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  5. SIMPSON EYE ASSOCIATES, LTD.

SIMPSON EYE ASSOCIATES, LTD.

Company Details

Entity Name: SIMPSON EYE ASSOCIATES, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 12 Jun 1964
Company Number: CORP_44323885
File Number: 44323885
Type of Business: Incorporated under the Medical Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SIMPSON EYE ASSOCIATES LTD 401K PSP AND TRUST 2023 362534711 2024-09-26 SIMPSON EYE ASSOCIATES, LTD 21
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-06-01
Business code 621111
Sponsor’s telephone number 8479106634
Plan sponsor’s address 650 SPRINGHILL RING ROAD, SUITE 2020, WEST DUNDEE, IL, 601180000

Signature of
Role Plan administrator
Date 2024-09-26
Name of individual signing KENNETH MELCHIONNA
Valid signature Filed with authorized/valid electronic signature
SIMPSON EYE ASSOCIATES LTD 401K PSP AND TRUST 2022 362534711 2023-10-11 SIMPSON EYE ASSOCIATES, LTD 18
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-06-01
Business code 621111
Sponsor’s telephone number 8479106634
Plan sponsor’s address 650 SPRINGHILL RING ROAD, SUITE 2020, WEST DUNDEE, IL, 601180000

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing KENNETH MELCHIONNA
Valid signature Filed with authorized/valid electronic signature
SIMPSON EYE ASSOCIATES LTD 401K PSP AND TRUST 2021 362534711 2022-12-09 SIMPSON EYE ASSOCIATES, LTD 19
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-06-01
Business code 621111
Sponsor’s telephone number 8479106634
Plan sponsor’s address 650 SPRINGHILL RING ROAD, SUITE 2020, WEST DUNDEE, IL, 601180000

Signature of
Role Plan administrator
Date 2022-12-09
Name of individual signing KEN MELCHIONNA
Valid signature Filed with authorized/valid electronic signature
SIMPSON EYE ASSOCIATES LTD 401K PSP AND TRUST 2020 362534711 2022-02-24 SIMPSON EYE ASSOCIATES, LTD 18
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-06-01
Business code 621111
Sponsor’s telephone number 8479106634
Plan sponsor’s address 650 SPRINGHILL RING ROAD, SUITE 2020, WEST DUNDEE, IL, 601180000

Signature of
Role Plan administrator
Date 2022-02-24
Name of individual signing KENNETH MELCHIONNA
Valid signature Filed with authorized/valid electronic signature
SIMPSON EYE ASSOCIATES LTD 401K PSP AND TRUST 2019 362534711 2020-09-03 SIMPSON EYE ASSOCIATES, LTD 17
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-06-01
Business code 621111
Sponsor’s telephone number 8479106634
Plan sponsor’s address 650 SPRINGHILL RING ROAD, SUITE 2020, WEST DUNDEE, IL, 601180000

Signature of
Role Plan administrator
Date 2020-09-03
Name of individual signing KENNETH MELCHIONNA
Valid signature Filed with authorized/valid electronic signature
SIMPSON EYE ASSOCIATES LTD 401K PSP AND TRUST 2018 362534711 2019-08-16 SIMPSON EYE ASSOCIATES, LTD 17
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-06-01
Business code 621111
Sponsor’s telephone number 8479106634
Plan sponsor’s address 650 SPRINGHILL RING ROAD, SUITE 2020, WEST DUNDEE, IL, 601180000

Signature of
Role Plan administrator
Date 2019-08-16
Name of individual signing KENNETH MELCHIONNA
Valid signature Filed with authorized/valid electronic signature
SIMPSON EYE ASSOCIATES LTD 401K PSP AND TRUST 2017 362534711 2018-10-15 SIMPSON EYE ASSOCIATES, LTD 14
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-06-01
Business code 621111
Sponsor’s telephone number 8479106634
Plan sponsor’s address 650 SPRINGHILL RING ROAD, SUITE 2020, WEST DUNDEE, IL, 601180000

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing KENNETH MELCHIONNA
Valid signature Filed with authorized/valid electronic signature
SIMPSON EYE ASSOCIATES LTD 401K PROFIT SHARING PLAN AND TRUST 2010 362534711 2011-10-26 SIMPSON EYE ASSOCIATES, LTD 16
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-06-01
Business code 621320
Sponsor’s telephone number 8474260227
Plan sponsor’s mailing address 650 SPRINGHILL RING ROAD, WEST DUNDEE, IL, 60118
Plan sponsor’s address SUITE 2020, WEST DUNDEE, IL, 60118

Plan administrator’s name and address
Administrator’s EIN 362534711
Plan administrator’s name SIMPSON EYE ASSOCIATES LTD
Plan administrator’s address 650 SPRINGHILL RING ROAD, WEST DUNDEE, IL, 60118
Administrator’s telephone number 8474260227

Number of participants as of the end of the plan year
Active participants 13
Other retired or separated participants entitled to future benefits 3
Number of participants with account balances as of the end of the plan year 16

Signature of
Role Plan administrator
Date 2011-10-26
Name of individual signing KENNETH MELCHIONNA DO
Valid signature Filed with authorized/valid electronic signature
SIMPSON EYE ASSOCIATES LTD 401K PROFIT SHARING PLAN AND TRUST 2009 362534711 2010-11-09 SIMPSON EYE ASSOCIATES, LTD 17
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1998-06-01
Business code 621320
Sponsor’s telephone number 8474260227
Plan sponsor’s mailing address 650 SPRINGHILL RING ROAD, WEST DUNDEE, IL, 60118
Plan sponsor’s address SUITE 2020, WEST DUNDEE, IL, 60118

Plan administrator’s name and address
Administrator’s EIN 362534711
Plan administrator’s name SIMPSON EYE ASSOCIATES LTD
Plan administrator’s address 650 SPRINGHILL RING ROAD, WEST DUNDEE, IL, 60118
Administrator’s telephone number 8474260227

Number of participants as of the end of the plan year
Active participants 14
Other retired or separated participants entitled to future benefits 2
Number of participants with account balances as of the end of the plan year 16

Signature of
Role Plan administrator
Date 2010-11-09
Name of individual signing KENNETH MELCHIONNA DO
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
KENNETH V MELCHIIONNA, 650 SPRINGHILL RING ROAD #2020, WEST DUNDEE, 60118, KANE Agent 1996-10-17

President

Name and Address Role
K V MELCHIONNA, 650 SPRINGHILL RING RD WEST DUNDEE 60118 President

Secretary

Name and Address Role
K V MELCHIONNA, 650 SPRINGHILL RING RD WEST DUNDEE 60118 Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042619556 No data No data REGISTERED MEDICAL CORPORATION No data 2009-08-17 2018-11-08 2022-01-01
MEDICAL CORP 042000013 No data No data REGISTERED MEDICAL CORPORATION No data 1964-07-01 1998-01-01 1999-01-01

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 2500 30000 10

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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