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  5. CARY J. BORTNICK, M.D., LTD.

CARY J. BORTNICK, M.D., LTD.

Company Details

Entity Name: CARY J. BORTNICK, M.D., LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 10 Apr 1986
Date of Dissolution: 10 Nov 2020
Company Number: CORP_54209932
File Number: 54209932
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 10 Nov 2020
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CARY J. BORTNICK, M.D., LTD. PROFIT SHARING PLAN 2018 363431285 2019-10-03 CARY J. BORTNICK, M.D., LTD. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 6309808600
Plan sponsor’s address 303 E. ARMY TRAIL ROAD, SUITE 100, BLOOMINGDALE, IL, 60108

Signature of
Role Plan administrator
Date 2019-10-03
Name of individual signing CARY BORTNICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-03
Name of individual signing CARY BORTNICK
Valid signature Filed with authorized/valid electronic signature
CARY J. BORTNICK, M.D., LTD. CASH BALANCE PENSION PLAN 2018 363431285 2019-10-21 CARY J. BORTNICK, M.D., LTD. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6309808600
Plan sponsor’s address 303 E. ARMY TRAIL ROAD, SUITE 100, BLOOMINGDALE, IL, 60108

Signature of
Role Plan administrator
Date 2019-10-21
Name of individual signing CARY J BORTNICK MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-21
Name of individual signing CARY J BORTNICK MD
Valid signature Filed with authorized/valid electronic signature
CARY J. BORTNICK, M.D., LTD. PROFIT SHARING PLAN 2018 363431285 2019-10-21 CARY J. BORTNICK, M.D., LTD. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 6309808600
Plan sponsor’s address 303 E. ARMY TRAIL ROAD, SUITE 100, BLOOMINGDALE, IL, 60108

Signature of
Role Plan administrator
Date 2019-10-21
Name of individual signing CARY J BORTNICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-21
Name of individual signing CARY J BORTNICK
Valid signature Filed with authorized/valid electronic signature
CARY J. BORTNICK, M.D., LTD. CASH BALANCE PENSION PLAN 2018 363431285 2019-10-03 CARY J. BORTNICK, M.D., LTD. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6309808600
Plan sponsor’s address 303 E. ARMY TRAIL ROAD, SUITE 100, BLOOMINGDALE, IL, 60108

Signature of
Role Plan administrator
Date 2019-10-03
Name of individual signing CARY BORTNICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-03
Name of individual signing CARY BORTNICK
Valid signature Filed with authorized/valid electronic signature
CARY J. BORTNICK, M.D., LTD. CASH BALANCE PENSION PLAN 2017 363431285 2018-10-09 CARY J. BORTNICK, M.D., LTD. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6309808600
Plan sponsor’s address 303 E. ARMY TRAIL ROAD, SUITE 100, BLOOMINGDALE, IL, 60108

Signature of
Role Plan administrator
Date 2018-10-09
Name of individual signing CARY J BORTNICK MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-09
Name of individual signing CARY J BORTNICK MD
Valid signature Filed with authorized/valid electronic signature
CARY J. BORTNICK, M.D., LTD. PROFIT SHARING PLAN 2017 363431285 2018-07-27 CARY J. BORTNICK, M.D., LTD. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 6309808600
Plan sponsor’s address 303 E. ARMY TRAIL ROAD, SUITE 100, BLOOMINGDALE, IL, 60108

Signature of
Role Plan administrator
Date 2018-07-27
Name of individual signing CARY BORTNICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-27
Name of individual signing CARY BORTNICK
Valid signature Filed with authorized/valid electronic signature
CARY J. BORTNICK, M.D., LTD. CASH BALANCE PENSION PLAN 2016 363431285 2017-09-14 CARY J. BORTNICK, M.D., LTD. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6309808600
Plan sponsor’s address 303 E. ARMY TRAIL ROAD, SUITE 100, BLOOMINGDALE, IL, 60108

Signature of
Role Plan administrator
Date 2017-09-14
Name of individual signing CARY J BORTNICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-14
Name of individual signing CARY J BORTNICK
Valid signature Filed with authorized/valid electronic signature
CARY J. BORTNICK, M.D., LTD. PROFIT SHARING PLAN 2016 363431285 2017-05-11 CARY J. BORTNICK, M.D., LTD. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 6309808600
Plan sponsor’s address 303 E. ARMY TRAIL ROAD, SUITE 100, BLOOMINGDALE, IL, 60108

Signature of
Role Plan administrator
Date 2017-05-11
Name of individual signing CARY J BORTNICK MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-11
Name of individual signing CARY J BORTNICK MD
Valid signature Filed with authorized/valid electronic signature
CARY J. BORTNICK, M.D., LTD. PROFIT SHARING PLAN 2015 363431285 2016-07-06 CARY J. BORTNICK, M.D., LTD. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 6309808600
Plan sponsor’s address 303 E. ARMY TRAIL ROAD, SUITE 100, BLOOMINGDALE, IL, 60108

Signature of
Role Plan administrator
Date 2016-07-06
Name of individual signing CARY BORTNICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-06
Name of individual signing CARY BORTNICK
Valid signature Filed with authorized/valid electronic signature
CARY J. BORTNICK, M.D., LTD. CASH BALANCE PENSION PLAN 2015 363431285 2016-10-12 CARY J. BORTNICK, M.D., LTD. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6309808600
Plan sponsor’s address 303 E. ARMY TRAIL ROAD, SUITE 100, BLOOMINGDALE, IL, 60108

Signature of
Role Plan administrator
Date 2016-10-12
Name of individual signing CARY J BORTNICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-12
Name of individual signing CARY J BORTNICK
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
CARY J BORTNICK, 303 E ARMY TRAIL RD 100, BLOOMINGDALE, 60108, DU PAGE Agent 2000-04-21

President

Name and Address Role
CARY J BORTNICK, 303 E ARMY TRAIL #100 BLOOMINGDALE 60108 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 1000000 1

Related by officers

No related officers

Related by address

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Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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