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PHYSICIANS SERVICES GROUP, LLC

Company Details

Entity Name: PHYSICIANS SERVICES GROUP, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Voluntary Diss./Terminated
Date Formed: 02 Feb 2006
Company Number: LLC_01753045
File Number: 01753045
Type of Management: Member Managed
Date Status Change: 29 Jul 2015
Address 1875 DEMPSTER ST,STE 301, PARK RIDGE, 60068, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROGER PROFESSIONAL PHARMACY, INC. 401(K) PLAN 2012 363255630 2013-05-28 ROGER PROFESSIONAL PHARMACY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 813000
Sponsor’s telephone number 7736240010
Plan sponsor’s address 131 E. 47TH STREET, CHICAGO, IL, 60653

Signature of

Role Plan administrator
Date 2013-05-28
Name of individual signing RAJESH CHOTALIA
Valid signature Filed with authorized/valid electronic signature
ROGER PROFESSIONAL PHARMACY, INC. DEFINED BENEFIT PLAN 2011 363255630 2012-09-19 ROGER PROFESSIONAL PHARMACY, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 813000
Sponsor’s telephone number 7736240010
Plan sponsor’s address 131 E. 47TH STREET, CHICAGO, IL, 60653

Plan administrator’s name and address

Administrator’s EIN 363255630
Plan administrator’s name ROGER PROFESSIONAL PHARMACY, INC.
Plan administrator’s address 131 E. 47TH STREET, CHICAGO, IL, 60653
Administrator’s telephone number 7736240010

Signature of

Role Plan administrator
Date 2012-09-18
Name of individual signing RAJESH CHOTALIA
Valid signature Filed with authorized/valid electronic signature
ROGER PROFESSIONAL PHARMACY, INC. 401(K) PLAN 2011 363255630 2012-05-29 ROGER PROFESSIONAL PHARMACY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 813000
Sponsor’s telephone number 7736240010
Plan sponsor’s address 131 E. 47TH STREET, CHICAGO, IL, 60653

Plan administrator’s name and address

Administrator’s EIN 363255630
Plan administrator’s name ROGER PROFESSIONAL PHARMACY, INC.
Plan administrator’s address 131 E. 47TH STREET, CHICAGO, IL, 60653
Administrator’s telephone number 7736240010

Signature of

Role Plan administrator
Date 2012-05-29
Name of individual signing RAJESH CHOTALIA
Valid signature Filed with authorized/valid electronic signature
ROGER PROFESSIONAL PHARMACY, INC. DEFINED BENEFIT PLAN 2010 363255630 2011-07-21 ROGER PROFESSIONAL PHARMACY, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 813000
Sponsor’s telephone number 7736240010
Plan sponsor’s address 131 E. 47TH STREET, CHICAGO, IL, 60653

Plan administrator’s name and address

Administrator’s EIN 363255630
Plan administrator’s name ROGER PROFESSIONAL PHARMACY, INC.
Plan administrator’s address 131 E. 47TH STREET, CHICAGO, IL, 60653
Administrator’s telephone number 7736240010

Signature of

Role Plan administrator
Date 2011-07-21
Name of individual signing RAJESH CHOTALIA
Valid signature Filed with authorized/valid electronic signature
ROGER PROFESSIONAL PHARMACY, INC. DEFINED BENEFIT PLAN 2010 363255630 2011-07-21 ROGER PROFESSIONAL PHARMACY, INC. 5
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 813000
Sponsor’s telephone number 7736240010
Plan sponsor’s address 131 E. 47TH STREET, CHICAGO, IL, 60653

Plan administrator’s name and address

Administrator’s EIN 363255630
Plan administrator’s name ROGER PROFESSIONAL PHARMACY, INC.
Plan administrator’s address 131 E. 47TH STREET, CHICAGO, IL, 60653
Administrator’s telephone number 7736240010

Signature of

Role Plan administrator
Date 2011-07-21
Name of individual signing RAJESH CHOTALIA
Valid signature Filed with authorized/valid electronic signature
ROGER PROFESSIONAL PHARMACY, INC. 401(K) PLAN 2010 363255630 2011-03-21 ROGER PROFESSIONAL PHARMACY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 813000
Sponsor’s telephone number 7736240010
Plan sponsor’s address 131 E. 47TH STREET, CHICAGO, IL, 60653

Plan administrator’s name and address

Administrator’s EIN 363255630
Plan administrator’s name ROGER PROFESSIONAL PHARMACY, INC.
Plan administrator’s address 131 E. 47TH STREET, CHICAGO, IL, 60653
Administrator’s telephone number 7736240010

Signature of

Role Plan administrator
Date 2011-03-18
Name of individual signing RAJESH CHOTALIA
Valid signature Filed with authorized/valid electronic signature
ROGER PROFESSIONAL PHARMACY, INC. 401(K) PLAN 2009 363255630 2010-10-04 ROGER PROFESSIONAL PHARMACY, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 813000
Sponsor’s telephone number 7736240010
Plan sponsor’s address 131 E. 47TH STREET, CHICAGO, IL, 60653

Plan administrator’s name and address

Administrator’s EIN 363255630
Plan administrator’s name ROGER PROFESSIONAL PHARMACY, INC.
Plan administrator’s address 131 E. 47TH STREET, CHICAGO, IL, 60653
Administrator’s telephone number 7736240010

Signature of

Role Plan administrator
Date 2010-10-04
Name of individual signing RAJESH CHOTALIA
Valid signature Filed with authorized/valid electronic signature
ROGER PROFESSIONAL PHARMACY, INC. DEFINED BENEFIT PLAN 2009 363255630 2010-09-29 ROGER PROFESSIONAL PHARMACY, INC. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 813000
Sponsor’s telephone number 7736240010
Plan sponsor’s address 131 E. 47TH STREET, CHICAGO, IL, 60653

Plan administrator’s name and address

Administrator’s EIN 363255630
Plan administrator’s name ROGER PROFESSIONAL PHARMACY, INC.
Plan administrator’s address 131 E. 47TH STREET, CHICAGO, IL, 60653
Administrator’s telephone number 7736240010

Signature of

Role Plan administrator
Date 2010-09-29
Name of individual signing RAJESH CHOTALIA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MARVIN KAMENSKY, 7250 NORTH CICERO AVE,STE 200, LINCOLNWOOD, 60712, COOK-NOT IN CITY OF CHICAGO Agent 2006-02-02

Member

Name and Address Role Appointment Date
ZIFFRA, KEVIN MD, 1875 DEMPSTER ST/STE 301, PARK RIDGE, IL, 60068 Member 2006-02-02
GOLDIN, ALEXANDER MD, 1875 DEMPSTER ST STE 301, PARK RIDGE, IL, 60068 Member 2010-02-19
LAYLAND, MICHAEL MD, 1875 DEMPSTER ST STE 301, PARK RIDGE, IL, 60068 Member 2010-02-19
TOJO, DAVID MD, 1875 DEMPSTER ST/STE 301, PARK RIDGE, IL, 60068 Member 2006-02-02

Date of last update: 13 Feb 2025

Sources: Illinois Office of the Secretary of State