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  5. CENTER FOR ATHLETIC MEDICINE, LTD.

CENTER FOR ATHLETIC MEDICINE, LTD.

Company Details

Entity Name: CENTER FOR ATHLETIC MEDICINE, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 10 Mar 1992
Company Number: CORP_56755144
File Number: 56755144
Type of Business: Incorporated under the Medical Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CENTER FOR ATHLETIC MEDICINE, LTD. DEFINED BENEFIT PENSION PLAN 2014 363815402 2016-07-27 CENTER FOR ATHLETIC MEDICINE, LTD. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7722484150
Plan sponsor’s address 830 WEST DIVERSEY AVENUE, SUITE 300, CHICAGO, IL, 606141454
CENTER FOR ATHLETIC MEDICINE, LTD. DEFINED BENEFIT PENSION PLAN 2013 363815402 2014-06-10 CENTER FOR ATHLETIC MEDICINE, LTD. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7732484150
Plan sponsor’s address 830 WEST DIVERSEY AVENUE, SUITE 300, CHICAGO, IL, 606141454
CENTER FOR ATHLETIC MEDICINE, LTD. 401(K) AND PROFIT SHARING PLAN 2013 363815402 2014-04-28 CENTER FOR ATHLETIC MEDICINE, LTD. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7732484150
Plan sponsor’s address 830 W. DIVERSEY AVENUE, SUITE 300, CHICAGO, IL, 606141454
CENTER FOR ATHLETIC MEDICINE, LTD. DEFINED BENEFIT PENSION PLAN 2012 363815402 2013-09-18 CENTER FOR ATHLETIC MEDICINE, LTD. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7732484150
Plan sponsor’s address 830 WEST DIVERSEY AVENUE, SUITE 300, CHICAGO, IL, 606141454

Signature of
Role Plan administrator
Date 2013-09-03
Name of individual signing COLLEEN MCSHANE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-03
Name of individual signing COLLEEN MCSHANE
Valid signature Filed with authorized/valid electronic signature
CENTER FOR ATHLETIC MEDICINE, LTD. 401(K) AND PROFIT SHARING PLAN 2012 363815402 2013-08-27 CENTER FOR ATHLETIC MEDICINE, LTD. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7732484150
Plan sponsor’s address 830 W. DIVERSEY AVENUE, SUITE 300, CHICAGO, IL, 606141454

Signature of
Role Plan administrator
Date 2013-08-13
Name of individual signing PRESTON WOLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-08-13
Name of individual signing PRESTON WOLIN
Valid signature Filed with authorized/valid electronic signature
CENTER FOR ATHLETIC MEDICINE, LTD. DEFINED BENEFIT PENSION PLAN 2011 363815402 2012-10-12 CENTER FOR ATHLETIC MEDICINE, LTD. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7732484150
Plan sponsor’s address 830 WEST DIVERSEY AVENUE, SUITE 300, CHICAGO, IL, 606141454

Plan administrator’s name and address
Administrator’s EIN 363815402
Plan administrator’s name CENTER FOR ATHLETIC MEDICINE, LTD.
Plan administrator’s address 830 WEST DIVERSEY AVENUE, SUITE 300, CHICAGO, IL, 606141454
Administrator’s telephone number 7732484150

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing PRESTON M WOLIN, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-12
Name of individual signing PRESTON M WOLIN, MD
Valid signature Filed with authorized/valid electronic signature
CENTER FOR ATHLETIC MEDICINE, LTD. 401(K) AND PROFIT SHARING PLAN 2011 363815402 2012-10-12 CENTER FOR ATHLETIC MEDICINE, LTD. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7732484150
Plan sponsor’s address 830 W. DIVERSEY AVENUE, SUITE 300, CHICAGO, IL, 606141454

Plan administrator’s name and address
Administrator’s EIN 363815402
Plan administrator’s name CENTER FOR ATHLETIC MEDICINE, LTD.
Plan administrator’s address 830 W. DIVERSEY AVENUE, SUITE 300, CHICAGO, IL, 606141454
Administrator’s telephone number 7732484150

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing PRESTON M WOLIN, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-12
Name of individual signing PRESTON M WOLIN, MD
Valid signature Filed with authorized/valid electronic signature
CENTER FOR ATHLETIC MEDICINE, LTD. DEFINED BENEFIT PENSION PLAN 2010 363815402 2011-09-07 CENTER FOR ATHLETIC MEDICINE, LTD. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7722484150
Plan sponsor’s address 830 WEST DIVERSEY AVENUE, SUITE 300, CHICAGO, IL, 606141454

Plan administrator’s name and address
Administrator’s EIN 363815402
Plan administrator’s name CENTER FOR ATHLETIC MEDICINE, LTD.
Plan administrator’s address 830 WEST DIVERSEY AVENUE, SUITE 300, CHICAGO, IL, 606141454
Administrator’s telephone number 7722484150

Signature of
Role Plan administrator
Date 2011-09-01
Name of individual signing PRESTON WOLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-01
Name of individual signing PRESTON WOLIN
Valid signature Filed with authorized/valid electronic signature
CENTER FOR ATHLETIC MEDICINE, LTD. 401(K) AND PROFIT SHARING PLAN 2010 363815402 2011-09-15 CENTER FOR ATHLETIC MEDICINE, LTD. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7732484150
Plan sponsor’s address 830 W. DIVERSEY AVENUE, SUITE 300, CHICAGO, IL, 606141454

Plan administrator’s name and address
Administrator’s EIN 363815402
Plan administrator’s name CENTER FOR ATHLETIC MEDICINE, LTD.
Plan administrator’s address 830 W. DIVERSEY AVENUE, SUITE 300, CHICAGO, IL, 606141454
Administrator’s telephone number 7732484150

Signature of
Role Plan administrator
Date 2011-09-15
Name of individual signing PRESTON WOLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-15
Name of individual signing PRESTON WOLIN
Valid signature Filed with authorized/valid electronic signature
CENTER FOR ATHLETIC MEDICINE, LTD. DEFINED BENEFIT PENSION PLAN 2009 363815402 2010-09-01 CENTER FOR ATHLETIC MEDICINE, LTD. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7722484150
Plan sponsor’s address 830 WEST DIVERSEY AVENUE, SUITE 300, CHICAGO, IL, 606141454

Plan administrator’s name and address
Administrator’s EIN 363815402
Plan administrator’s name CENTER FOR ATHLETIC MEDICINE, LTD.
Plan administrator’s address 830 WEST DIVERSEY AVENUE, SUITE 300, CHICAGO, IL, 606141454
Administrator’s telephone number 7722484150

Signature of
Role Plan administrator
Date 2010-08-31
Name of individual signing PRESTON WOLIN MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-31
Name of individual signing PRESTON WOLIN MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
PHYLLIS FASEL, 120 S RIVERSIDE PLZ STE 1700, CHICAGO, 60606, COOK-NOT IN CITY OF CHICAGO Agent 2022-04-27

President

Name and Address Role
PRESTON M WOLIN MD, 830 W DIVERSEY PKWY #300, CHICAGO 60614 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 100000 No data

Related by officers

PHYLLIS FASEL, 120 S RIVERSIDE PLZ STE 1700, CHICAGO, 60606, COOK-NOT IN CITY OF CHICAGO

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Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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