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  5. ASSOCIATES IN SURGERY, LTD.

ASSOCIATES IN SURGERY, LTD.

Company Details

Entity Name: ASSOCIATES IN SURGERY, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 07 Jun 1971
Date of Dissolution: 10 Nov 2017
Company Number: CORP_49843534
File Number: 49843534
Type of Business: All Inclusive Purpose
Date Status Change: 10 Nov 2017
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ASSOCIATES IN SURGERY, LTD., PROFIT-SHARING PLAN & TRUST 2019 362714770 2020-10-09 ASSOCIATES IN SURGERY, LTD. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-02-28
Business code 621111
Sponsor’s telephone number 8476744344
Plan sponsor’s address 5747 DEMPSTER SUITE 100, MORTON GROVE, IL, 60053

Signature of
Role Plan administrator
Date 2020-10-09
Name of individual signing PHILLIP ROSETT
Valid signature Filed with authorized/valid electronic signature
ASSOCIATES IN SURGERY, LTD., PROFIT-SHARING PLAN & TRUST 2018 362714770 2019-07-16 ASSOCIATES IN SURGERY, LTD. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-02-28
Business code 621111
Sponsor’s telephone number 8476744344
Plan sponsor’s address 5747 DEMPSTER SUITE 100, MORTON GROVE, IL, 60053

Signature of
Role Plan administrator
Date 2019-07-16
Name of individual signing ROBERT ROSEN
Valid signature Filed with authorized/valid electronic signature
ASSOCIATES IN SURGERY, LTD., PROFIT-SHARING PLAN & TRUST 2017 362714770 2018-10-15 ASSOCIATES IN SURGERY, LTD. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-02-28
Business code 621111
Sponsor’s telephone number 8476744344
Plan sponsor’s address 5747 DEMPSTER SUITE 100, MORTON GROVE, IL, 60053

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing ROBERT ROSEN
Valid signature Filed with authorized/valid electronic signature
ASSOCIATES IN SURGERY, LTD., PROFIT-SHARING PLAN & TRUST 2016 362714770 2017-07-13 ASSOCIATES IN SURGERY, LTD. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-02-28
Business code 621111
Sponsor’s telephone number 8476744344
Plan sponsor’s address 5747 DEMPSTER SUITE 100, MORTON GROVE, IL, 60053

Signature of
Role Plan administrator
Date 2017-07-13
Name of individual signing ROBERT ROSEN
Valid signature Filed with authorized/valid electronic signature
ASSOCIATES IN SURGERY, LTD., PROFIT-SHARING PLAN & TRUST 2015 362714770 2016-09-27 ASSOCIATES IN SURGERY, LTD. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-02-28
Business code 621111
Plan sponsor’s address 5747 DEMPSTER SUITE 100, MORTON GROVE, IL, 60053

Signature of
Role Plan administrator
Date 2016-09-27
Name of individual signing ROBERT ROSEN
Valid signature Filed with authorized/valid electronic signature
ASSOCIATES IN SURGERY, LTD., PROFIT-SHARING PLAN & TRUST 2014 362714770 2015-07-09 ASSOCIATES IN SURGERY, LTD. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-02-28
Business code 621111
Plan sponsor’s address 9669 N KENTON - SUITE 602, SKOKIE, IL, 60076

Signature of
Role Plan administrator
Date 2015-07-09
Name of individual signing ROBERT ROSEN
Valid signature Filed with authorized/valid electronic signature
ASSOCIATES IN SURGERY, LTD., PROFIT-SHARING PLAN & TRUST 2013 362714770 2014-07-24 ASSOCIATES IN SURGERY, LTD. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-02-28
Business code 621111
Plan sponsor’s address 9669 N KENTON - SUITE 602, SKOKIE, IL, 60076

Signature of
Role Plan administrator
Date 2014-06-25
Name of individual signing PHILLIP ROSETT
Valid signature Filed with authorized/valid electronic signature
ASSOCIATES IN SURGERY, LTD., PROFIT-SHARING PLAN & TRUST 2012 362714770 2013-08-05 ASSOCIATES IN SURGERY, LTD. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-02-28
Business code 621111
Plan sponsor’s address 9669 N. KENTON - SUITE 602, SKOKIE, IL, 60076

Signature of
Role Plan administrator
Date 2013-07-26
Name of individual signing PHILLIP ROSETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-26
Name of individual signing PHILLIP ROSETT
Valid signature Filed with authorized/valid electronic signature
ASSOCIATES IN SURGERY, LTD., PROFIT-SHARING PLAN & TRUST 2011 362714770 2012-08-14 ASSOCIATES IN SURGERY, LTD. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-02-28
Business code 621111
Plan sponsor’s address 9669 N. KENTON - SUITE 602, SKOKIE, IL, 60076

Plan administrator’s name and address
Administrator’s EIN 362714770
Plan administrator’s name ASSOCIATES IN SURGERY, LTD.
Plan administrator’s address 9669 N. KENTON - SUITE 602, SKOKIE, IL, 60076

Signature of
Role Plan administrator
Date 2012-08-03
Name of individual signing PHILLIP ROSETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-03
Name of individual signing PHILLIP ROSETT
Valid signature Filed with authorized/valid electronic signature
ASSOCIATES IN SURGERY, LTD., PROFIT-SHARING PLAN & TRUST 2010 362714770 2011-06-15 ASSOCIATES IN SURGERY, LTD. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-02-28
Business code 621111
Plan sponsor’s address 9669 N. KENTON - SUITE 602, SKOKIE, IL, 60076

Plan administrator’s name and address
Administrator’s EIN 362714770
Plan administrator’s name ASSOCIATES IN SURGERY, LTD.
Plan administrator’s address 9669 N. KENTON - SUITE 602, SKOKIE, IL, 60076

Signature of
Role Plan administrator
Date 2011-06-15
Name of individual signing PHILLIP ROSETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-15
Name of individual signing PHILLIP ROSETT
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SHERWIN R RUBINSTEIN, 7250 N CICERO STE 200, LINCOLNWOOD, 60712, COOK-NOT IN CITY OF CHICAGO Agent 1990-06-13

President

Name and Address Role
ROBERT ROSEN MD, 9669 KENTON, STE 602, SKOKIE 60076 President

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042619265 No data No data REGISTERED MEDICAL CORPORATION No data 2008-05-02 2015-12-11 2017-01-01

Shares

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

Related by officers

SHERWIN R RUBINSTEIN, 7250 N CICERO STE 200, LINCOLNWOOD, 60712, COOK-NOT IN CITY OF CHICAGO

CHICAGO GYNECOLOGIC ONCOLOGY, S.C. MICHAEL J. GONDA, D.D.S., GERALD D. DUMKE, D.D.S., LTD.

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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