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FAMILY MEDICAL CARE, LTD.

Company Details

Entity Name: FAMILY MEDICAL CARE, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 08 Mar 2002
Company Number: CORP_62098872
File Number: 62098872
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
FAMILY MEDICAL CARE LTD. 401K PLAN 2023 710870653 2024-07-29 FAMILY MEDICAL CARE LTD. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7083830400
Plan sponsor’s address 965 LAKE STREET, OAK PARK, IL, 60106

Signature of

Role Plan administrator
Date 2024-07-29
Name of individual signing DR. NANCY GRYNIEWICZ-SIKA
Valid signature Filed with authorized/valid electronic signature
FAMILY MEDICAL CARE LTD. 401K PLAN 2022 710870653 2023-10-07 FAMILY MEDICAL CARE LTD. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7083830400
Plan sponsor’s address 965 LAKE STREET, OAK PARK, IL, 60106

Signature of

Role Plan administrator
Date 2023-10-07
Name of individual signing DR. NANCY GRYNIEWICZ-SIKA
Valid signature Filed with authorized/valid electronic signature
FAMILY MEDICAL CARE LTD. PROFIT SHARING PLAN 2021 710870653 2022-07-11 FAMILY MEDICAL CARE LTD. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7083830400
Plan sponsor’s address 965 LAKE ST, OAK PARK, IL, 603011292

Signature of

Role Plan administrator
Date 2022-07-11
Name of individual signing NANCY GRYNIEWICZ-SIKA
Valid signature Filed with authorized/valid electronic signature
FAMILY MEDICAL CARE LTD. 401(K) PROFIT SHARING PLAN 2020 710870653 2021-08-23 FAMILY MEDICAL CARE LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7083830400
Plan sponsor’s address 965 LAKE STREET, OAK PARK, IL, 60106

Signature of

Role Plan administrator
Date 2021-08-23
Name of individual signing NANCY GRYNIEWICZ-SIKA
Valid signature Filed with authorized/valid electronic signature
FAMILY MEDICAL CARE LTD. PROFIT SHARING PLAN 2020 710870653 2021-08-23 FAMILY MEDICAL CARE LTD. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7083830400
Plan sponsor’s address 965 LAKE ST, OAK PARK, IL, 603011292

Signature of

Role Plan administrator
Date 2021-08-23
Name of individual signing NANCY GRYNIEWICZ-SIKA
Valid signature Filed with authorized/valid electronic signature
FAMILY MEDICAL CARE LTD. 401(K) PROFIT SHARING PLAN 2020 710870653 2021-08-23 FAMILY MEDICAL CARE LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7083830400
Plan sponsor’s address 965 LAKE STREET, OAK PARK, IL, 60106

Signature of

Role Plan administrator
Date 2021-08-23
Name of individual signing NANCY GRYNIEWICZ-SIKA
Valid signature Filed with authorized/valid electronic signature
FAMILY MEDICAL CARE LTD. 401(K) PROFIT SHARING PLAN 2020 710870653 2021-08-23 FAMILY MEDICAL CARE LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7083830400
Plan sponsor’s address 965 LAKE STREET, OAK PARK, IL, 60106

Signature of

Role Plan administrator
Date 2021-08-23
Name of individual signing NANCY GRYNIEWICZ-SIKA
Valid signature Filed with authorized/valid electronic signature
FAMILY MEDICAL CARE LTD. PROFIT SHARING PLAN 2020 710870653 2021-06-19 FAMILY MEDICAL CARE LTD. 13
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7083830400
Plan sponsor’s address 965 LAKE ST, OAK PARK, IL, 603011292

Signature of

Role Plan administrator
Date 2021-06-19
Name of individual signing NANCY GRYNIEWICZ-SIKA
Valid signature Filed with authorized/valid electronic signature
FAMILY MEDICAL CARE LTD. 401(K) PROFIT SHARING PLAN 2019 710870653 2021-08-23 FAMILY MEDICAL CARE LTD. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7083830400
Plan sponsor’s address 965 LAKE STREET, OAK PARK, IL, 60106

Signature of

Role Plan administrator
Date 2021-08-23
Name of individual signing NANCY GRYNIEWICZ-SIKA
Valid signature Filed with authorized/valid electronic signature
FAMILY MEDICAL CARE LTD. 401(K) PROFIT SHARING PLAN 2015 710870653 2016-05-09 FAMILY MEDICAL CARE LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7083830400
Plan sponsor’s address 965 LAKE STREET, OAK PARK, IL, 60106

Signature of

Role Plan administrator
Date 2016-05-09
Name of individual signing NANCY GRYNIEWICZ-SIKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-09
Name of individual signing NANCY GRYNIEWICZ-SIKA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
NANCY GRYNIEWICZ-SIKA, 965 LAKE ST, OAK PARK, 60301, COOK-NOT IN CITY OF CHICAGO Agent 2002-03-08

President

Name and Address Role
NANCY GRYNIEWICZ-SIKA, 1023 SWAIN AVE, ELMHURST, 60126 President

Secretary

Name and Address Role
TRACY BRIONES 4407 PRAIRIE AVEBROOKFIELD IL 60513 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000000 2000000 No data

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State