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GENESIS CLINICAL SERVICES, S.C.

Company Details

Entity Name: GENESIS CLINICAL SERVICES, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 22 Jun 1994
Company Number: CORP_57870192
File Number: 57870192
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
GENESIS CLINICAL SERVICES S.C. 401(K) PLAN 2023 363954666 2024-09-03 GENESIS CLINICAL SERVICES S.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6306536441
Plan sponsor’s address 1725 S. NAPERVILLE RD., SUITE 206, WHEATON, IL, 60189

Signature of

Role Plan administrator
Date 2024-09-03
Name of individual signing RALPH M. ORLAND
Valid signature Filed with authorized/valid electronic signature
GENESIS CLINICAL SERVICES S.C. 401(K) PLAN 2022 363954666 2023-07-06 GENESIS CLINICAL SERVICES S.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6306536441
Plan sponsor’s address 1725 S. NAPERVILLE RD., SUITE 206, WHEATON, IL, 60189

Signature of

Role Plan administrator
Date 2023-07-06
Name of individual signing RALPH M. ORLAND
Valid signature Filed with authorized/valid electronic signature
GENESIS CLINICAL SERVICES S.C. 401(K) PLAN 2021 363954666 2022-07-11 GENESIS CLINICAL SERVICES S.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6306536441
Plan sponsor’s address 1725 S. NAPERVILLE RD., SUITE 206, WHEATON, IL, 60189

Signature of

Role Plan administrator
Date 2022-07-11
Name of individual signing RALPH M. ORLAND
Valid signature Filed with authorized/valid electronic signature
GENESIS CLINICAL SERVICES S.C. 401(K) PLAN 2020 363954666 2021-09-16 GENESIS CLINICAL SERVICES S.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6306536441
Plan sponsor’s address 1725 S. NAPERVILLE RD., SUITE 206, WHEATON, IL, 60189

Signature of

Role Plan administrator
Date 2021-09-16
Name of individual signing RALPH M. ORLAND
Valid signature Filed with authorized/valid electronic signature
GENESIS CLINICAL SERVICES S.C. 401(K) PLAN 2019 363954666 2020-07-20 GENESIS CLINICAL SERVICES S.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6306536441
Plan sponsor’s address 1725 S. NAPERVILLE RD., SUITE 206, WHEATON, IL, 60189

Signature of

Role Plan administrator
Date 2020-07-20
Name of individual signing RALPH M. ORLAND
Valid signature Filed with authorized/valid electronic signature
GENESIS CLINICAL SERVICES S.C. 401(K) PLAN 2018 363954666 2019-07-11 GENESIS CLINICAL SERVICES S.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6306536441
Plan sponsor’s address 1725 S. NAPERVILLE RD., SUITE 206, WHEATON, IL, 60189

Signature of

Role Plan administrator
Date 2019-07-11
Name of individual signing RALPH M. ORLAND
Valid signature Filed with authorized/valid electronic signature
GENESIS CLINICAL SERVICES S.C. 401(K) PLAN 2017 363954666 2018-06-04 GENESIS CLINICAL SERVICES S.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6306536441
Plan sponsor’s address 1725 S. NAPERVILLE RD., SUITE 206, WHEATON, IL, 60189

Signature of

Role Plan administrator
Date 2018-06-04
Name of individual signing RALPH M. ORLAND
Valid signature Filed with authorized/valid electronic signature
GENESIS CLINICAL SERVICES S.C. 401(K) PLAN 2016 363954666 2017-10-02 GENESIS CLINICAL SERVICES S.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6306536441
Plan sponsor’s address 1725 S. NAPERVILLE RD., SUITE 206, WHEATON, IL, 60189

Signature of

Role Plan administrator
Date 2017-10-02
Name of individual signing RALPH M. ORLAND
Valid signature Filed with authorized/valid electronic signature
GENESIS CLINICAL SERVICES S.C. 401(K) PLAN 2015 363954666 2016-07-26 GENESIS CLINICAL SERVICES S.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6306536441
Plan sponsor’s address 1725 S. NAPERVILLE RD., SUITE 206, WHEATON, IL, 60189

Signature of

Role Plan administrator
Date 2016-07-26
Name of individual signing RALPH M. ORLAND
Valid signature Filed with authorized/valid electronic signature
GENESIS CLINICAL SERVICES S.C. 401(K) PLAN 2014 363954666 2015-07-21 GENESIS CLINICAL SERVICES S.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6306536441
Plan sponsor’s address 1725 S. NAPERVILLE RD., SUITE 206, WHEATON, IL, 60189

Signature of

Role Plan administrator
Date 2015-07-21
Name of individual signing RALPH M. ORLAND
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
AARON E RUSWICK, 1755 S NAPERVILLE RD #200, WHEATON, 60189, DU PAGE Agent 2016-12-08

President

Name and Address Role
RALPH M ORLAND M.D., 617 W ELMST, WHEATON, 60187 President

Secretary

Name and Address Role
EMMA A CABUSAO, 510 WIND ENERGY PASS, BATAVIA IL 60510 Secretary

Historical Names

Name Change Date
WARRENVILLE CLINIC FOR BEHAVIORAL MEDICINE, S.C. 1996-05-10

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 540000 No data

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State