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  5. PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D. S.C.

PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D. S.C.

Company Details

Entity Name: PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D. S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 28 Dec 1998
Date of Dissolution: 29 Oct 2021
Company Number: CORP_60272611
File Number: 60272611
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 29 Oct 2021
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C. 401(K) PROFIT SHARING PLAN 2020 364266633 2021-04-07 PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C. 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621399
Sponsor’s telephone number 8473816786
Plan sponsor’s address 5057 SHORELINE ROAD, LAKE BARRINGTON, IL, 60010

Plan administrator’s name and address
Administrator’s EIN 364266633
Plan administrator’s name PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C.
Plan administrator’s address 5057 SHORELINE ROAD, LAKE BARRINGTON, IL, 60010
Administrator’s telephone number 8473816786

Signature of
Role Plan administrator
Date 2021-04-07
Name of individual signing CHARLES BRAVERMAN
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C. 401(K) PROFIT SHARING PLAN 2019 364266633 2020-07-23 PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621399
Sponsor’s telephone number 8473816786
Plan sponsor’s address 5057 SHORELINE ROAD, LAKE BARRINGTON, IL, 60010

Plan administrator’s name and address
Administrator’s EIN 364266633
Plan administrator’s name PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C.
Plan administrator’s address 5057 SHORELINE ROAD, LAKE BARRINGTON, IL, 60010
Administrator’s telephone number 8473816786

Signature of
Role Plan administrator
Date 2020-07-23
Name of individual signing CHARLES BRAVERMAN
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C. 401(K) PROFIT SHARING PLAN 2018 364266633 2019-07-17 PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621399
Sponsor’s telephone number 8473816786
Plan sponsor’s address 5057 SHORELINE ROAD, LAKE BARRINGTON, IL, 60010

Plan administrator’s name and address
Administrator’s EIN 364266633
Plan administrator’s name PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C.
Plan administrator’s address 5057 SHORELINE ROAD, LAKE BARRINGTON, IL, 60010
Administrator’s telephone number 8473816786

Signature of
Role Plan administrator
Date 2019-07-17
Name of individual signing CHARLES BRAVERMAN
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C. 401(K) PROFIT SHARING PLAN 2017 364266633 2018-06-27 PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C. 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621399
Sponsor’s telephone number 8473816786
Plan sponsor’s address 5057 SHORELINE ROAD, LAKE BARRINGTON, IL, 60010

Plan administrator’s name and address
Administrator’s EIN 364266633
Plan administrator’s name PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C.
Plan administrator’s address 5057 SHORELINE ROAD, LAKE BARRINGTON, IL, 60010
Administrator’s telephone number 8473816786

Signature of
Role Plan administrator
Date 2018-06-27
Name of individual signing CHARLES BRAVERMAN
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C. 401(K) PROFIT SHARING PLAN 2016 364266633 2017-04-18 PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C. 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621399
Sponsor’s telephone number 8473816786
Plan sponsor’s address 5057 SHORELINE ROAD, LAKE BARRINGTON, IL, 60010

Plan administrator’s name and address
Administrator’s EIN 364266633
Plan administrator’s name PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C.
Plan administrator’s address 5057 SHORELINE ROAD, LAKE BARRINGTON, IL, 60010
Administrator’s telephone number 8473816786

Signature of
Role Plan administrator
Date 2017-04-18
Name of individual signing CHARLES BRAVERMAN
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C. 401(K) PROFIT SHARING PLAN 2015 364266633 2016-07-28 PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C. 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621399
Sponsor’s telephone number 8473816786
Plan sponsor’s address 5057 SHORELINE ROAD, LAKE BARRINGTON, IL, 60010

Plan administrator’s name and address
Administrator’s EIN 364266633
Plan administrator’s name PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C.
Plan administrator’s address 5057 SHORELINE ROAD, LAKE BARRINGTON, IL, 60010
Administrator’s telephone number 8473816786

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing CHARLES BRAVERMAN
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C. 401(K) PROFIT SHARING PLAN 2014 364266633 2015-04-02 PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C. 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621399
Sponsor’s telephone number 8473816786
Plan sponsor’s address 5057 SHORELINE ROAD, LAKE BARRINGTON, IL, 60010

Plan administrator’s name and address
Administrator’s EIN 364266633
Plan administrator’s name PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C.
Plan administrator’s address 5057 SHORELINE ROAD, LAKE BARRINGTON, IL, 60010
Administrator’s telephone number 8473816786

Signature of
Role Plan administrator
Date 2015-04-02
Name of individual signing CHARLES BRAVERMAN
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C. 401(K) PROFIT SHARING PLAN 2013 364266633 2014-06-25 PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C. 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621399
Sponsor’s telephone number 8473816786
Plan sponsor’s address 5057 SHORELINE ROAD, LAKE BARRINGTON, IL, 60010

Plan administrator’s name and address
Administrator’s EIN 364266633
Plan administrator’s name PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C.
Plan administrator’s address 5057 SHORELINE ROAD, LAKE BARRINGTON, IL, 60010
Administrator’s telephone number 8473816786

Signature of
Role Plan administrator
Date 2014-06-25
Name of individual signing CHARLES BRAVERMAN
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C. 401(K) PROFIT SHARING PLAN 2012 364266633 2013-08-14 PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C. 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621399
Sponsor’s telephone number 8473816786
Plan sponsor’s address 5057 SHORELINE ROAD, LAKE BARRINGTON, IL, 60010

Plan administrator’s name and address
Administrator’s EIN 364266633
Plan administrator’s name PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C.
Plan administrator’s address 5057 SHORELINE ROAD, LAKE BARRINGTON, IL, 60010
Administrator’s telephone number 8473816786

Signature of
Role Plan administrator
Date 2013-08-14
Name of individual signing CHARLES BRAVERMAN
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C. 401(K) PROFIT SHARING PLAN 2011 363531123 2012-10-15 PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621399
Sponsor’s telephone number 8473816786
Plan sponsor’s address 5057 SHORELINE ROAD, LAKE BARRINGTON, IL, 60010

Plan administrator’s name and address
Administrator’s EIN 363531123
Plan administrator’s name PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C.
Plan administrator’s address 5057 SHORELINE ROAD, LAKE BARRINGTON, IL, 60010
Administrator’s telephone number 8473816786

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing CHARLES BRAVERMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ALAN D PEARLMAN, 2803 BUTTERFIELD RD STE 300, OAK BROOK, 60523, DU PAGE Agent 2008-12-05

President

Name and Address Role
MARY COLLINS, 103 OLD DUNDEE RD BARRINGTON 60010 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100000 1000000 No data

Related by officers

ALAN D PEARLMAN, 2803 BUTTERFIELD RD STE 300, OAK BROOK, 60523, DU PAGE

THE DALY GROUP LLC DALAN/GENEVA, L.L.C. MIDAM/DALAN BRADLEY PHASE 4, LLC

Related by address

No related companies by address

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State

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