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  5. DAKOTA AFFILIATES, LLC

DAKOTA AFFILIATES, LLC

Company Details

Entity Name: DAKOTA AFFILIATES, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Voluntary Diss./Terminated
Date Formed: 14 Jan 2002
Company Number: LLC_00653136
File Number: 00653136
Type of Management: Member Managed
Date Status Change: 31 Dec 2015
Address 650 DAKOTA, SUITE A, CRYSTAL LAKE, 60012, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FOX VALLEY INTERNAL MEDICINE, L.L.C. PROFIT SHARING PLAN & TRUST 2014 352158780 2015-02-16 FOX VALLEY INTERNAL MEDICINE, L.L.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8154556000
Plan sponsor’s address 650 DAKOTA ST., SUITE A, CRYSTAL LAKE, IL, 60012
FOX VALLEY INTERNAL MEDICINE, L.L.C. PROFIT SHARING PLAN & TRUST 2013 352158780 2014-07-28 FOX VALLEY INTERNAL MEDICINE, L.L.C. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8154556000
Plan sponsor’s address 650 DAKOTA ST., SUITE A, CRYSTAL LAKE, IL, 60012
FOX VALLEY INTERNAL MEDICINE, L.L.C. PROFIT SHARING PLAN & TRUST 2012 352158780 2013-04-01 FOX VALLEY INTERNAL MEDICINE, L.L.C. 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8154556000
Plan sponsor’s address 650 DAKOTA ST., SUITE A, CRYSTAL LAKE, IL, 60012

Signature of
Role Plan administrator
Date 2013-04-01
Name of individual signing GEORGE URBAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-01
Name of individual signing GEORGE URBAN
Valid signature Filed with authorized/valid electronic signature
FOX VALLEY INTERNAL MEDICINE, L.L.C. PROFIT SHARING PLAN & TRUST 2011 352158780 2012-07-11 FOX VALLEY INTERNAL MEDICINE, L.L.C. 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8154556000
Plan sponsor’s address 650 DAKOTA ST., SUITE A, CRYSTAL LAKE, IL, 60012

Plan administrator’s name and address
Administrator’s EIN 352158780
Plan administrator’s name FOX VALLEY INTERNAL MEDICINE, L.L.C.
Plan administrator’s address 650 DAKOTA ST., SUITE A, CRYSTAL LAKE, IL, 60012
Administrator’s telephone number 8154556000

Signature of
Role Plan administrator
Date 2012-07-11
Name of individual signing GEORGE W. URBAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-11
Name of individual signing GEORGE W. URBAN
Valid signature Filed with authorized/valid electronic signature
FOX VALLEY INTERNAL MEDICINE, L.L.C. PROFIT SHARING PLAN & TRUST 2010 352158780 2011-04-19 FOX VALLEY INTERNAL MEDICINE, L.L.C. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8154556000
Plan sponsor’s address 650 DAKOTA ST., SUITE A, CRYSTAL LAKE, IL, 60012

Plan administrator’s name and address
Administrator’s EIN 352158780
Plan administrator’s name FOX VALLEY INTERNAL MEDICINE, L.L.C.
Plan administrator’s address 650 DAKOTA ST., SUITE A, CRYSTAL LAKE, IL, 60012
Administrator’s telephone number 8154556000

Signature of
Role Plan administrator
Date 2011-04-19
Name of individual signing GEORGE URBAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-19
Name of individual signing GEORGE URBAN
Valid signature Filed with authorized/valid electronic signature
FOX VALLEY INTERNAL MEDICINE, L.L.C. PROFIT SHARING PLAN & TRUST 2009 352158780 2010-09-24 FOX VALLEY INTERNAL MEDICINE, L.L.C. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8154556000
Plan sponsor’s address 650 DAKOTA ST., SUITE A, CRYSTAL LAKE, IL, 60012

Plan administrator’s name and address
Administrator’s EIN 352158780
Plan administrator’s name FOX VALLEY INTERNAL MEDICINE, L.L.C.
Plan administrator’s address 650 DAKOTA ST., SUITE A, CRYSTAL LAKE, IL, 60012
Administrator’s telephone number 8154556000

Signature of
Role Plan administrator
Date 2010-09-24
Name of individual signing GEORGE URBAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-24
Name of individual signing GEORGE URBAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
PETER J. WIFLER, 335 CHANCERY LANE, LAKE ZURICH, 60047 Agent 2002-01-14

Member

Name and Address Role Appointment Date
STEIN M.D., TY, 8211 CASTLEBERRY, WOODSTOCK, IL, 60098 Member 2002-01-14
TOMLIN M.D., JEFFREY, 6608 CONCORD CIRCLE, CRYSTAL LAKE, IL, 60012 Member 2002-01-14
SALVI M.D., THOMAS G., 3503 DEEPWOOD DRIVE, CRYSTAL LAKE, IL, 60012 Member 2002-01-14
URBAN M.D., GEORGE, 122 BOULDER DR, LAKE IN THE HILLS, IL, 60156 Member 2002-01-14
BREMER M.D., BONNIE, 6805 FOX RUN, CRYSTAL LAKE, IL, 60012 Member 2002-01-14

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
ACHIEVE PHYSICAL THERAPY Assumed name 2003-11-25 2015-03-13 Involuntary cancellation 2009-12-09

Historical Names

Name Change Date
FOX VALLEY INTERNAL MEDICINE, L.L.C. 2013-01-30
FOX VALLEY INTERNAL MEDICINE OF CRYSTAL LAKE, L.L.C. 2002-07-01

Related by officers

PETER J. WIFLER, 335 CHANCERY LANE, LAKE ZURICH, 60047

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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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