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  5. NORTHWEST INTERNAL MEDICINE GROUP LLC

NORTHWEST INTERNAL MEDICINE GROUP LLC

Company Details

Entity Name: NORTHWEST INTERNAL MEDICINE GROUP LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Voluntary Diss./Terminated
Date Formed: 01 Aug 2008
Company Number: LLC_02570793
File Number: 02570793
Type of Management: Member Managed
Date Status Change: 09 Nov 2021
Address 455 S ROSELLE ROAD, STE 226, SCHAUMBURG, 60193, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHWEST INTERNAL MEDICINE GROUP 40L(K) PLAN 2019 363233033 2020-05-28 NORTHWEST INTERNAL MEDICINE GROUP, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8473524646
Plan sponsor’s address 455 SOUTH ROSELLE ROAD, SUITE 226, SCHAUMBURG, IL, 60193

Signature of
Role Plan administrator
Date 2020-05-28
Name of individual signing TODD LEVERENTZ
Valid signature Filed with authorized/valid electronic signature
NORTHWEST INTERNAL MEDICINE GROUP 40L(K) PLAN 2019 363233033 2020-10-20 NORTHWEST INTERNAL MEDICINE GROUP, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8473524646
Plan sponsor’s address 455 SOUTH ROSELLE ROAD, SUITE 226, SCHAUMBURG, IL, 60193

Signature of
Role Plan administrator
Date 2020-10-20
Name of individual signing TODD LEVERENTZ
Valid signature Filed with authorized/valid electronic signature
NORTHWEST INTERNAL MEDICINE GROUP 40L(K) PLAN 2018 363233033 2019-06-11 NORTHWEST INTERNAL MEDICINE GROUP, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8473524646
Plan sponsor’s address 455 SOUTH ROSELLE ROAD, SUITE 226, SCHAUMBURG, IL, 60193

Signature of
Role Plan administrator
Date 2019-06-11
Name of individual signing TODD LEVERENTZ
Valid signature Filed with authorized/valid electronic signature
NORTHWEST INTERNAL MEDICINE GROUP 40L(K) PLAN 2017 363233033 2018-06-02 NORTHWEST INTERNAL MEDICINE GROUP, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8473524646
Plan sponsor’s address 455 SOUTH ROSELLE ROAD, SUITE 226, SCHAUMBURG, IL, 60193

Signature of
Role Plan administrator
Date 2018-06-02
Name of individual signing TODD LEVERENTZ
Valid signature Filed with authorized/valid electronic signature
NORTHWEST INTERNAL MEDICINE GROUP 401(K) PLAN 2016 363233033 2017-05-13 NORTHWEST INTERNAL MEDICINE GROUP, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8473524646
Plan sponsor’s address 455 SOUTH ROSELLE ROAD, SUITE 226, SCHAUMBURG, IL, 60193

Signature of
Role Plan administrator
Date 2017-05-13
Name of individual signing TODD LEVERENTZ
Valid signature Filed with authorized/valid electronic signature
NORTHWEST INTERNAL MEDICINE GROUP 401(K) PLAN 2015 363233033 2016-07-18 NORTHWEST INTERNAL MEDICINE GROUP, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8473524646
Plan sponsor’s address 455 SOUTH ROSELLE ROAD, SUITE 226, SCHAUMBURG, IL, 60193

Signature of
Role Plan administrator
Date 2016-07-18
Name of individual signing TODD LEVERENTZ
Valid signature Filed with authorized/valid electronic signature
NORTHWEST INTERNAL MEDICINE GROUP 401(K) PLAN 2014 363233033 2015-07-19 NORTHWEST INTERNAL MEDICINE GROUP, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8473524646
Plan sponsor’s address 455 SOUTH ROSELLE ROAD, SUITE 226, SCHAUMBURG, IL, 60193

Signature of
Role Plan administrator
Date 2015-07-19
Name of individual signing TODD LEVERENTZ
Valid signature Filed with authorized/valid electronic signature
NORTHWEST INTERNAL MEDICINE GROUP 401(K) PLAN 2013 363233033 2014-10-07 NORTHWEST INTERNAL MEDICINE GROUP, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8473524646
Plan sponsor’s address 455 SOUTH ROSELLE ROAD, SUITE 226, SCHAUMBURG, IL, 60193

Signature of
Role Plan administrator
Date 2014-10-07
Name of individual signing TODD LEVERENTZ
Valid signature Filed with authorized/valid electronic signature
NORTHWEST INTERNAL MEDICINE GROUP 401(K) PLAN 2012 363233033 2013-09-24 NORTHWEST INTERNAL MEDICINE GROUP, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8473524646
Plan sponsor’s address 455 SOUTH ROSELLE ROAD, SUITE 226, SCHAUMBURG, IL, 60193

Signature of
Role Plan administrator
Date 2013-09-24
Name of individual signing TODD LEVERENTZ
Valid signature Filed with authorized/valid electronic signature
NORTHWEST INTERNAL MEDICINE GROUP 401(K) PLAN 2011 363233033 2012-07-24 NORTHWEST INTERNAL MEDICINE GROUP, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8473524646
Plan sponsor’s address 455 SOUTH ROSELLE ROAD, SUITE 226, SCHAUMBURG, IL, 60193

Plan administrator’s name and address
Administrator’s EIN 363233033
Plan administrator’s name NORTHWEST INTERNAL MEDICINE GROUP, LLC
Plan administrator’s address 455 SOUTH ROSELLE ROAD, SUITE 226, SCHAUMBURG, IL, 60193
Administrator’s telephone number 8473524646

Signature of
Role Plan administrator
Date 2012-07-24
Name of individual signing TODD LEVERENTZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MICHAEL C KIDD, 475 HALF DAY RD STE 500, LINCOLNSHIRE, 60069, COOK-NOT IN CITY OF CHICAGO Agent 2019-07-19

Manager

Name and Address Role Appointment Date
LEVERENTZ, TODD, 455 S ROSELLE ROAD, SUITE 226, SCHAUMBURG, IL, 60193 Manager 2021-10-30
MROZ, GLORIA, 455 S ROSELLE ROAD, SUITE 226, SCHAUMBURG, IL, 60193 Manager 2021-10-30
SRODULSKI, JANUSZ, 455 S ROSELLE ROAD, SUITE 226, SCHAUMBURG, IL, 60193 Manager 2021-10-30

Related by officers

MICHAEL C KIDD, 475 HALF DAY RD STE 500, LINCOLNSHIRE, 60069, COOK-NOT IN CITY OF CHICAGO

ONCOLOGY OF NORTHSHORE LLC GREEN 5 PROPERTY 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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