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MIDWEST GERIATRICS LLC

MIDWEST GERIATRICS LLC

Company Details

Entity Name:	MIDWEST GERIATRICS LLC
Jurisdiction:	Illinois
Entity Type:	Limited Liability Company
Status:	Voluntary Diss./Terminated
Date Formed:	18 May 2016
Company Number:	LLC_05798108
File Number:	05798108
Type of Management:	Manager Managed
Date Status Change:	08 Mar 2023
Address	6101 SOUTH COUNTY LINE RD, BURR RIDGE, 60527, IL
Place of Formation:	ILLINOIS

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

MIDWEST GERIATRICS, LLC 401(K) PLAN

2020

812683981

2021-10-14

MIDWEST GERIATRICS, LLC

4

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621111
Sponsor’s telephone number	6306869000
Plan sponsor’s address	6101 SOUTH COUNTY LINE ROAD, BURR RIDGE, IL, 60527

Signature of

Role	Plan administrator
Date	2021-10-14
Name of individual signing	RAJEEV KUMAR
Valid signature	Filed with authorized/valid electronic signature

MIDWEST GERIATRICS, LLC 401(K) PLAN

2020

812683981

2021-10-14

MIDWEST GERIATRICS, LLC

10

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621111
Sponsor’s telephone number	6306869000
Plan sponsor’s address	6101 SOUTH COUNTY LINE ROAD, BURR RIDGE, IL, 60527

Signature of

Role	Plan administrator
Date	2021-10-14
Name of individual signing	RAJEEV KUMAR
Valid signature	Filed with authorized/valid electronic signature

MIDWEST GERIATRICS, LLC 401(K) PLAN

2019

812683981

2020-09-09

MIDWEST GERIATRICS, LLC

10

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621111
Sponsor’s telephone number	6306869000
Plan sponsor’s address	6101 SOUTH COUNTY LINE ROAD, BURR RIDGE, IL, 60527

MIDWEST GERIATRICS, LLC 401(K) PLAN

2018

812683981

2019-07-26

MIDWEST GERIATRICS, LLC

10

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621111
Sponsor’s telephone number	6306869000
Plan sponsor’s address	6101 SOUTH COUNTY LINE ROAD, BURR RIDGE, IL, 60527

MIDWEST GERIATRICS, LLC 401(K) PLAN

2017

812683981

2018-07-25

MIDWEST GERIATRICS, LLC

10

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621111
Sponsor’s telephone number	6306869000
Plan sponsor’s address	6101 SOUTH COUNTY LINE ROAD, BURR RIDGE, IL, 60527

Agent

Name and Address	Role	Appointment Date
BRUCE PULITINI, 28100 TORCH PARKWAY #600, WARRENVILLE, 60555	Agent	2016-05-18

Manager

Name and Address	Role	Appointment Date
KUMAR, RAJEEV, 1619 MIDWEST CLUB PARKWAY, OAK, BROOK, IL, 60523	Manager	2022-04-01

License

License Type	License Number	Status	License Code	License Description	Business Activity	Date Issued	Effective Date	Expiration Date
LIMITED LIABILITY CO	248001490	No data	No data	PROFESSIONAL LIMITED LIABILITY COMPANY	No data	2016-09-15	2017-11-03	2019-01-01

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State