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CHICAGO OPHTHALMOLOGY, P.C.

Company Details

Entity Name: CHICAGO OPHTHALMOLOGY, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 06 Oct 1995
Company Number: CORP_58539406
File Number: 58539406
Type of Business: Incorporated under the Professional Service Corporation Act
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHICAGO OPHTHALMOLOGY, P.C. RETIREMENT SAVINGS PLAN 2023 364042495 2024-07-29 CHICAGO OPHTHALMOLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 7739352800
Plan sponsor’s address 3000 NORTH HALSTED STREET, SUITE 501, CHICAGO, IL, 60657

Signature of

Role Plan administrator
Date 2024-07-29
Name of individual signing GREGORY DOREN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-29
Name of individual signing CHICAGO OPHTHALMOLOGY, P.C.
Valid signature Filed with authorized/valid electronic signature
CHICAGO OPHTHALMOLOGY, P.C. RETIREMENT SAVINGS PLAN 2022 364042495 2023-06-05 CHICAGO OPHTHALMOLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 7739352800
Plan sponsor’s address 3000 NORTH HALSTED STREET, SUITE 501, CHICAGO, IL, 60657

Signature of

Role Plan administrator
Date 2023-06-03
Name of individual signing GREGORY DOREN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-03
Name of individual signing GREGORY DOREN
Valid signature Filed with authorized/valid electronic signature
CHICAGO OPHTHALMOLOGY, P.C. RETIREMENT SAVINGS PLAN 2021 364042495 2022-07-05 CHICAGO OPHTHALMOLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 7739352800
Plan sponsor’s address 3000 NORTH HALSTED STREET, SUITE 501, CHICAGO, IL, 60657

Signature of

Role Plan administrator
Date 2022-06-30
Name of individual signing GREGORY DOREN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-30
Name of individual signing GREGORY DOREN
Valid signature Filed with authorized/valid electronic signature
CHICAGO OPHTHALMOLOGY, P.C. RETIREMENT SAVINGS PLAN 2020 364042495 2021-04-12 CHICAGO OPHTHALMOLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 7739352800
Plan sponsor’s address 3000 NORTH HALSTED STREET, SUITE 501, CHICAGO, IL, 60657

Signature of

Role Plan administrator
Date 2021-04-11
Name of individual signing GREGORY DOREN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-11
Name of individual signing GREGORY DOREN
Valid signature Filed with authorized/valid electronic signature
CHICAGO OPHTHALMOLOGY, P.C. RETIREMENT SAVINGS PLAN 2019 364042495 2020-04-15 CHICAGO OPHTHALMOLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 7739352800
Plan sponsor’s address 3000 NORTH HALSTED STREET, SUITE 501, CHICAGO, IL, 60657

Signature of

Role Plan administrator
Date 2020-04-15
Name of individual signing GREGORY DOREN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-15
Name of individual signing GREGORY DOREN
Valid signature Filed with authorized/valid electronic signature
CHICAGO OPHTHALMOLOGY, P.C. RETIREMENT SAVINGS PLAN 2018 364042495 2019-07-18 CHICAGO OPHTHALMOLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 7739352800
Plan sponsor’s address 3000 NORTH HALSTED STREET, SUITE 501, CHICAGO, IL, 60657

Signature of

Role Plan administrator
Date 2019-07-17
Name of individual signing GREGORY DOREN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-17
Name of individual signing GREGORY DOREN
Valid signature Filed with authorized/valid electronic signature
CHICAGO OPHTHALMOLOGY, P.C. RETIREMENT SAVINGS PLAN 2017 364042495 2018-05-09 CHICAGO OPHTHALMOLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 7739352800
Plan sponsor’s address 3000 NORTH HALSTED STREET, SUITE 501, CHICAGO, IL, 60657

Signature of

Role Plan administrator
Date 2018-05-08
Name of individual signing GREGORY DOREN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-08
Name of individual signing GREGORY DOREN
Valid signature Filed with authorized/valid electronic signature
CHICAGO OPHTHALMOLOGY, P.C. RETIREMENT SAVINGS PLAN 2016 364042495 2017-06-28 CHICAGO OPHTHALMOLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 7739352800
Plan sponsor’s address 3000 NORTH HALSTED STREET, SUITE 501, CHICAGO, IL, 60657

Signature of

Role Plan administrator
Date 2017-06-28
Name of individual signing GREGORY DOREN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-28
Name of individual signing GREGORY DOREN
Valid signature Filed with authorized/valid electronic signature
CHICAGO OPHTHALMOLOGY, P. C. PENSION PLAN 2015 364042495 2016-07-14 CHICAGO OPHTHALMOLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7739352800
Plan sponsor’s address 3000 NORTH HALSTED STREET, SUITE 501, CHICAGO, IL, 60657

Signature of

Role Plan administrator
Date 2016-07-14
Name of individual signing GREGORY DOREN
Valid signature Filed with authorized/valid electronic signature
CHICAGO OPHTHALMOLOGY, P. C. PENSION PLAN 2015 364042495 2016-07-07 CHICAGO OPHTHALMOLOGY, P.C. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7739352800
Plan sponsor’s address 3000 NORTH HALSTED STREET, SUITE 501, CHICAGO, IL, 60657

Signature of

Role Plan administrator
Date 2016-07-07
Name of individual signing GREGORY DOREN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-07
Name of individual signing GREGORY S. DOREN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOSEPH PEDOTA, 17W220 22ND ST STE 500, OAKBROOK TERRACE, 60181, DU PAGE Agent 2018-10-29

President

Name and Address Role
GREGORY S DOREN, 125 ENID LANE NORTHFIELD 60093 President

Secretary

Name and Address Role
GREGORY S DOREN, 125 ENID LANE NORTHFIELD 60093 Secretary

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