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  5. GLEN ELLYN OPHTHALMOLOGY ASSOCIATES, LTD.

GLEN ELLYN OPHTHALMOLOGY ASSOCIATES, LTD.

Company Details

Entity Name: GLEN ELLYN OPHTHALMOLOGY ASSOCIATES, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 29 Apr 1993
Company Number: CORP_57293934
File Number: 57293934
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
GLEN ELLYN OPHTHALMOLOGY ASSOCIATES LTD PROFIT SHARING PLAN 2022 363887232 2023-05-12 GLEN ELLYN OPHTHALMOLOGY ASSOCIATES LTD 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-05-01
Business code 621111
Sponsor’s telephone number 6308584660
Plan sponsor’s address 45 S PARK BLVD SUITE 375, GLEN ELLYN, IL, 601376291

Signature of
Role Plan administrator
Date 2023-05-12
Name of individual signing ROBERT J. BARNES, M.D.
Valid signature Filed with authorized/valid electronic signature
GLEN ELLYN OPHTHALMOLOGY ASSOCIATES LTD PROFIT SHARING PLAN 2021 363887232 2022-09-16 GLEN ELLYN OPHTHALMOLOGY ASSOCIATES LTD 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-05-01
Business code 621111
Sponsor’s telephone number 6308584660
Plan sponsor’s address 45 S PARK BLVD SUITE 375, GLEN ELLYN, IL, 601376291

Signature of
Role Plan administrator
Date 2022-09-16
Name of individual signing ROBERT J. BARNES, M.D.
Valid signature Filed with authorized/valid electronic signature
GLEN ELLYN OPHTHALMOLOGY ASSOCIATES LTD PROFIT SHARING PLAN 2020 363887232 2021-06-26 GLEN ELLYN OPHTHALMOLOGY ASSOCIATES LTD 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-05-01
Business code 621111
Sponsor’s telephone number 6308584660
Plan sponsor’s address 45 S PARK BLVD SUITE 375, GLEN ELLYN, IL, 601376291

Signature of
Role Plan administrator
Date 2021-06-26
Name of individual signing ROBERT J. BARNES, M.D.
Valid signature Filed with authorized/valid electronic signature
GLEN ELLYN OPHTHALMOLOGY ASSOCIATES LTD PROFIT SHARING PLAN 2019 363887232 2020-09-20 GLEN ELLYN OPHTHALMOLOGY ASSOCIATES LTD 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-05-01
Business code 621111
Sponsor’s telephone number 6308584660
Plan sponsor’s address 45 S PARK BLVD SUITE 375, GLEN ELLYN, IL, 601376291

Signature of
Role Plan administrator
Date 2020-09-20
Name of individual signing ROBERT J. BARNES, M.D.
Valid signature Filed with authorized/valid electronic signature
GLEN ELLYN OPHTHALMOLOGY ASSOCIATES LTD PROFIT SHARING PLAN 2018 363887232 2019-10-02 GLEN ELLYN OPHTHALMOLOGY ASSOCIATES LTD 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-05-01
Business code 621111
Sponsor’s telephone number 6308584660
Plan sponsor’s address 45 S PARK BLVD SUITE 375, GLEN ELLYN, IL, 601376291

Signature of
Role Plan administrator
Date 2019-10-02
Name of individual signing ROBERT J. BARNES, M.D.
Valid signature Filed with authorized/valid electronic signature
GLEN ELLYN OPHTHALMOLOGY ASSOCIATES LTD PROFIT SHARING PLAN 2017 363887232 2018-09-25 GLEN ELLYN OPHTHALMOLOGY ASSOCIATES LTD 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-05-01
Business code 621111
Sponsor’s telephone number 6308584660
Plan sponsor’s address 45 S PARK BLVD SUITE 375, GLEN ELLYN, IL, 601376291

Signature of
Role Plan administrator
Date 2018-09-25
Name of individual signing ROBERT J. BARNES, M.D.
Valid signature Filed with authorized/valid electronic signature
GLEN ELLYN OPHTHALMOLOGY ASSOCIATES LTD PROFIT SHARING PLAN 2016 363887232 2017-07-17 GLEN ELLYN OPHTHALMOLOGY ASSOCIATES LTD 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-05-01
Business code 621111
Sponsor’s telephone number 6308584660
Plan sponsor’s address 45 S PARK BLVD SUITE 375, GLEN ELLYN, IL, 601376291

Signature of
Role Plan administrator
Date 2017-07-17
Name of individual signing ROBERT J. BARNES, M.D.
Valid signature Filed with authorized/valid electronic signature
GLEN ELLYN OPHTHALMOLOGY ASSOCIATES LTD PROFIT SHARING PLAN 2015 363887232 2016-05-23 GLEN ELLYN OPHTHALMOLOGY ASSOCIATES LTD 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-05-01
Business code 621111
Sponsor’s telephone number 6308584660
Plan sponsor’s address 45 S PARK BLVD SUITE 375, GLEN ELLYN, IL, 601376291

Plan administrator’s name and address
Administrator’s EIN 363887232
Plan administrator’s name GLEN ELLYN OPHTHALMOLOGY ASSOCIATES LTD
Plan administrator’s address 45 S PARK BLVD SUITE 375, GLEN ELLYN, IL, 601376291
Administrator’s telephone number 6308584660
GLEN ELLYN OPHTHALMOLOGY ASSOCIATES LTD PROFIT SHARING PLAN 2014 363887232 2015-03-17 GLEN ELLYN OPHTHALMOLOGY ASSOCIATES LTD 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-05-01
Business code 621111
Sponsor’s telephone number 6308584660
Plan sponsor’s address 45 S PARK BLVD SUITE 375, GLEN ELLYN, IL, 601376291

Plan administrator’s name and address
Administrator’s EIN 363887232
Plan administrator’s name GLEN ELLYN OPHTHALMOLOGY ASSOCIATES LTD
Plan administrator’s address 45 S PARK BLVD SUITE 375, GLEN ELLYN, IL, 601376291
Administrator’s telephone number 6308584660

Signature of
Role Plan administrator
Date 2015-03-17
Name of individual signing ROBERT J. BARNES, M.D.
Valid signature Filed with authorized/valid electronic signature
GLEN ELLYN OPHTHALMOLOGY ASSOCIATES LTD PROFIT SHARING PLAN 2013 363887232 2014-06-01 GLEN ELLYN OPHTHALMOLOGY ASSOCIATES LTD 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-05-01
Business code 621111
Sponsor’s telephone number 6308584660
Plan sponsor’s address 45 S PARK BLVD SUITE 375, GLEN ELLYN, IL, 601376291

Plan administrator’s name and address
Administrator’s EIN 363887232
Plan administrator’s name GLEN ELLYN OPHTHALMOLOGY ASSOCIATES LTD
Plan administrator’s address 45 S PARK BLVD SUITE 375, GLEN ELLYN, IL, 601376291
Administrator’s telephone number 6308584660

Signature of
Role Plan administrator
Date 2014-06-01
Name of individual signing ROBERT J. BARNES, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
RICHARD M FURGASON, 1999 W DOWNER PLACE, AURORA, 60506, KANE Agent 2003-03-26

President

Name and Address Role
ROBERT BARNES MD 802 WILDWOODCOURT OAK BROOK 60523 President

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042007221 No data No data REGISTERED MEDICAL CORPORATION No data 1993-08-23 2018-12-27 2022-01-01

Historical Names

Name Change Date
GLEN ELLYN ASSOCIATES, LTD. 1993-05-20

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 200000 No data

Related by officers

RICHARD M FURGASON, 1999 W DOWNER PLACE, AURORA, 60506, KANE

CIPHER, LTD. MONTICELLO ENTERPRISES, L.L.C. ILLINOIS INDUSTRIAL LUMBER, INC. INDUSTRIAL LUMBER PROPERTIES INC. EVS CONSTRUCTION COMPANY N.M.K. OF AURORA, INC. SEND ME SOMETHING LTD. PJD ENGRAVERS, INC. E-CONVEX, INC. HIPP TEMPORARY PERSONNEL, INC.

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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