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  5. GRABOWSKI SURGICAL ASSOCIATES, S.C.

GRABOWSKI SURGICAL ASSOCIATES, S.C.

Company Details

Entity Name: GRABOWSKI SURGICAL ASSOCIATES, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 30 Sep 1969
Company Number: CORP_49562071
File Number: 49562071
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
GRABOWSKI SURGICAL ASSOCIATES S.C. PS PLAN 2015 362680092 2016-07-26 GRABOWSKI SURGICAL ASSOCIATES, S.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8474397515
Plan sponsor’s address 800 BIESTERFIELD ROAD 3004, ELK GROVE VILLAGE, IL, 60007
GRABOWSKI SURGICAL ASSOCIATES S.C. PS PLAN 2014 362680092 2015-07-31 GRABOWSKI SURGICAL ASSOCIATES, S.C 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8474397515
Plan sponsor’s address 800 BIESTERFIELD ROAD 3004, ELK GROVE VILLAGE, IL, 60007
GRABOWSKI SURGICAL ASSOCIATES S.C. PS PLAN 2013 362680092 2014-10-02 GRABOWSKI SURGICAL ASSOCIATES, S.C 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8474397515
Plan sponsor’s address 800 BIESTERFIELD ROAD 3004, ELK GROVE VILLAGE, IL, 60007
GRABOWSKI SURGICAL ASSOCIATES S.C. PS PLAN 2012 362680092 2013-07-30 GRABOWSKI SURGICAL ASSOCIATES, S.C 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8474397515
Plan sponsor’s address 800 BIESTERFIELD ROAD 3004, ELK GROVE VILLAGE, IL, 60007

Signature of
Role Plan administrator
Date 2013-07-30
Name of individual signing STEPHEN T. GRABOWSKI, MD
Valid signature Filed with authorized/valid electronic signature
GRABOWSKI SURGICAL ASSOCIATES S.C. PS PLAN 2011 362680092 2012-10-02 GRABOWSKI SURGICAL ASSOCIATES, S.C 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8474397515
Plan sponsor’s address 800 BIESTERFIELD ROAD 3004, ELK GROVE VILLAGE, IL, 60007

Plan administrator’s name and address
Administrator’s EIN 362680092
Plan administrator’s name GRABOWSKI SURGICAL ASSOCIATES, S.C
Plan administrator’s address 800 BIESTERFIELD ROAD 3004, ELK GROVE VILLAGE, IL, 60007
Administrator’s telephone number 8474397515

Signature of
Role Plan administrator
Date 2012-10-02
Name of individual signing STEPHEN T. GRABOWSKI, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BRUNO W. TABIS, 1755 S NAPERVILLE RD STE 200, WHEATON, 60189, DU PAGE Agent 2019-03-08

President

Name and Address Role
STEPHEN T GRABOWSKI, 800 BIESTERFIELD RD ELK GRV VLG 60007 President

Secretary

Name and Address Role
STEPHEN T GRABOWSKI, 800 BIESTERFIELD RD ELK GRV VLG 60007 Secretary

Historical Names

Name Change Date
HAROLD C. LABINSKY, M.D., S.C. 1999-07-30

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 10000000 1

Related by officers

BRUNO W. TABIS, 1755 S NAPERVILLE RD STE 200, WHEATON, 60189, DU PAGE

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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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