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  5. CHICAGO SURGICAL CLINIC, LTD.

CHICAGO SURGICAL CLINIC, LTD.

Company Details

Entity Name: CHICAGO SURGICAL CLINIC, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 04 Dec 2001
Company Number: CORP_61948058
File Number: 61948058
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
CHICAGO SURGICAL CLINIC 401(K) PLAN 2023 364479531 2024-10-15 CHICAGO SURGICAL CLINIC, LTD. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8472150530
Plan sponsor’s address 129 WEST RAND ROAD STE. #1, ARLINGTON HEIGHTS, IL, 60004

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing YELENA LEVITIN
Valid signature Filed with authorized/valid electronic signature
CHICAGO SURGICAL CLINIC 401(K) PLAN 2022 364479531 2023-10-16 CHICAGO SURGICAL CLINIC, LTD. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8472150530
Plan sponsor’s address 129 WEST RAND ROAD STE. #1, ARLINGTON HEIGHTS, IL, 60004

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing YELENA LEVITIN
Valid signature Filed with authorized/valid electronic signature
CHICAGO SURGICAL CLINIC 401(K) PLAN 2021 364479531 2022-10-06 CHICAGO SURGICAL CLINIC, LTD. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8472150530
Plan sponsor’s address 129 WEST RAND ROAD STE. #1, ARLINGTON HEIGHTS, IL, 60004

Signature of
Role Plan administrator
Date 2022-10-06
Name of individual signing YELENA LEVITIN
Valid signature Filed with authorized/valid electronic signature
CHICAGO SURGICAL CLINIC 401(K) PLAN 2020 364479531 2021-10-15 CHICAGO SURGICAL CLINIC, LTD. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8472150530
Plan sponsor’s address 129 WEST RAND ROAD STE. #1, ARLINGTON HEIGHTS, IL, 60004

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing YELENA LEVITIN
Valid signature Filed with authorized/valid electronic signature
CHICAGO SURGICAL CLINIC 401(K) PLAN 2019 364479531 2020-09-30 CHICAGO SURGICAL CLINIC, LTD. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8472150530
Plan sponsor’s address 129 WEST RAND ROAD STE. #1, ARLINGTON HEIGHTS, IL, 60004

Signature of
Role Plan administrator
Date 2020-09-30
Name of individual signing YELENA LEVITIN
Valid signature Filed with authorized/valid electronic signature
CHICAGO SURGICAL CLINIC 401(K) PLAN 2018 364479531 2019-10-14 CHICAGO SURGICAL CLINIC, LTD. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8472150530
Plan sponsor’s address 129 WEST RAND ROAD STE. #1, ARLINGTON HEIGHTS, IL, 60004

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing YELENA LEVITIN
Valid signature Filed with authorized/valid electronic signature
CHICAGO SURGICAL CLINIC 401(K) PLAN 2017 364479531 2019-02-13 CHICAGO SURGICAL CLINIC, LTD. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8472150530
Plan sponsor’s address 129 WEST RAND ROAD STE. #1, ARLINGTON HEIGHTS, IL, 60004

Plan administrator’s name and address
Administrator’s EIN 364479531
Plan administrator’s name CHICAGO SURGICAL CLINIC, LTD.
Plan administrator’s address 129 WEST RAND ROAD STE. #1, ARLINGTON HEIGHTS, IL, 60004
Administrator’s telephone number 8472150530

Signature of
Role Plan administrator
Date 2019-02-13
Name of individual signing YELENA LEVITIN
Valid signature Filed with authorized/valid electronic signature
CHICAGO SURGICAL CLINIC 401(K) PLAN 2016 364479531 2017-12-22 CHICAGO SURGICAL CLINIC, LTD. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8472150530
Plan sponsor’s address 129 WEST RAND ROAD STE. #1, ARLINGTON HEIGHTS, IL, 60004

Plan administrator’s name and address
Administrator’s EIN 364479531
Plan administrator’s name CHICAGO SURGICAL CLINIC, LTD.
Plan administrator’s address 129 WEST RAND ROAD STE. #1, ARLINGTON HEIGHTS, IL, 60004
Administrator’s telephone number 8472150530

Signature of
Role Plan administrator
Date 2017-12-22
Name of individual signing YELENA LEVITIN
Valid signature Filed with authorized/valid electronic signature
CHICAGO SURGICAL CLINIC 401(K) PLAN 2015 364479531 2016-11-09 CHICAGO SURGICAL CLINIC, LTD. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8472150530
Plan sponsor’s address 129 WEST RAND ROAD STE. #1, ARLINGTON HEIGHTS, IL, 60004

Plan administrator’s name and address
Administrator’s EIN 364479531
Plan administrator’s name CHICAGO SURGICAL CLINIC, LTD.
Plan administrator’s address 129 WEST RAND ROAD STE. #1, ARLINGTON HEIGHTS, IL, 60004
Administrator’s telephone number 8472150530

Signature of
Role Plan administrator
Date 2016-11-09
Name of individual signing YELENA LEVITIN
Valid signature Filed with authorized/valid electronic signature
CHICAGO SURGICAL CLINIC 401(K) PLAN 2014 364479531 2015-10-15 CHICAGO SURGICAL CLINIC, LTD. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 8472150530
Plan sponsor’s address 201 EAST STRONG STREET, SUITE 7, WHEELING, IL, 60090

Plan administrator’s name and address
Administrator’s EIN 364479531
Plan administrator’s name CHICAGO SURGICAL CLINIC, LTD.
Plan administrator’s address 201 EAST STRONG STREET, SUITE 7, WHEELING, IL, 60090
Administrator’s telephone number 8472150530

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing YELENA LEVITIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ALEXANDER BOGACHKOV, 4020 GREENLEAF, SKOKIE, 60076, COOK-NOT IN CITY OF CHICAGO Agent 2002-04-09

President

Name and Address Role
YELENA LEVITIN, 3653 OAK AVENUE, NORTHBROOK 60062 President

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
MEDICAL CORP 042619205 No data No data REGISTERED MEDICAL CORPORATION No data 2008-01-29 2018-11-20 2022-01-01

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 100000 1

Related by officers

ALEXANDER BOGACHKOV, 4020 GREENLEAF, SKOKIE, 60076, COOK-NOT IN CITY OF CHICAGO

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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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