| Entity Name: | MIOMED ORTHOPAEDICS, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Agent vacated |
| Date Formed: | 26 Apr 2002 |
| Company Number: | CORP_62187018 |
| File Number: | 62187018 |
| Type of Business: | All Inclusive Purpose |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MIOMED ORTHOPAEDICS, INC. RETIREMENT TRUST | 2018 | 383651228 | 2019-07-15 | MIOMED ORTHOPAEDICS, INC. | 14 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2019-07-15 |
| Name of individual signing | MARK SORENSEN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-09-01 |
| Business code | 541600 |
| Sponsor’s telephone number | 7734778991 |
| Plan sponsor’s address | 2506 N CLARK 290, CHICAGO, IL, 60614 |
Signature of
| Role | Plan administrator |
| Date | 2018-07-05 |
| Name of individual signing | MARK SORENSEN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-09-01 |
| Business code | 541600 |
| Sponsor’s telephone number | 7734778991 |
| Plan sponsor’s address | 2506 N CLARK #290, CHICAGO, IL, 60614 |
Signature of
| Role | Plan administrator |
| Date | 2017-07-26 |
| Name of individual signing | POLINA GONCHAROVA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-09-01 |
| Business code | 541600 |
| Sponsor’s telephone number | 7734778991 |
| Plan sponsor’s address | 2506 N CLARK #290, CHICAGO, IL, 60614 |
Signature of
| Role | Plan administrator |
| Date | 2016-07-20 |
| Name of individual signing | MIOMED ORTHOPAEDICS, INC. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ** AGENT VACATED **, 00000 | Agent | 2024-12-28 |
| Name and Address | Role |
|---|---|
| MARK SORENSEN 2506 N CLARK ST,SUITE 290 CHICAGO, IL 60614 | President |
| Name and Address | Role |
|---|---|
| MARK SORENSEN 2506 N CLARK ST,SUITE 290, CHICAGO, IL 60614 | Secretary |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| HME AND SERVICES PROV | 203001898 | No data | No data | HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER | No data | 2017-03-01 | 2024-01-04 | 2027-03-31 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| OBILITY, INC. | Assume Name | 2018-01-31 | No data | No data | No data |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 10000 | 1000000 | No data |
Date of last update: 27 Jan 2025
