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  5. LAKESIDE FAMILY PRACTICE, LLC

LAKESIDE FAMILY PRACTICE, LLC

Company Details

Entity Name: LAKESIDE FAMILY PRACTICE, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Voluntary Diss./Terminated
Date Formed: 06 Jan 2005
Company Number: LLC_01389203
File Number: 01389203
Type of Management: Member Managed
Date Status Change: 09 Mar 2010
Address 1315 MACOM DRIVE, SUITE 203, NAPERVILLE, 60564, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKESIDE FAMILY PRACTICE 401(K) SAFE HARBOR PLAN 2015 202182402 2016-10-17 LAKESIDE FAMILY PRACTICE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6308984822
Plan sponsor’s address 1315 MACOM DRIVE SUITE 203, NAPERVILLE, IL, 60564

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing ROBERT MILLAR
Valid signature Filed with authorized/valid electronic signature
LAKESIDE FAMILY PRACTICE 401(K) SAFE HARBOR PLAN 2015 202182402 2016-07-05 LAKESIDE FAMILY PRACTICE 5
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6308984822
Plan sponsor’s address 1315 MACOM DRIVE SUITE 203, NAPERVILLE, IL, 60564

Signature of
Role Plan administrator
Date 2016-07-05
Name of individual signing ROBERT MILLAR
Valid signature Filed with authorized/valid electronic signature
LAKESIDE FAMILY PRACTICE 401(K) SAFE HARBOR PLAN 2014 202182402 2015-10-09 LAKESIDE FAMILY PRACTICE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6308984822
Plan sponsor’s address 1315 MACOM DRIVE SUITE 203, NAPERVILLE, IL, 60564

Signature of
Role Plan administrator
Date 2015-10-09
Name of individual signing ROBERT MILLAR
Valid signature Filed with authorized/valid electronic signature
LAKESIDE FAMILY PRACTICE 401(K) SAFE HARBOR PLAN 2013 202182402 2014-10-17 LAKESIDE FAMILY PRACTICE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6308984822
Plan sponsor’s address 1315 MACOM DRIVE, STE. 203, NAPERVILLE, IL, 60564

Signature of
Role Plan administrator
Date 2014-10-17
Name of individual signing ROBERT MILLAR
Valid signature Filed with authorized/valid electronic signature
LAKESIDE FAMILY PRACTICE 401(K) SAFE HARBOR PLAN 2012 202182402 2013-10-02 LAKESIDE FAMILY PRACTICE 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6308984822
Plan sponsor’s address 1315 MACOM DRIVE, STE. 203, NAPERVILLE, IL, 60564

Signature of
Role Plan administrator
Date 2013-10-02
Name of individual signing ROBERT MILLAR
Valid signature Filed with authorized/valid electronic signature
LAKESIDE FAMILY PRACTICE 401(K) SAFE HARBOR PLAN 2011 202182402 2012-08-08 LAKESIDE FAMILY PRACTICE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6308984822
Plan sponsor’s address 1315 MACOM DRIVE, STE. 203, NAPERVILLE, IL, 60564

Plan administrator’s name and address
Administrator’s EIN 202182402
Plan administrator’s name LAKESIDE FAMILY PRACTICE
Plan administrator’s address 1315 MACOM DRIVE, STE. 203, NAPERVILLE, IL, 60564
Administrator’s telephone number 6308984822

Signature of
Role Plan administrator
Date 2012-08-06
Name of individual signing ROBERT MILLAR
Valid signature Filed with authorized/valid electronic signature
LAKESIDE FAMILY PRACTICE 401(K) SAFE HARBOR PLAN 2010 202182402 2011-07-12 LAKESIDE FAMILY PRACTICE 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6308984822
Plan sponsor’s address 1315 MACOM DRIVE, STE. 203, NAPERVILLE, IL, 60564

Plan administrator’s name and address
Administrator’s EIN 202182402
Plan administrator’s name LAKESIDE FAMILY PRACTICE
Plan administrator’s address 1315 MACOM DRIVE, STE. 203, NAPERVILLE, IL, 60564
Administrator’s telephone number 6308984822

Signature of
Role Plan administrator
Date 2011-07-12
Name of individual signing ROBERT MILLAR
Valid signature Filed with authorized/valid electronic signature
LAKESIDE FAMILY PRACTICE 401(K) SAFE HARBOR PLAN 2009 202182402 2010-07-12 LAKESIDE FAMILY PRACTICE 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6308984822
Plan sponsor’s address 1315 MACOM DRIVE, STE. 203, NAPERVILLE, IL, 60564

Plan administrator’s name and address
Administrator’s EIN 202182402
Plan administrator’s name LAKESIDE FAMILY PRACTICE
Plan administrator’s address 1315 MACOM DRIVE, STE. 203, NAPERVILLE, IL, 60564
Administrator’s telephone number 6308984822

Signature of
Role Plan administrator
Date 2010-07-12
Name of individual signing ROBERT MILLAR
Valid signature Filed with authorized/valid electronic signature
LAKESIDE FAMILY PRACTICE 401(K) SAFE HARBOR PLAN 2009 202182402 2010-07-08 LAKESIDE FAMILY PRACTICE 8
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 6308984822
Plan sponsor’s address 1315 MACOM DRIVE, STE. 203, NAPERVILLE, IL, 60564

Plan administrator’s name and address
Administrator’s EIN 202182402
Plan administrator’s name LAKESIDE FAMILY PRACTICE
Plan administrator’s address 1315 MACOM DRIVE, STE. 203, NAPERVILLE, IL, 60564
Administrator’s telephone number 6308984822

Signature of
Role Employer/plan sponsor
Date 2010-07-08
Name of individual signing ROBERT MILLAR
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MELVIN J. FEIN, 1155 S WASHINGTON ST, STE 204, NAPERVILLE, 60540, DU PAGE Agent 2005-01-06

Member

Name and Address Role Appointment Date
MILLAR, ROBERT J., 1315 MACOM DR., STE. 203, NAPERVILLE, IL, 60564 Member 2005-01-06
FEDINEC, SUSAN, D.O., LLC, 1315 MACOM DR., STE. 203, NAPERVILLE, IL, 60564 Member 2005-01-06

Related by officers

MELVIN J. FEIN, 1155 S WASHINGTON ST, STE 204, NAPERVILLE, 60540, DU PAGE

SUSAN FEDINEC, D.O., LLC

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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