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GENESIS PEDIATRIC MEDICINE, LLC

Company Details

Entity Name: GENESIS PEDIATRIC MEDICINE, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 20 Jan 2011
Company Number: LLC_03435946
File Number: 03435946
Type of Management: Manager Managed
Date Status Change: 04 Jan 2024
Address 468 TROUT ROAD, BATAVIA, 60510, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GENESIS PEDIATRIC MEDICINE 401(K) PLAN 2023 274677078 2024-08-16 GENESIS PEDIATRIC MEDICINE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8158990001
Plan sponsor’s address 1680 MEDITERRANEAN DRIVE, SUITE 107, SYCAMORE, IL, 60178

Signature of

Role Plan administrator
Date 2024-08-16
Name of individual signing KERRY REGNIER
Valid signature Filed with authorized/valid electronic signature
GENESIS PEDIATRIC MEDICINE 401(K) PLAN 2022 274677078 2023-08-09 GENESIS PEDIATRIC MEDICINE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8158990001
Plan sponsor’s address 1680 MEDITERRANEAN DRIVE, SUITE 107, SYCAMORE, IL, 60178

Signature of

Role Plan administrator
Date 2023-08-09
Name of individual signing KERRY REGNIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-09
Name of individual signing KERRY REGNIER
Valid signature Filed with authorized/valid electronic signature
GENESIS PEDIATRIC MEDICINE 401(K) PLAN 2021 274677078 2022-09-22 GENESIS PEDIATRIC MEDICINE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8158990001
Plan sponsor’s address 1680 MEDITERRANEAN DRIVE, SUITE 107, SYCAMORE, IL, 60178

Signature of

Role Plan administrator
Date 2022-09-22
Name of individual signing KERRY REGNIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-22
Name of individual signing KERRY REGNIER
Valid signature Filed with authorized/valid electronic signature
GENESIS PEDIATRIC MEDICINE 401(K) PLAN 2020 274677078 2021-10-12 GENESIS PEDIATRIC MEDICINE 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8158990001
Plan sponsor’s address 1680 MEDITERRANEAN DRIVE, SUITE 107, SYCAMORE, IL, 60178

Signature of

Role Plan administrator
Date 2021-10-12
Name of individual signing KERRY REGNIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-12
Name of individual signing KERRY REGNIER
Valid signature Filed with authorized/valid electronic signature
GENESIS PEDIATRIC MEDICINE 401(K) PLAN 2019 274677078 2020-07-20 GENESIS PEDIATRIC MEDICINE 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8158990001
Plan sponsor’s address 1680 MEDITERRANEAN DRIVE, SUITE 107, SYCAMORE, IL, 60178

Signature of

Role Plan administrator
Date 2020-07-20
Name of individual signing KERRY REGNIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-20
Name of individual signing KERRY REGNIER
Valid signature Filed with authorized/valid electronic signature
GENESIS PEDIATRIC MEDICINE 401(K) PLAN 2018 274677078 2019-07-16 GENESIS PEDIATRIC MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 8158990001
Plan sponsor’s address 1680 MEDITERRANEAN DRIVE, SUITE 107, SYCAMORE, IL, 60178

Signature of

Role Plan administrator
Date 2019-07-16
Name of individual signing KERRY REGNIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-16
Name of individual signing KERRY REGNIER
Valid signature Filed with authorized/valid electronic signature
GENESIS PEDIATRIC MEDICINE 401(K) PLAN 2017 274677078 2018-09-27 GENESIS PEDIATRIC MEDICINE 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621111
Sponsor’s telephone number 8158990001
Plan sponsor’s address 1680 MEDITERRANEAN DRIVE, SUITE 107, SYCAMORE, IL, 60178

Signature of

Role Plan administrator
Date 2018-09-27
Name of individual signing KERRY REGNIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-27
Name of individual signing KERRY REGNIER
Valid signature Filed with authorized/valid electronic signature
GENESIS PEDIATRIC MEDICINE 401(K) PLAN 2016 274677078 2017-07-13 GENESIS PEDIATRIC MEDICINE 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621111
Sponsor’s telephone number 8158990001
Plan sponsor’s address 1680 MEDITERRANEAN DRIVE, SUITE 107, SYCAMORE, IL, 60178

Signature of

Role Plan administrator
Date 2017-07-12
Name of individual signing KERRY REGNIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-12
Name of individual signing KERRY REGNIER
Valid signature Filed with authorized/valid electronic signature
GENESIS PEDIATRIC MEDICINE 401(K) PLAN 2015 274677078 2016-09-22 GENESIS PEDIATRIC MEDICINE 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621111
Sponsor’s telephone number 8158990001
Plan sponsor’s address 1680 MEDITERRANEAN DRIVE, SUITE 107, SYCAMORE, IL, 60178

Signature of

Role Plan administrator
Date 2016-09-21
Name of individual signing KERRY REGNIER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-21
Name of individual signing KERRY REGNIER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOHN HOSCHEIT, 1001 E MAIN STREET, #G, ST. CHARLES, 60174 Agent 2011-01-20

Manager

Name and Address Role Appointment Date
REGNIER, MARK, 468 TROUT ROAD, BATAVIA, IL, 60510 Manager 2011-01-20

Historical Names

Name Change Date
KANE COUNTY PEDIATRICS, LLC 2011-05-12

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State