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  5. J. E. BERTOLINI, M.D., S.C.

J. E. BERTOLINI, M.D., S.C.

Company Details

Entity Name: J. E. BERTOLINI, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 20 Dec 1983
Date of Dissolution: 08 May 2015
Company Number: CORP_53304931
File Number: 53304931
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 08 May 2015
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
J. E. BERTOLINI, M.D., S.C. EMPLOYEES' PROFIT SHARING PLAN 2014 364053350 2015-04-23 J. E. BERTOLINI, M.D., S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-12-01
Business code 621111
Sponsor’s telephone number 8157153701
Plan sponsor’s address 13853 W. CARRIAGE LANE, MANHATTAN, IL, 604429442
J. E. BERTOLINI, M.D., S.C. EMPLOYEES' PROFIT SHARING PLAN 2013 364053350 2015-04-23 J. E. BERTOLINI, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-12-01
Business code 621111
Sponsor’s telephone number 8157414104
Plan sponsor’s address P. O. BOX 3186, JOLIET, IL, 60434
J. E. BERTOLINI, M.D., S.C. EMPLOYEES' PROFIT SHARING PLAN 2012 364053350 2014-01-29 J. E. BERTOLINI, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-12-01
Business code 621111
Sponsor’s telephone number 8157414104
Plan sponsor’s address 202 N. HAMMES, SUITE D, JOLIET, IL, 604358136

Signature of
Role Plan administrator
Date 2014-01-29
Name of individual signing JERRY BERTOLINI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-01-29
Name of individual signing JERRY BERTOLINI
Valid signature Filed with authorized/valid electronic signature
J. E. BERTOLINI, M.D., S.C. EMPLOYEES PROFIT SHARING PLAN 2011 364053350 2013-01-07 J. E. BERTOLINI, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-12-01
Business code 621111
Sponsor’s telephone number 8157414104
Plan sponsor’s address 202 N. HAMMES, SUITE D, JOLIET, IL, 604358136

Plan administrator’s name and address
Administrator’s EIN 364053350
Plan administrator’s name J. E. BERTOLINI, M.D., S.C.
Plan administrator’s address 202 N. HAMMES, SUITE D, JOLIET, IL, 604358136
Administrator’s telephone number 8157414104

Signature of
Role Plan administrator
Date 2013-01-03
Name of individual signing JERRY BERTOLINI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-01-03
Name of individual signing JERRY BERTOLINI
Valid signature Filed with authorized/valid electronic signature
J. E. BERTOLINI, M.D., S.C. EMPLOYEES PROFIT SHARING PLAN 2010 364053350 2012-01-24 J. E. BERTOLINI, M.D., S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-12-01
Business code 621111
Sponsor’s telephone number 8157414104
Plan sponsor’s address 202 N. HAMMES, SUITE D, JOLIET, IL, 604358136

Plan administrator’s name and address
Administrator’s EIN 364053350
Plan administrator’s name J. E. BERTOLINI, M.D., S.C.
Plan administrator’s address 202 N. HAMMES, SUITE D, JOLIET, IL, 604358136
Administrator’s telephone number 8157414104

Signature of
Role Plan administrator
Date 2012-01-24
Name of individual signing JERRY BERTOLINI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-01-24
Name of individual signing JERRY BERTOLINI
Valid signature Filed with authorized/valid electronic signature
J. E. BERTOLINI, M.D., S.C. EMPLOYEES PROFIT SHARING PLAN 2009 364053350 2011-01-19 J. E. BERTOLINI, M.D., S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-12-01
Business code 621111
Sponsor’s telephone number 8157414104
Plan sponsor’s address 202 N. HAMMES, SUITE D, JOLIET, IL, 604358136

Plan administrator’s name and address
Administrator’s EIN 364053350
Plan administrator’s name J. E. BERTOLINI, M.D., S.C.
Plan administrator’s address 202 N. HAMMES, SUITE D, JOLIET, IL, 604358136
Administrator’s telephone number 8157414104

Signature of
Role Plan administrator
Date 2011-01-19
Name of individual signing JERRY BERTOLINI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-01-19
Name of individual signing JERRY BERTOLINI
Valid signature Filed with authorized/valid electronic signature
J. E. BERTOLINI, M.D., S.C. EMPLOYEES PROFIT SHARING PLAN 2009 364053350 2011-01-13 J. E. BERTOLINI, M.D., S.C. 3
Three-digit plan number (PN) 001
Effective date of plan 1983-12-01
Business code 621111
Sponsor’s telephone number 8157414104
Plan sponsor’s address 202 N. HAMMES, SUITE D, JOLIET, IL, 604358136

Plan administrator’s name and address
Administrator’s EIN 364053350
Plan administrator’s name J. E. BERTOLINI, M.D., S.C.
Plan administrator’s address 202 N. HAMMES, SUITE D, JOLIET, IL, 604358136
Administrator’s telephone number 8157414104

Signature of
Role Plan administrator
Date 2011-01-13
Name of individual signing JERRY BERTOLINI
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-01-13
Name of individual signing JERRY BERTOLINI
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name and Address Role Appointment Date
H,T,J,B & W, INC, 2801 BLACK ROAD, 2ND FLR, JOLIET, 60435, WILL Agent 2006-01-03

President

Name and Address Role
J E BERTOLINI, 202 N HAMMES AVENUE UNIT D JOLIET 60435 President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
ADVANTACARE PHYSICAL THERAPY No data 1999-11-30 2015-05-01 Involuntary Cancellation No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 10000 No data

Related by officers

H,T,J,B & W, INC, 2801 BLACK ROAD, 2ND FLR, JOLIET, 60435, WILL

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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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