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  5. M.A.C.- A.S.C., INC.

M.A.C.- A.S.C., INC.

Company Details

Entity Name: M.A.C.- A.S.C., INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 17 Feb 1988
Date of Dissolution: 01 Jul 1995
Company Number: CORP_54969317
File Number: 54969317
Type of Business: All Inclusive Purpose
Date Status Change: 01 Jul 1995
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CENTER FOR SURGERY RETIREMENT SAVINGS PLAN 2015 363776424 2016-07-29 NORTHERN ILLINOIS SURGERY CENTER 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-11-01
Business code 621493
Sponsor’s telephone number 6305057733
Plan sponsor’s address 475 E. DIEHL RD, NAPERVILLE, IL, 605631353

Signature of
Role Plan administrator
Date 2016-07-29
Name of individual signing ANTHONY J. FATO
Valid signature Filed with authorized/valid electronic signature
CENTER FOR SURGERY RETIREMENT SAVINGS PLAN 2014 363776424 2015-06-22 NORTHERN ILLINOIS SURGERY CENTER 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-11-01
Business code 621493
Sponsor’s telephone number 6305057733
Plan sponsor’s address 475 E. DIEHL RD, NAPERVILLE, IL, 605631353

Signature of
Role Plan administrator
Date 2015-06-22
Name of individual signing ANTHONY J. FATO
Valid signature Filed with authorized/valid electronic signature
CENTER FOR SURGERY RETIREMENT SAVINGS PLAN 2013 363776424 2014-07-24 NORTHERN ILLINOIS SURGERY CENTER 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-11-01
Business code 621493
Sponsor’s telephone number 6305057733
Plan sponsor’s address 475 E. DIEHL ROAD, NAPERVILLE, IL, 605631353

Signature of
Role Plan administrator
Date 2014-07-24
Name of individual signing ANTHONY FATO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-24
Name of individual signing ANTHONY FATO
Valid signature Filed with authorized/valid electronic signature
CENTER FOR SURGERY RETIREMENT SAVINGS PLAN 2012 363776424 2013-07-02 NORTHERN ILLINOIS SURGERY CENTER 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-11-01
Business code 621493
Sponsor’s telephone number 6305057733
Plan sponsor’s address 475 E. DIEHL ROAD, NAPERVILLE, IL, 605631353

Signature of
Role Plan administrator
Date 2013-07-02
Name of individual signing ANTHONY FATO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-02
Name of individual signing ANTHONY FATO
Valid signature Filed with authorized/valid electronic signature
CENTER FOR SURGERY RETIREMENT SAVINGS PLAN 2011 363776424 2012-06-08 NORTHERN ILLINOIS SURGERY CENTER 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-11-01
Business code 621493
Sponsor’s telephone number 6305057733
Plan sponsor’s address 475 E. DIEHL ROAD, NAPERVILLE, IL, 605631353

Plan administrator’s name and address
Administrator’s EIN 363776424
Plan administrator’s name NORTHERN ILLINOIS SURGERY CENTER
Plan administrator’s address 475 E. DIEHL ROAD, NAPERVILLE, IL, 605631353
Administrator’s telephone number 6305057733

Signature of
Role Plan administrator
Date 2012-06-08
Name of individual signing ANTHONY FATO
Valid signature Filed with authorized/valid electronic signature
CENTER FOR SURGERY RETIREMENT SAVINGS PLAN 2010 363776424 2011-07-27 NORTHERN ILLINOIS SURGERY CENTER 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-11-01
Business code 621493
Sponsor’s telephone number 6305057733
Plan sponsor’s address 475 E. DIEHL ROAD, NAPERVILLE, IL, 60563

Plan administrator’s name and address
Administrator’s EIN 363776424
Plan administrator’s name NORTHERN ILLINOIS SURGERY CENTER
Plan administrator’s address 475 E. DIEHL ROAD, NAPERVILLE, IL, 60563
Administrator’s telephone number 6305057733

Signature of
Role Plan administrator
Date 2011-07-27
Name of individual signing ANTHONY FATO
Valid signature Filed with authorized/valid electronic signature
CENTER FOR SURGERY RETIREMENT SAVINGS PLAN 2009 363776424 2010-07-26 NORTHERN ILLINOIS SURGERY CENTER 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-11-01
Business code 621493
Sponsor’s telephone number 6305057733
Plan sponsor’s address 475 E. DIEHL ROAD, NAPERVILLE, IL, 60563

Plan administrator’s name and address
Administrator’s EIN 363776424
Plan administrator’s name NORTHERN ILLINOIS SURGERY CENTER
Plan administrator’s address 475 E. DIEHL ROAD, NAPERVILLE, IL, 60563
Administrator’s telephone number 6305057733

Signature of
Role Plan administrator
Date 2010-07-26
Name of individual signing ANTHONY FATO
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
STEPHEN BLAKE, 102 S HENNEPIN AVE STE 130, DIXON, 61021, LEE Agent 1993-05-25

President

Name and Address Role
SHASHI PATEL, 102 S HENNEPIN AVE, DIXON 61021 President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
NORTHERN ILLINOIS SURGERY CENTER No data 1993-11-04 1995-07-01 Involuntary Cancellation No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 1

Related by officers

No related officers

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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