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  5. ORTHOPAEDIC CENTER OF ILLINOIS, LTD.

ORTHOPAEDIC CENTER OF ILLINOIS, LTD.

Company Details

Entity Name: ORTHOPAEDIC CENTER OF ILLINOIS, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 21 Apr 1997
Company Number: CORP_59378201
File Number: 59378201
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
ORTHOPAEDIC CENTER 401(K) PROFIT SHARING PLAN AND TRUST 2017 364156469 2018-08-30 ORTHOPAEDIC CENTER OF ILLINOIS, LTD. 117
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-06-15
Business code 621111
Sponsor’s telephone number 2175479100
Plan sponsor’s address 1301 S. KOKE MILL ROAD, SPRINGFIELD, IL, 62711

Signature of
Role Plan administrator
Date 2018-08-30
Name of individual signing MICHELLE SCHIEFERDECKER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-08-30
Name of individual signing LORI ROETHEMEYER
Valid signature Filed with authorized/valid electronic signature
ORTHOPAEDIC CENTER 401(K) PROFIT SHARING PLAN AND TRUST 2016 364156469 2017-10-12 ORTHOPAEDIC CENTER OF ILLINOIS, LTD. 109
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-06-15
Business code 621111
Sponsor’s telephone number 2175479100
Plan sponsor’s address 1301 S. KOKE MILL ROAD, SPRINFIELD, IL, 62711
ORTHOPAEDIC CENTER 401(K) PROFIT SHARING PLAN AND TRUST 2015 364156469 2016-07-13 ORTHOPAEDIC CENTER OF ILLINOIS, LTD. 109
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-06-15
Business code 621111
Sponsor’s telephone number 2175479100
Plan sponsor’s address 1301 S. KOKE MILL ROAD, SPRINFIELD, IL, 62711

Signature of
Role Plan administrator
Date 2016-07-13
Name of individual signing LORI ROETHEMEYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-13
Name of individual signing LORI ROETHEMEYER
Valid signature Filed with authorized/valid electronic signature
ORTHOPAEDIC CENTER 401(K) PROFIT SHARING PLAN AND TRUST 2014 364156469 2015-07-07 ORTHOPAEDIC CENTER OF ILLINOIS, LTD. 112
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-06-15
Business code 621111
Sponsor’s telephone number 2175479100
Plan sponsor’s address 1301 S. KOKE MILL ROAD, SPRINFIELD, IL, 62711

Signature of
Role Plan administrator
Date 2015-07-07
Name of individual signing LORI ROETHEMEYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-07
Name of individual signing LORI ROETHEMEYER
Valid signature Filed with authorized/valid electronic signature
ORTHOPAEDIC CENTER 401(K) PROFIT SHARING PLAN AND TRUST 2013 364156469 2014-09-04 ORTHOPAEDIC CENTER OF ILLINOIS, LTD. 116
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-06-15
Business code 621111
Sponsor’s telephone number 2175479100
Plan sponsor’s address 1301 S. KOKE MILL ROAD, SPRINFIELD, IL, 62711

Signature of
Role Plan administrator
Date 2014-09-04
Name of individual signing LORI ROETHEMEYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-04
Name of individual signing LORI ROETHEMEYER
Valid signature Filed with authorized/valid electronic signature
ORTHOPAEDIC CENTER 401(K) PROFIT SHARING PLAN AND TRUST 2012 364156469 2013-09-27 ORTHOPAEDIC CENTER OF ILLINOIS, LTD. 105
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-06-15
Business code 621111
Sponsor’s telephone number 2175479100
Plan sponsor’s address 1301 S. KOKE MILL ROAD, SPRINFIELD, IL, 62711

Signature of
Role Plan administrator
Date 2013-09-27
Name of individual signing LORI ROETHEMEYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-27
Name of individual signing LORI ROETHEMEYER
Valid signature Filed with authorized/valid electronic signature
ORTHOPAEDIC CENTER 401(K) PROFIT SHARING PLAN AND TRUST 2011 364156469 2012-10-15 ORTHOPAEDIC CENTER OF ILLINOIS, LTD. 95
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-06-15
Business code 621111
Sponsor’s telephone number 2175479100
Plan sponsor’s address 1301 S. KOKE MILL ROAD, SPRINFIELD, IL, 62711

Plan administrator’s name and address
Administrator’s EIN 364156469
Plan administrator’s name ORTHOPAEDIC CENTER OF ILLINOIS, LTD.
Plan administrator’s address 1301 S. KOKE MILL ROAD, SPRINFIELD, IL, 62711
Administrator’s telephone number 2175479100

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing LORI ROETHEMEYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-15
Name of individual signing LORI ROETHEMEYER
Valid signature Filed with authorized/valid electronic signature
ORTHOPAEDIC CENTER 401(K) PROFIT SHARING PLAN AND TRUST 2010 364156469 2011-10-12 ORTHOPAEDIC CENTER OF ILLINOIS, LTD. 87
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-06-15
Business code 621111
Sponsor’s telephone number 2175479100
Plan sponsor’s address 1301 S. KOKE MILL ROAD, SPRINFIELD, IL, 62711

Plan administrator’s name and address
Administrator’s EIN 364156469
Plan administrator’s name ORTHOPAEDIC CENTER OF ILLINOIS, LTD.
Plan administrator’s address 1301 S. KOKE MILL ROAD, SPRINFIELD, IL, 62711
Administrator’s telephone number 2175479100

Signature of
Role Plan administrator
Date 2011-10-12
Name of individual signing LORI ROETHEMEYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-12
Name of individual signing LORI ROETHEMEYER
Valid signature Filed with authorized/valid electronic signature
ORTHOPAEDIC CENTER 401(K) PROFIT SHARING PLAN AND TRUST 2010 364156469 2011-08-31 ORTHOPAEDIC CENTER OF ILLINOIS, LTD. 87
Three-digit plan number (PN) 002
Effective date of plan 1996-06-15
Business code 621111
Sponsor’s telephone number 2175479100
Plan sponsor’s address 1301 S. KOKE MILL ROAD, SPRINFIELD, IL, 62711

Plan administrator’s name and address
Administrator’s EIN 364156469
Plan administrator’s name ORTHOPAEDIC CENTER OF ILLINOIS, LTD.
Plan administrator’s address 1301 S. KOKE MILL ROAD, SPRINFIELD, IL, 62711
Administrator’s telephone number 2175479100

Signature of
Role Plan administrator
Date 2011-08-31
Name of individual signing LORI ROETHEMEYER
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-08-31
Name of individual signing LORI ROETHEMEYER
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name and Address Role Appointment Date
TIMOTHY A VANFLEET, 1301 S KOKE MILL RD, SPRINGFIELD, 62711, SANGAMON Agent 2021-03-24

President

Name and Address Role
TIMOTHY VANFLEET 3800 VANDERBILT CIRCLE SPRINGFIELD 62711 President

Secretary

Name and Address Role
KAROLYN SENICA MD. 2205 PALO ALTO DR., SPRINGFIELD IL 62707 Secretary

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042007969 No data No data REGISTERED MEDICAL CORPORATION No data 1997-05-06 2021-12-29 2025-01-01

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 4000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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