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DAVID DANIELS, M.D., S.C.

Company Details

Entity Name: DAVID DANIELS, M.D., S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 18 Jul 1984
Date of Dissolution: 01 Dec 1992
Company Number: CORP_53527906
File Number: 53527906
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 01 Dec 1992
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD. PROFIT SHARING PLAN AND TRUST 2012 363167780 2013-07-17 ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD. 56
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 8479315300
Plan sponsor’s address 2350 ROYAL BOULEVARD, SUITE 200, ELGIN, IL, 60123

Signature of

Role Plan administrator
Date 2013-07-17
Name of individual signing JAMES S. FISTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-17
Name of individual signing JAMES S. FISTER
Valid signature Filed with authorized/valid electronic signature
ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD. PROFIT SHARING PLAN AND TRUST 2011 363167780 2012-08-15 ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD. 61
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 8479315300
Plan sponsor’s address 2350 ROYAL BOULEVARD, SUITE 200, ELGIN, IL, 60123

Plan administrator’s name and address

Administrator’s EIN 363167780
Plan administrator’s name ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD.
Plan administrator’s address 2350 ROYAL BOULEVARD, SUITE 200, ELGIN, IL, 60123
Administrator’s telephone number 8479315300

Signature of

Role Plan administrator
Date 2012-08-15
Name of individual signing JAMES FISTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-15
Name of individual signing JAMES FISTER
Valid signature Filed with authorized/valid electronic signature
ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD. PROFIT SHARING PLAN AND TRUST 2010 363167780 2011-10-05 ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD. 59
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 8479315300
Plan sponsor’s address 2350 ROYAL BOULEVARD, SUITE 200, ELGIN, IL, 60123

Plan administrator’s name and address

Administrator’s EIN 363167780
Plan administrator’s name ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD.
Plan administrator’s address 2350 ROYAL BOULEVARD, SUITE 200, ELGIN, IL, 60123
Administrator’s telephone number 8479315300

Signature of

Role Plan administrator
Date 2011-10-05
Name of individual signing JAMES FISTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-05
Name of individual signing JAMES FISTER
Valid signature Filed with authorized/valid electronic signature
ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD. PROFIT SHARING PLAN AND TRUST 2009 363167780 2010-08-24 ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD. 61
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 8479315300
Plan sponsor’s address 2350 ROYAL BOULEVARD, SUITE 200, ELGIN, IL, 60123

Plan administrator’s name and address

Administrator’s EIN 363167780
Plan administrator’s name ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD.
Plan administrator’s address 2350 ROYAL BOULEVARD, SUITE 200, ELGIN, IL, 60123
Administrator’s telephone number 8479315300

Signature of

Role Plan administrator
Date 2010-08-24
Name of individual signing JAMES S. FISTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-24
Name of individual signing JAMES S. FISTER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DAVID DANIELS, 30 N MICHIGAN AVE STE 1223, CHICAGO, 60602, COOK-NOT IN CITY OF CHICAGO Agent 1984-07-18

President

Name and Address Role
DAVID DANIELS, 525 MORRIS LANE, HINSDALE 60521 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 1000000 No data

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State