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  5. ORTIZ EYE ASSOCIATES, P.C.

ORTIZ EYE ASSOCIATES, P.C.

Company Details

Entity Name: ORTIZ EYE ASSOCIATES, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 21 Nov 1972
Company Number: CORP_50131645
File Number: 50131645
Type of Business: Incorporated under the Professional Service Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ORTIZ EYE ASSOCIATES, P.C. 401(K) PLAN 2023 362749243 2024-09-12 ORTIZ EYE ASSOCIATES, P.C. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 8159425500
Plan sponsor’s address 880 BEDFORD ROAD, MORRIS, IL, 60450

Signature of
Role Plan administrator
Date 2024-09-12
Name of individual signing TIMOTHY P. ORTIZ, O.D.
Valid signature Filed with authorized/valid electronic signature
ORTIZ EYE ASSOCIATES, P.C. 401(K) PLAN 2022 362749243 2023-09-06 ORTIZ EYE ASSOCIATES, P.C. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 8159425500
Plan sponsor’s address 880 BEDFORD ROAD, MORRIS, IL, 60450

Signature of
Role Plan administrator
Date 2023-09-06
Name of individual signing TIMOTHY P. ORTIZ, O.D.
Valid signature Filed with authorized/valid electronic signature
ORTIZ EYE ASSOCIATES, P.C. 401(K) PLAN 2021 362749243 2022-09-12 ORTIZ EYE ASSOCIATES, P.C. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 8159425500
Plan sponsor’s address 880 BEDFORD ROAD, MORRIS, IL, 60450

Signature of
Role Plan administrator
Date 2022-09-12
Name of individual signing TIMOTHY P. ORTIZ, O.D.
Valid signature Filed with authorized/valid electronic signature
ORTIZ EYE ASSOCIATES, P.C. 401(K) PLAN 2020 362749243 2021-09-27 ORTIZ EYE ASSOCIATES, P.C. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 8159425500
Plan sponsor’s address 880 BEDFORD ROAD, MORRIS, IL, 60450

Signature of
Role Plan administrator
Date 2021-09-27
Name of individual signing TIMOTHY P. ORTIZ, O.D.
Valid signature Filed with authorized/valid electronic signature
ORTIZ EYE ASSOCIATES, P.C. 401(K) PLAN 2019 362749243 2020-09-08 ORTIZ EYE ASSOCIATES, P.C. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 8159425500
Plan sponsor’s address 880 BEDFORD ROAD, MORRIS, IL, 60450

Signature of
Role Plan administrator
Date 2020-09-08
Name of individual signing TIMOTHY P. ORTIZ, O.D.
Valid signature Filed with authorized/valid electronic signature
ORTIZ EYE ASSOCIATES, P.C. 401(K) PLAN 2018 362749243 2019-09-17 ORTIZ EYE ASSOCIATES, P.C. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 8159425500
Plan sponsor’s address 880 BEDFORD ROAD, MORRIS, IL, 60450

Signature of
Role Plan administrator
Date 2019-09-17
Name of individual signing TIMOTHY P. ORTIZ, O.D.
Valid signature Filed with authorized/valid electronic signature
ORTIZ EYE ASSOCIATES, P.C. 401(K) PLAN 2017 362749243 2018-06-05 ORTIZ EYE ASSOCIATES, P.C. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 8159425500
Plan sponsor’s address 880 BEDFORD ROAD, MORRIS, IL, 60450

Signature of
Role Plan administrator
Date 2018-06-05
Name of individual signing TIMOTHY P. ORTIZ, O.D.
Valid signature Filed with authorized/valid electronic signature
ORTIZ EYE ASSOCIATES, P.C. 401(K) PLAN 2016 362749243 2017-09-06 ORTIZ EYE ASSOCIATES, P.C. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 8159425500
Plan sponsor’s address 880 BEDFORD ROAD, MORRIS, IL, 60450

Signature of
Role Plan administrator
Date 2017-09-06
Name of individual signing TIMOTHY P. ORTIZ, O.D.
Valid signature Filed with authorized/valid electronic signature
ORTIZ EYE ASSOCIATES, P.C. 401(K) PLAN 2015 362749243 2016-09-29 ORTIZ EYE ASSOCIATES, P.C. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 8159425500
Plan sponsor’s address 880 BEDFORD ROAD, MORRIS, IL, 60450

Signature of
Role Plan administrator
Date 2016-09-29
Name of individual signing TIMOTHY P. ORTIZ, O.D.
Valid signature Filed with authorized/valid electronic signature
ORTIZ EYE ASSOCIATES, P.C. 401(K) PLAN 2014 362749243 2015-06-30 ORTIZ EYE ASSOCIATES, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 8159425500
Plan sponsor’s address 880 BEDFORD ROAD, MORRIS, IL, 60450

Signature of
Role Plan administrator
Date 2015-06-30
Name of individual signing TIMOTHY P. ORTIZ, O.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
TIMOTHY P ORTIZ, 880 BEDFORD RD, MORRIS, 60450, GRUNDY Agent 2012-05-30

President

Name and Address Role
TIMOTHY P ORTIZ, 321 W NORTHMORRIS 60450 President

Secretary

Name and Address Role
TIMOTHY P ORTIZ, 321 W NORTH MORRIS 60450 Secretary

Historical Names

Name Change Date
PHILIP A. ORTIZ, O.D. & ASSOCIATES, LTD. 1996-10-30

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 50000 25000000 No data

Related by officers

TIMOTHY P ORTIZ, 880 BEDFORD RD, MORRIS, 60450, GRUNDY

ORTIZ HEARING CENTER, INC.

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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