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ORTHOPEDIC & SPORTS MEDICINE CLINIC, P.C.

Company Details

Entity Name: ORTHOPEDIC & SPORTS MEDICINE CLINIC, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 02 Nov 1994
Company Number: CORP_58051233
File Number: 58051233
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
ORTHOPEDIC & SPORTS MEDICINE CLINIC, P.C. 401(K) RETIREMENT SAVINGS PLAN 2014 371334016 2015-07-09 ORTHOPEDIC & SPORTS MEDICINE CLINIC, P.C. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 6184748052
Plan sponsor’s address 4411 ALBY STREET, ALTON, IL, 62002

Signature of

Role Plan administrator
Date 2015-07-09
Name of individual signing KATHLEEN VEST
Valid signature Filed with authorized/valid electronic signature
ORTHOPEDIC & SPORTS MEDICINE CLINIC, P.C. 401(K) RETIREMENT SAVINGS PLAN 2014 371334016 2015-06-30 ORTHOPEDIC & SPORTS MEDICINE CLINIC, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 6184748052
Plan sponsor’s address 4411 ALBY STREET, ALTON, IL, 62002

Signature of

Role Plan administrator
Date 2015-06-30
Name of individual signing KATHLEEN VEST
Valid signature Filed with authorized/valid electronic signature
ORTHOPEDIC & SPORTS MEDICINE CLINIC, P.C. 401(K) RETIREMENT SAVINGS PLAN 2013 371334016 2014-06-26 ORTHOPEDIC & SPORTS MEDICINE CLINIC, P.C. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 6184748052
Plan sponsor’s address 4411 ALBY STREET, ALTON, IL, 62002

Signature of

Role Plan administrator
Date 2014-06-26
Name of individual signing KATHLEEN VEST
Valid signature Filed with authorized/valid electronic signature
ORTHOPEDIC & SPORTS MEDICINE CLINIC, P.C. 401(K) RETIREMENT SAVINGS PLAN 2012 371334016 2013-09-05 ORTHOPEDIC & SPORTS MEDICINE CLINIC, P.C. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 6184748052
Plan sponsor’s address 4411 ALBY STREET, ALTON, IL, 62002

Signature of

Role Plan administrator
Date 2013-09-05
Name of individual signing KATHLEEN VEST
Valid signature Filed with authorized/valid electronic signature
ORTHOPEDIC & SPORTS MEDICINE CLINIC, P.C. 401(K) RETIREMENT SAVINGS PLAN 2011 371334016 2012-07-05 ORTHOPEDIC & SPORTS MEDICINE CLINIC, P.C. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 6184748052
Plan sponsor’s address 4411 ALBY STREET, ALTON, IL, 62002

Plan administrator’s name and address

Administrator’s EIN 371334016
Plan administrator’s name ORTHOPEDIC & SPORTS MEDICINE CLINIC, P.C.
Plan administrator’s address 4411 ALBY STREET, ALTON, IL, 62002
Administrator’s telephone number 6184748052

Signature of

Role Plan administrator
Date 2012-07-05
Name of individual signing KATHLEEN VEST
Valid signature Filed with authorized/valid electronic signature
ORTHOPEDIC & SPORTS MEDICINE CLINIC, P.C. 401(K) RETIREMENT SAVINGS PLAN 2010 371334016 2011-07-14 ORTHOPEDIC & SPORTS MEDICINE CLINIC, P.C. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 6184748052
Plan sponsor’s address 4411 ALBY STREET, ALTON, IL, 62002

Plan administrator’s name and address

Administrator’s EIN 371334016
Plan administrator’s name ORTHOPEDIC & SPORTS MEDICINE CLINIC, P.C.
Plan administrator’s address 4411 ALBY STREET, ALTON, IL, 62002
Administrator’s telephone number 6184748052

Signature of

Role Plan administrator
Date 2011-07-14
Name of individual signing KATHLEEN VEST
Valid signature Filed with authorized/valid electronic signature
ORTHOPEDIC & SPORTS MEDICINE CLINIC, P.C. 401(K) RETIREMENT SAVINGS PLAN 2009 371334016 2010-07-28 ORTHOPEDIC & SPORTS MEDICINE CLINIC, P.C. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 6184748052
Plan sponsor’s address 4411 ALBY STREET, ALTON, IL, 62002

Plan administrator’s name and address

Administrator’s EIN 371334016
Plan administrator’s name ORTHOPEDIC & SPORTS MEDICINE CLINIC, P.C.
Plan administrator’s address 4411 ALBY STREET, ALTON, IL, 62002
Administrator’s telephone number 6184748052

Signature of

Role Plan administrator
Date 2010-07-28
Name of individual signing KATHLEEN VEST
Valid signature Filed with authorized/valid electronic signature
ORTHOPEDIC & SPORTS MEDICINE CLINIC, P.C. 401(K) RETIREMENT SAVINGS PLAN 2009 371334016 2010-07-28 ORTHOPEDIC & SPORTS MEDICINE CLINIC, P.C. 45
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 6184748052
Plan sponsor’s address 4411 ALBY STREET, ALTON, IL, 62002

Plan administrator’s name and address

Administrator’s EIN 371334016
Plan administrator’s name ORTHOPEDIC & SPORTS MEDICINE CLINIC, P.C.
Plan administrator’s address 4411 ALBY STREET, ALTON, IL, 62002
Administrator’s telephone number 6184748052

Signature of

Role Plan administrator
Date 2010-07-28
Name of individual signing KATHLEEN VEST
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name and Address Role Appointment Date
BRUCE T VEST, 4411 ALBY ST, ALTON, 62002, MADISON Agent 2012-09-11

President

Name and Address Role
BRUCE T VEST, 1710 TOMAHAWK GODFREY 62035 President

Secretary

Name and Address Role
BRUCE T. VEST Secretary

Historical Names

Name Change Date
MEDICAL & SURGICAL INSTITUTE OF ALTON, P.C. 1996-07-23
ORTHOPEDIC & SPORTS MEDICINE CLINIC, P.C. 1996-04-22

Shares

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

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State