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DR. CHARLOTTE F. NIELSEN, P.C.

Company Details

Entity Name: DR. CHARLOTTE F. NIELSEN, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 28 Mar 1996
Company Number: CORP_58786381
File Number: 58786381
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
VISION CARE ASSOCIATES, LTD. UNION 401(K) PLAN 2023 371273836 2024-07-23 VISION CARE ASSOCIATES, LTD. 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621320
Sponsor’s telephone number 2175283233
Plan sponsor’s address 121 NORTH GRAND AVENUE WEST, SPRINGFIELD, IL, 62702

Signature of

Role Plan administrator
Date 2024-07-23
Name of individual signing JONATHAN OTTINO
Valid signature Filed with authorized/valid electronic signature
VISION CARE ASSOCIATES, LTD. NON-UNION 401(K) PROFIT SHARING PLAN 2023 371273836 2024-09-25 VISION CARE ASSOCIATES, LTD. 30
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1985-01-01
Business code 621320
Sponsor’s telephone number 2175283233
Plan sponsor’s address 121 NORTH GRAND AVENUE WEST, SPRINGFIELD, IL, 62702

Signature of

Role Plan administrator
Date 2024-09-25
Name of individual signing JONATHAN OTTINO
Valid signature Filed with authorized/valid electronic signature
VISION CARE ASSOCIATES, LTD. UNION 401(K) PLAN 2022 371273836 2023-08-02 VISION CARE ASSOCIATES, LTD. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621320
Sponsor’s telephone number 2175283233
Plan sponsor’s address 121 NORTH GRAND AVENUE WEST, SPRINGFIELD, IL, 62702

Signature of

Role Plan administrator
Date 2023-08-02
Name of individual signing JONATHAN OTTINO
Valid signature Filed with authorized/valid electronic signature
VISION CARE ASSOCIATES, LTD. NON-UNION 401(K) PROFIT SHARING PLAN 2022 371273836 2023-08-02 VISION CARE ASSOCIATES, LTD. 25
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1985-01-01
Business code 621320
Sponsor’s telephone number 2175283233
Plan sponsor’s address 121 NORTH GRAND AVENUE WEST, SPRINGFIELD, IL, 62702

Signature of

Role Plan administrator
Date 2023-08-02
Name of individual signing JONATHAN OTTINO
Valid signature Filed with authorized/valid electronic signature
VISION CARE ASSOCIATES, LTD. UNION 401(K) PLAN 2021 371273836 2022-10-10 VISION CARE ASSOCIATES, LTD. 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621320
Sponsor’s telephone number 2175283233
Plan sponsor’s address 121 N. GRAND AVENUE WEST, SPRINGFIELD, IL, 627022562

Signature of

Role Plan administrator
Date 2022-10-10
Name of individual signing JONATHAN OTTINO
Valid signature Filed with authorized/valid electronic signature
VISION CARE ASSOCIATES, LTD. NON-UNION 401(K) PROFIT SHARING PLAN 2021 371273836 2022-10-10 VISION CARE ASSOCIATES, LTD. 22
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1985-01-01
Business code 621320
Sponsor’s telephone number 2175283233
Plan sponsor’s address 121 N. GRAND AVENUE WEST, SPRINGFIELD, IL, 627022562

Signature of

Role Plan administrator
Date 2022-10-10
Name of individual signing JONATHAN OTTINO
Valid signature Filed with authorized/valid electronic signature
VISION CARE ASSOCIATES, LTD. NON-UNION 401(K) PROFIT SHARING PLAN 2020 371273836 2021-08-31 VISION CARE ASSOCIATES, LTD. 20
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1985-01-01
Business code 621320
Sponsor’s telephone number 2175283233
Plan sponsor’s address 121 N. GRAND AVENUE WEST, SPRINGFIELD, IL, 627022562

Signature of

Role Plan administrator
Date 2021-08-31
Name of individual signing JONATHAN OTTINO
Valid signature Filed with authorized/valid electronic signature
VISION CARE ASSOCIATES, LTD. UNION 401(K) PLAN 2020 371273836 2021-10-04 VISION CARE ASSOCIATES, LTD. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621320
Sponsor’s telephone number 2175283233
Plan sponsor’s address 121 N. GRAND AVENUE WEST, SPRINGFIELD, IL, 627022562

Signature of

Role Plan administrator
Date 2021-10-04
Name of individual signing JONATHAN OTTINO
Valid signature Filed with authorized/valid electronic signature
VISION CARE ASSOCIATES, LTD. UNION 401(K) PLAN 2019 371273836 2020-10-05 VISION CARE ASSOCIATES, LTD. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621320
Sponsor’s telephone number 2175283233
Plan sponsor’s address 121 N. GRAND AVENUE WEST, SPRINGFIELD, IL, 627022562

Signature of

Role Plan administrator
Date 2020-10-05
Name of individual signing JONATHAN OTTINO
Valid signature Filed with authorized/valid electronic signature
VISION CARE ASSOCIATES, LTD. NON-UNION 401(K) PROFIT SHARING PLAN 2019 371273836 2020-10-05 VISION CARE ASSOCIATES, LTD. 19
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1985-01-01
Business code 621320
Sponsor’s telephone number 2175283233
Plan sponsor’s address 121 N. GRAND AVENUE WEST, SPRINGFIELD, IL, 627022562

Signature of

Role Plan administrator
Date 2020-10-05
Name of individual signing JONATHAN OTTINO
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
WAYNE M SKWAREK, 2135 CITY GATE LANE SUITE 300, NAPERVILLE, 60563, DU PAGE Agent 2011-01-18

President

Name and Address Role
CHARLOTTE F NIELSEN, 1120 E WASHINGTON ST, GRAYSLAKE 60030 President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
VISION CARE ASSOCIATES, LTD. Assume Name 1996-10-28 No data No data No data

Shares

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

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State