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  5. MD ORTHOTIC AND PROSTHETIC LABORATORY, INC.

MD ORTHOTIC AND PROSTHETIC LABORATORY, INC.

Company Details

Entity Name: MD ORTHOTIC AND PROSTHETIC LABORATORY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 31 Dec 1985
Company Number: CORP_54093535
File Number: 54093535
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MD ORTHOTIC AND PROSTHETIC LABORATORY, P.C. RETIREMENT PLAN 2013 363413638 2014-08-14 MD ORTHOTIC AND PROSTHETIC LABORATORY, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-07-15
Business code 621399
Sponsor’s telephone number 8886352271
Plan sponsor’s address 8400 BROOKFIELD AVENUE, BROOKFIELD, IL, 605131707

Signature of
Role Plan administrator
Date 2014-08-14
Name of individual signing MARK DEVENS
Valid signature Filed with authorized/valid electronic signature
MD ORTHOTIC AND PROSTHETIC LABORATORY, P.C. RETIREMENT PLAN 2012 363413638 2014-07-01 MD ORTHOTIC AND PROSTHETIC LABORATORY, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-07-15
Business code 621399
Sponsor’s telephone number 8886352271
Plan sponsor’s address 8400 BROOKFIELD AVENUE, BROOKFIELD, IL, 605131707

Signature of
Role Plan administrator
Date 2014-07-01
Name of individual signing MARK DEVENS
Valid signature Filed with authorized/valid electronic signature
MD ORTHOTIC AND PROSTHETIC LABORATORY, P.C. RETIREMENT PLAN 2011 363413638 2013-06-25 MD ORTHOTIC AND PROSTHETIC LABORATORY, P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-07-15
Business code 621399
Sponsor’s telephone number 8886352271
Plan sponsor’s address 8400 BROOKFIELD AVENUE, BROOKFIELD, IL, 605131707

Plan administrator’s name and address
Administrator’s EIN 363413638
Plan administrator’s name MD ORTHOTIC AND PROSTHETIC LABORATORY, P.C.
Plan administrator’s address 8400 BROOKFIELD AVENUE, BROOKFIELD, IL, 605131707
Administrator’s telephone number 8886352271

Signature of
Role Plan administrator
Date 2013-06-25
Name of individual signing MARK DEVENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-25
Name of individual signing MARK DEVENS
Valid signature Filed with authorized/valid electronic signature
MD ORTHOTIC AND PROSTHETIC LABORATORY, P.C. RETIREMENT PLAN 2010 363413638 2012-04-25 MD ORTHOTIC AND PROSTHETIC LABORATORY, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-07-15
Business code 621399
Sponsor’s telephone number 8886352271
Plan sponsor’s address 8400 BROOKFIELD AVENUE, BROOKFIELD, IL, 605131707

Plan administrator’s name and address
Administrator’s EIN 363413638
Plan administrator’s name MD ORTHOTIC AND PROSTHETIC LABORATORY, P.C.
Plan administrator’s address 8400 BROOKFIELD AVENUE, BROOKFIELD, IL, 605131707
Administrator’s telephone number 8886352271

Signature of
Role Plan administrator
Date 2012-04-25
Name of individual signing MARK F DEVENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-25
Name of individual signing MARK F DEVENS
Valid signature Filed with authorized/valid electronic signature
MD ORTHOTIC AND PROSTHETIC LABORATORY, P.C. RETIREMENT PLAN 2009 363413638 2011-05-31 MD ORTHOTIC AND PROSTHETIC LABORATORY, P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-07-15
Business code 621399
Sponsor’s telephone number 8886352271
Plan sponsor’s address 8400 BROOKFIELD AVENUE, BROOKFIELD, IL, 605131707

Plan administrator’s name and address
Administrator’s EIN 363413638
Plan administrator’s name MD ORTHOTIC AND PROSTHETIC LABORATORY, P.C.
Plan administrator’s address 8400 BROOKFIELD AVENUE, BROOKFIELD, IL, 605131707
Administrator’s telephone number 8886352271

Signature of
Role Plan administrator
Date 2011-05-31
Name of individual signing MARK DEVENS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
HEYL, ROYSTER, VOELKER & ALLEN, 300 HAMILTON BLVD PO BOX 6199, PEORIA, 61601, PEORIA Agent 2018-02-01

President

Name and Address Role
AMIT BHANTI 741 W, MAIN PEORIAIL, 61606 President

Secretary

Name and Address Role
DAVID A RIBER 741 W MAIN PEORIA IL, 61606 Secretary

Historical Names

Name Change Date
MD ORTHOTIC AND PROSTHETIC LABORATORY, P.C. 2014-04-28
MD ORTHOTIC AND PROSTHETIC LABORATORY, INC. 2004-06-24
M. D. ORTHOTIC AND PROSTHETIC LABORATORY, INC. 1986-06-23

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 500000 180847000 No data

Related by officers

HEYL, ROYSTER, VOELKER & ALLEN, 300 HAMILTON BLVD PO BOX 6199, PEORIA, 61601, PEORIA

ADVANCE PHYSICAL THERAPY OF HANCOCK COUNTY, LLC STAR AVIATION SERVICES, LLC MICHAEL'S ITALIAN FEAST, LLC GOODFIELD PROPERTIES, LLC SS LAND LLC BUILDING ENVELOPE MATERIALS, LLC DE NOBLE-CARVER, LLC JANICE TIEZZI ENTERPRISES, LLC FDJD PROPERTIES, INC. TRI-COUNTY DOOR DOCTOR, INC.

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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