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RETINA INSTITUTE OF ILLINOIS, P.C.

Company Details

Entity Name: RETINA INSTITUTE OF ILLINOIS, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 07 Apr 2000
Company Number: CORP_61004351
File Number: 61004351
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
RETINA INSTITUTE OF ILLINOIS, P.C. CASH BALANCE PLAN 2023 364362710 2024-09-19 RETINA INSTITUTE OF ILLINOIS, P.C. 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 8472978900
Plan sponsor’s address 8780 WEST GOLF ROAD, SUITE 304, NILES, IL, 60714

Signature of

Role Plan administrator
Date 2024-09-19
Name of individual signing JOHN C. MICHAEL, MD
Valid signature Filed with authorized/valid electronic signature
RETINA INSTITUTE OF ILLINOIS, P.C. PROFIT SHARING PLAN 2023 364362710 2024-07-29 RETINA INSTITUTE OF ILLINOIS, P.C. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-11-01
Business code 621111
Sponsor’s telephone number 8472978900
Plan sponsor’s address 8780 WEST GOLF ROAD, SUITE 304, NILES, IL, 60714

Signature of

Role Plan administrator
Date 2024-07-29
Name of individual signing JACKIE BENACKA
Valid signature Filed with authorized/valid electronic signature
RETINA INSTITUTE OF ILLINOIS, P.C. PROFIT SHARING PLAN 2022 364362710 2023-10-06 RETINA INSTITUTE OF ILLINOIS, P.C. 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-11-01
Business code 621111
Sponsor’s telephone number 8472978900
Plan sponsor’s address 8780 WEST GOLF ROAD, SUITE 304, NILES, IL, 60714

Signature of

Role Plan administrator
Date 2023-10-06
Name of individual signing JACKIE BENACKA
Valid signature Filed with authorized/valid electronic signature
RETINA INSTITUTE OF ILLINOIS, P.C. CASH BALANCE PLAN 2022 364362710 2023-09-29 RETINA INSTITUTE OF ILLINOIS, P.C. 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 8472978900
Plan sponsor’s address 8780 WEST GOLF ROAD, SUITE 304, NILES, IL, 60714

Signature of

Role Plan administrator
Date 2023-09-29
Name of individual signing JOHN C. MICHAEL, MD
Valid signature Filed with authorized/valid electronic signature
RETINA INSTITUTE OF ILLINOIS, P.C. PROFIT SHARING PLAN 2021 364362710 2022-10-03 RETINA INSTITUTE OF ILLINOIS, P.C. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-11-01
Business code 621111
Sponsor’s telephone number 8472978900
Plan sponsor’s address 8780 WEST GOLF ROAD, SUITE 304, NILES, IL, 60714

Signature of

Role Plan administrator
Date 2022-10-03
Name of individual signing JACKIE BENACKA
Valid signature Filed with authorized/valid electronic signature
RETINA INSTITUTE OF ILLINOIS, P.C. PROFIT SHARING PLAN 2020 364362710 2021-08-26 RETINA INSTITUTE OF ILLINOIS, P.C. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-11-01
Business code 621111
Sponsor’s telephone number 8472978900
Plan sponsor’s address 8780 WEST GOLF ROAD, SUITE 304, NILES, IL, 60714

Signature of

Role Plan administrator
Date 2021-08-26
Name of individual signing JACKIE BENACKA
Valid signature Filed with authorized/valid electronic signature
RETINA INSTITUTE OF ILLINOIS, P.C. PROFIT SHARING PLAN 2019 364362710 2020-09-24 RETINA INSTITUTE OF ILLINOIS, P.C. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-11-01
Business code 621111
Sponsor’s telephone number 8472978900
Plan sponsor’s address 8780 WEST GOLF ROAD, SUITE 304, NILES, IL, 60714

Signature of

Role Plan administrator
Date 2020-09-24
Name of individual signing JACKIE BENACKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-24
Name of individual signing JACKIE BENACKA
Valid signature Filed with authorized/valid electronic signature
RETINA INSTITUTE OF ILLINOIS, P.C. PROFIT SHARING PLAN 2018 364362710 2019-09-30 RETINA INSTITUTE OF ILLINOIS, P.C. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-11-01
Business code 621111
Sponsor’s telephone number 8472978900
Plan sponsor’s address 8780 WEST GOLF ROAD, SUITE 304, NILES, IL, 60714

Signature of

Role Plan administrator
Date 2019-09-30
Name of individual signing JACKIE BENACKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-30
Name of individual signing JACKIE BENACKA
Valid signature Filed with authorized/valid electronic signature
RETINA INSTITUTE OF ILLINOIS, P.C. PROFIT SHARING PLAN 2017 364362710 2018-10-09 RETINA INSTITUTE OF ILLINOIS, P.C. 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-11-01
Business code 621111
Sponsor’s telephone number 8472978900
Plan sponsor’s address 8780 WEST GOLF ROAD, SUITE 304, NILES, IL, 60714

Signature of

Role Plan administrator
Date 2018-10-09
Name of individual signing JACKIE BENACKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-09
Name of individual signing JACKIE BENACKA
Valid signature Filed with authorized/valid electronic signature
RETINA INSTITUTE OF ILLINOIS, P.C. PROFIT SHARING PLAN 2016 364362710 2017-09-25 RETINA INSTITUTE OF ILLINOIS, P.C. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-11-01
Business code 621111
Sponsor’s telephone number 8472978900
Plan sponsor’s address 8780 WEST GOLF ROAD, SUITE 304, NILES, IL, 60714

Signature of

Role Plan administrator
Date 2017-09-25
Name of individual signing JACKIE BENACKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-25
Name of individual signing JACKIE BENACKA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JACKIE BENACKA, 8780 W GOLF RD #304, NILES, 60714, COOK-NOT IN CITY OF CHICAGO Agent 2018-12-04

President

Name and Address Role
JOHN C MICHAEL, 8780 W GOLF RDSTE 304 NILES IL 60714 President

Secretary

Name and Address Role
AS ABOVE Secretary

Historical Names

Name Change Date
ILLINOIS RETINA INSTITUTE, P.C. 2000-04-25

Shares

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

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State