS, L.L.C. 401(K) PROFIT SHARING PLAN 2020 363762672 2021-05-20 MICHIGAN AVENUE INTERNISTS, L.L.C. 27
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 3129223815
Plan sponsor’s address 200 SOUTH MICHIGAN AVENUE, SUITE 1400, CHICAGO, IL, 60604

Signature of

Role Plan administrator
Date 2021-05-20
Name of individual signing DR. GREG EWERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-20
Name of individual signing DR. GREG EWERT
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOHN F. MAHONEY, 7330 W COLLEGE DR STE 107, PALOS HTS, 60463, COOK-NOT IN CITY OF CHICAGO Agent 2015-07-10

Manager

Name and Address Role Appointment Date
COSTAS, ANGELO A., M.D., 200 SOUTH MICHIGAN AVE STE 1400, CHICAGO, IL, 60604 Manager 2024-03-04
EWERT, GREG D., M.D., 200 SOUTH MICHIGAN AVE STE 1400, CHICAGO, IL, 60604 Manager 2024-03-04
TERMOLEN, SHIRLEY LEE, M.E., 200 SOUTH MICHIGAN AVE STE 1400, CHICAGO, IL, 60604 Manager 2024-03-04
HIOTIS, LOUIS, M.D., 200 SOUTH MICHIGAN AVE STE 1400, CHICAGO, IL, 60604 Manager 2024-03-04
BRADLEY R. SABIN, 200 SOUTH MICHIGAN AVE ATE 1400, CHICAGO, IL, 60604 Manager 2024-03-04
AMI P. DESAI, M.D., 200 SOUTH MICHIGAN AVE STE 1400, CHICAGO, IL, 60604 Manager 2024-03-04
EVAN NG, M.D., 200 SOUTH MICHIGAN AVE STE 1400, CHICAGO, IL, 60604 Manager 2024-03-04
DAVID A. VERMYLEN, M.D., 200 SOUTH MICHIGAN AVE STE 1400, CHICAGO, IL, 60604 Manager 2024-03-04
SHEILA BALLANTINE GUSSAK, M.D., 200 SOUTH MICHIGAN AVENUE STE 1400, CHICAGO, IL, 60604 Manager 2022-12-21

Historical Names

Name Change Date
MICHIGAN AVENUE INTERNISTS, L.L.C. 2022-12-21

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State