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NORTH SHORE PHYSICIANS GROUP, LLC

Company Details

Entity Name: NORTH SHORE PHYSICIANS GROUP, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Involuntary Dissolution
Date Formed: 29 Aug 2005
Company Number: LLC_01602896
File Number: 01602896
Type of Management: Manager Managed
Date Status Change: 14 Feb 2014
Address 3400 DUNDEE RD STE 200, NORTHBROOK, 60062, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH SHORE PHYSICIANS GROUP, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2013 202750804 2014-07-03 NORTH SHORE PHYSICIANS GROUP, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8472563600
Plan sponsor’s address 1625 SHERIDAN ROAD - SUITE A, WILMETTE, IL, 600911800

Signature of

Role Plan administrator
Date 2014-07-03
Name of individual signing JOHN HENNESSY
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE PHYSICIANS GROUP, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2012 202750804 2013-10-04 NORTH SHORE PHYSICIANS GROUP, LLC 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8472563600
Plan sponsor’s address 1625 SHERIDAN ROAD - SUITE A, WILMETTE, IL, 600911800

Signature of

Role Plan administrator
Date 2013-10-04
Name of individual signing JOHN HENNESSY
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE PHYSICIANS GROUP, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2011 202750804 2012-10-12 NORTH SHORE PHYSICIANS GROUP, LLC 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8472563600
Plan sponsor’s address 1625 SHERIDAN ROAD - SUITE A, WILMETTE, IL, 600911800

Plan administrator’s name and address

Administrator’s EIN 202750804
Plan administrator’s name NORTH SHORE PHYSICIANS GROUP, LLC
Plan administrator’s address 1625 SHERIDAN ROAD - SUITE A, WILMETTE, IL, 600911800
Administrator’s telephone number 8472563600

Signature of

Role Plan administrator
Date 2012-10-12
Name of individual signing JOHN HENNESSY
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE PHYSICIANS GROUP, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2010 202750804 2011-10-17 NORTH SHORE PHYSICIANS GROUP, LLC 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8472563600
Plan sponsor’s address 1625 SHERIDAN ROAD - SUITE A, WILMETTE, IL, 600911800

Plan administrator’s name and address

Administrator’s EIN 202750804
Plan administrator’s name NORTH SHORE PHYSICIANS GROUP, LLC
Plan administrator’s address 1625 SHERIDAN ROAD - SUITE A, WILMETTE, IL, 600911800
Administrator’s telephone number 8472563600

Signature of

Role Plan administrator
Date 2011-10-17
Name of individual signing JOHN HENNESSY
Valid signature Filed with authorized/valid electronic signature
NORTH SHORE PHYSICIANS GROUP, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2009 202750804 2010-10-15 NORTH SHORE PHYSICIANS GROUP, LLC 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8472563600
Plan sponsor’s address 1625 SHERIDAN ROAD - SUITE A, WILMETTE, IL, 600911800

Plan administrator’s name and address

Administrator’s EIN 202750804
Plan administrator’s name NORTH SHORE PHYSICIANS GROUP, LLC
Plan administrator’s address 1625 SHERIDAN ROAD - SUITE A, WILMETTE, IL, 600911800
Administrator’s telephone number 8472563600

Signature of

Role Plan administrator
Date 2010-10-15
Name of individual signing LINDA LINK
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MARVIN KAMENSKY, 7250 N CICERO AVE STE 200, LINCOLNWOOD, 60712, COOK-NOT IN CITY OF CHICAGO Agent 2005-08-29

Manager

Name and Address Role Appointment Date
MASSEL, BRUCE M.D., 3841 GRENACRE DR, NORTHBROOK, IL, 60062 Manager 2005-08-29
CROGHAN, JOHN E M.D., 255 MELROSE AVE, KENILWORTH, IL, 60043 Manager 2005-08-29

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
LIMITED LIABILITY CO 248000429 No data No data PROFESSIONAL LIMITED LIABILITY COMPANY No data 2011-09-30 2011-12-06 2013-01-01

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
NORTHSHORE HEMATOLOGY ONCOLOGY Assumed name 2010-02-16 2014-02-14 Involuntary cancellation No data
NORTH SHORE IMAGING Assumed name 2006-04-24 2014-02-14 Involuntary cancellation 2010-08-12
SHERIDAN ROAD MEDICAL ASSOCIATES Assumed name 2006-01-05 2014-02-14 Involuntary cancellation 2010-08-12
NORTH SHORE MEDICAL GROUP Assumed name 2005-09-27 2014-02-14 Involuntary cancellation 2010-08-12
NORTH SHORE INTERNAL MEDICINE Assumed name 2005-09-27 2014-02-14 Involuntary cancellation 2010-08-12

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State