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  5. AUDIOLOGY ASSOCIATES OF DEERFIELD, P.C.

AUDIOLOGY ASSOCIATES OF DEERFIELD, P.C.

Company Details

Entity Name: AUDIOLOGY ASSOCIATES OF DEERFIELD, P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 21 Feb 2001
Company Number: CORP_61493212
File Number: 61493212
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
AUDIOLOGY ASSOCIATES OF DEERFIELD, P.C. 401K PLAN 2023 354423313 2024-04-12 AUDIOLOGY ASSOCIATES OF DEERFIELD, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621340
Sponsor’s telephone number 8479485768
Plan sponsor’s address 1152 DEERFIELD ROAD, SUITE 101, DEERFIELD, IL, 60015

Signature of
Role Plan administrator
Date 2024-04-12
Name of individual signing JOEL GOSTOMELSKY
Valid signature Filed with authorized/valid electronic signature
AUDIOLOGY ASSOCIATES OF DEERFIELD CASH BALANCE PLAN 2023 354423313 2024-04-12 AUDIOLOGY ASSOCIATES OF DEERFIELD, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621340
Sponsor’s telephone number 8479485768
Plan sponsor’s address 400 LAKE COOK ROAD, SUITE 101, DEERFIELD, IL, 60015

Signature of
Role Plan administrator
Date 2024-04-12
Name of individual signing JOEL GOSTOMELSKY
Valid signature Filed with authorized/valid electronic signature
AUDIOLOGY ASSOCIATES OF DEERFIELD, P.C. 401K PLAN 2022 354423313 2023-04-17 AUDIOLOGY ASSOCIATES OF DEERFIELD, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621340
Sponsor’s telephone number 8479485768
Plan sponsor’s address 1152 DEERFIELD ROAD, SUITE 101, DEERFIELD, IL, 60015

Signature of
Role Plan administrator
Date 2023-04-17
Name of individual signing JOEL GOSTOMELSKY
Valid signature Filed with authorized/valid electronic signature
AUDIOLOGY ASSOCIATES OF DEERFIELD CASH BALANCE PLAN 2022 354423313 2023-04-17 AUDIOLOGY ASSOCIATES OF DEERFIELD, P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621340
Sponsor’s telephone number 8479485768
Plan sponsor’s address 400 LAKE COOK ROAD, SUITE 101, DEERFIELD, IL, 60015

Signature of
Role Plan administrator
Date 2023-04-17
Name of individual signing JOEL GOSTOMELSKY
Valid signature Filed with authorized/valid electronic signature
AUDIOLOGY ASSOCIATES OF DEERFIELD, P.C. 401K PLAN 2021 354423313 2022-04-20 AUDIOLOGY ASSOCIATES OF DEERFIELD, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621340
Sponsor’s telephone number 8479485768
Plan sponsor’s address 1152 DEERFIELD ROAD, SUITE 101, DEERFIELD, IL, 60015

Signature of
Role Plan administrator
Date 2022-04-20
Name of individual signing JOEL GOSTOMELSKY
Valid signature Filed with authorized/valid electronic signature
AUDIOLOGY ASSOCIATES OF DEERFIELD CASH BALANCE PLAN 2021 354423313 2022-04-20 AUDIOLOGY ASSOCIATES OF DEERFIELD, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621340
Sponsor’s telephone number 8479485768
Plan sponsor’s address 400 LAKE COOK ROAD, SUITE 101, DEERFIELD, IL, 60015

Signature of
Role Plan administrator
Date 2022-04-20
Name of individual signing JOEL GOSTOMELSKY
Valid signature Filed with authorized/valid electronic signature
AUDIOLOGY ASSOCIATES OF DEERFIELD CASH BALANCE PLAN 2020 354423313 2021-06-28 AUDIOLOGY ASSOCIATES OF DEERFIELD, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621340
Sponsor’s telephone number 8479485768
Plan sponsor’s address 400 LAKE COOK ROAD, SUITE 101, DEERFIELD, IL, 60015

Signature of
Role Plan administrator
Date 2021-06-28
Name of individual signing JOEL GOSTOMELSKY
Valid signature Filed with authorized/valid electronic signature
AUDIOLOGY ASSOCIATES OF DEERFIELD, P.C. 401K PLAN 2020 354423313 2021-06-28 AUDIOLOGY ASSOCIATES OF DEERFIELD, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621340
Sponsor’s telephone number 8479485768
Plan sponsor’s address 1152 DEERFIELD ROAD, SUITE 101, DEERFIELD, IL, 60015

Signature of
Role Plan administrator
Date 2021-06-28
Name of individual signing JOEL GOSTOMELSKY
Valid signature Filed with authorized/valid electronic signature
AUDIOLOGY ASSOCIATES OF DEERFIELD CASH BALANCE PLAN 2019 354423313 2020-04-23 AUDIOLOGY ASSOCIATES OF DEERFIELD, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621340
Sponsor’s telephone number 8479485768
Plan sponsor’s address 400 LAKE COOK ROAD, SUITE 101, DEERFIELD, IL, 60015

Signature of
Role Plan administrator
Date 2020-04-23
Name of individual signing JOEL GOSTOMELSKY
Valid signature Filed with authorized/valid electronic signature
AUDIOLOGY ASSOCIATES OF DEERFIELD, P.C. 401K PLAN 2019 354423313 2020-04-23 AUDIOLOGY ASSOCIATES OF DEERFIELD, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621340
Sponsor’s telephone number 8479485768
Plan sponsor’s address 1152 DEERFIELD ROAD, SUITE 101, DEERFIELD, IL, 60015

Signature of
Role Plan administrator
Date 2020-04-23
Name of individual signing JOEL GOSTOMELSKY
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SFBBG AGENTS LLC, 300 S WACKER DR STE 1500, CHICAGO, 60606, COOK-NOT IN CITY OF CHICAGO Agent 2025-01-17

President

Name and Address Role
SHERI GOSTOMELSKY, 400 LAKE COOK RD #101 DEERFIELD IL 60015 President

Secretary

Name and Address Role
JOEL, GOSTOMELSKY, 400 LAKE COOK RD #101 DEERFIELD IL 60015 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100000 1000000 No data

Related by officers

SFBBG AGENTS LLC, 300 S WACKER DR STE 1500, CHICAGO, 60606, COOK-NOT IN CITY OF CHICAGO

ELECTRONIC REPRESENTATIVES ASSOCIATION, INC 5800 BLACKSTONE AVENUE BUILDING ASSOCIATION CHICAGO DROPCLOTH & TARPAULIN CO. LEADER BOX CORP. NATIONAL BRAILLE ASSOCIATION, INC. 1601 SOUTH CICERO, L.L.C. NATIONAL REGISTRY OF ENVIRONMENTAL PROFESSIONALS PEC CONSULTANTS, INC. DIANE AND MORTON GOLDIN FOUNDATION ALIBOO FARM, INC.

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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