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  5. ORTHOPEDIC & SPORTS MEDICINE CENTER, S.C.

ORTHOPEDIC & SPORTS MEDICINE CENTER, S.C.

Company Details

Entity Name: ORTHOPEDIC & SPORTS MEDICINE CENTER, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 03 Nov 1997
Company Number: CORP_59651919
File Number: 59651919
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 CENTER, S.C. 401(K) PROFIT-SHARING PLAN & TRUST 2012 364192747 2013-06-24 ORTHOPEDIC & SPORTS MEDICINE CENTER, S.C. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3094541616
Plan sponsor’s address 2200 FORT JESSE ROAD, SUITE 250, NORMAL, IL, 61761

Signature of
Role Plan administrator
Date 2013-06-24
Name of individual signing LAWRENCE LI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-24
Name of individual signing LAWRENCE LI
Valid signature Filed with authorized/valid electronic signature
ORTHOPEDIC & SPORTS MEDICINE CENTER, S.C. 401(K) PROFIT-SHARING PLAN & TRUST 2011 364192747 2012-06-24 ORTHOPEDIC & SPORTS MEDICINE CENTER, S.C. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3094541616
Plan sponsor’s address 2200 FORT JESSE ROAD, SUITE 250, NORMAL, IL, 61761

Plan administrator’s name and address
Administrator’s EIN 364192747
Plan administrator’s name ORTHOPEDIC & SPORTS MEDICINE CENTER, S.C.
Plan administrator’s address 2200 FORT JESSE ROAD, SUITE 250, NORMAL, IL, 61761
Administrator’s telephone number 3094541616

Signature of
Role Plan administrator
Date 2012-06-24
Name of individual signing LAWRENCE LI
Valid signature Filed with authorized/valid electronic signature
ORTHOPEDIC & SPORTS MEDICINE CENTER, S.C. 401(K) PROFIT-SHARING PLAN & TRUST 2010 364192747 2011-06-19 ORTHOPEDIC & SPORTS MEDICINE CENTER, S.C. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3094541616
Plan sponsor’s address 2200 FORT JESSE ROAD, SUITE 250, NORMAL, IL, 61761

Plan administrator’s name and address
Administrator’s EIN 364192747
Plan administrator’s name ORTHOPEDIC & SPORTS MEDICINE CENTER, S.C.
Plan administrator’s address 2200 FORT JESSE ROAD, SUITE 250, NORMAL, IL, 61761
Administrator’s telephone number 3094541616

Signature of
Role Plan administrator
Date 2011-06-19
Name of individual signing LAWRENCE LI
Valid signature Filed with authorized/valid electronic signature
ORTHOPEDIC & SPORTS MEDICINE CENTER, S.C. 401(K) PROFIT-SHARING PLAN & TRUST 2009 364192747 2010-07-18 ORTHOPEDIC & SPORTS MEDICINE CENTER, S.C. 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3094541616
Plan sponsor’s address 2200 FORT JESSE ROAD, SUITE 250, NORMAL, IL, 61761

Plan administrator’s name and address
Administrator’s EIN 364192747
Plan administrator’s name ORTHOPEDIC & SPORTS MEDICINE CENTER, S.C.
Plan administrator’s address 2200 FORT JESSE ROAD, SUITE 250, NORMAL, IL, 61761
Administrator’s telephone number 3094541616

Signature of
Role Plan administrator
Date 2010-06-29
Name of individual signing LAWRENCE LI
Valid signature Filed with authorized/valid electronic signature
ORTHOPEDIC & SPORTS MEDICINE CENTER, S.C. 401(K) PROFIT-SHARING PLAN & TRUST 2009 364192747 2010-06-29 ORTHOPEDIC & SPORTS MEDICINE CENTER, S.C. 50
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3094541616
Plan sponsor’s address 2200 FORT JESSE ROAD, SUITE 250, NORMAL, IL, 61761

Plan administrator’s name and address
Administrator’s EIN 364192747
Plan administrator’s name ORTHOPEDIC & SPORTS MEDICINE CENTER, S.C.
Plan administrator’s address 2200 FORT JESSE ROAD, SUITE 250, NORMAL, IL, 61761
Administrator’s telephone number 3094541616

Signature of
Role Plan administrator
Date 2010-06-29
Name of individual signing LAWRENCE LI
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOHN L. PRATT, 201 E GROVE ST STE 100, BLOOMINGTON, 61701, MC LEAN Agent 2024-08-12

President

Name and Address Role
LAWRENCE K.C. LI, 2106 CRIMSONLN., BLOOMINGTON, IL, 61704 President

Secretary

Name and Address Role
EDWARD H KOLB 3701 HELEN DRIVE, BLOOMINGTON, IL, 61704 Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
OPEN MRI OF MCLEAN COUNTY No data 2005-05-24 2021-04-01 Involuntary Cancellation No data

Shares

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

Related by officers

JOHN L. PRATT, 201 E GROVE ST STE 100, BLOOMINGTON, 61701, MC LEAN

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Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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