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  5. FAMILY EYECARE OF LOCKPORT, INC.

FAMILY EYECARE OF LOCKPORT, INC.

Company Details

Entity Name: FAMILY EYECARE OF LOCKPORT, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 30 Jun 2004
Company Number: CORP_63628638
File Number: 63628638
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY EYECARE OF LOCKPORT, INC. 401(K) PROFIT SHARING PLAN 2023 201356955 2024-07-28 FAMILY EYECARE OF LOCKPORT, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8158363937
Plan sponsor’s address 16612 W. 159TH ST, SUITE 200, LOCKPORT, IL, 604418007
FAMILY EYECARE OF LOCKPORT, INC. 401(K) PROFIT SHARING PLAN 2022 201356955 2023-05-03 FAMILY EYECARE OF LOCKPORT, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8158363937
Plan sponsor’s address 16612 W. 159TH ST, SUITE 200, LOCKPORT, IL, 604418007
FAMILY EYECARE OF LOCKPORT, INC. 401(K) PROFIT SHARING PLAN 2021 201356955 2022-10-06 FAMILY EYECARE OF LOCKPORT, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8158363937
Plan sponsor’s address 16612 W. 159TH ST, SUITE 200, LOCKPORT, IL, 604418007
FAMILY EYECARE OF LOCKPORT, INC. 401(K) PROFIT SHARING PLAN 2020 201356955 2021-10-14 FAMILY EYECARE OF LOCKPORT, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8158363937
Plan sponsor’s address 16612 W. 159TH ST, SUITE 200, LOCKPORT, IL, 604418007
FAMILY EYECARE OF LOCKPORT 401(K) PROFIT SHARING PLAN 2019 201356955 2020-07-31 FAMILY EYECARE OF LOCKPORT, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8158363937
Plan sponsor’s address 16612 W. 159TH ST, SUITE 200, LOCKPORT, IL, 604418007
FAMILY EYECARE OF LOCKPORT 401(K) PROFIT SHARING PLAN 2018 201356955 2019-07-15 FAMILY EYECARE OF LOCKPORT 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8158363937
Plan sponsor’s mailing address 16612 W 159TH ST STE 200, LOCKPORT, IL, 604418007
Plan sponsor’s address 16612 W 159TH ST STE 200, LOCKPORT, IL, 604418007

Number of participants as of the end of the plan year
Active participants 10
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 12
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2019-07-15
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-15
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
FAMILY EYECARE OF LOCKPORT 401(K) PROFIT SHQRING PLAN 2017 201356955 2019-02-26 FAMILY EYECARE OF LOCKPORT 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8158363937
Plan sponsor’s mailing address 16612 W 159TH ST STE 200, LOCKPORT, IL, 604418007
Plan sponsor’s address 16612 W 159TH ST STE 200, LOCKPORT, IL, 604418007

Number of participants as of the end of the plan year
Active participants 7
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 4
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 11
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 3

Signature of
Role Plan administrator
Date 2019-02-26
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-02-26
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
FAMILYK EYECARE OF LOCKPORT 401(K) PROFIT SHARING PLAN 2016 201356955 2018-03-29 FAMILY EYECARE OF LOCKPORT 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8158363937
Plan sponsor’s mailing address 16612 W 159TH ST STE 200, LOCKPORT, IL, 604418007
Plan sponsor’s address 16612 W 159TH ST STE 200, LOCKPORT, IL, 604418007

Number of participants as of the end of the plan year
Active participants 6
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 3
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 9
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2018-03-29
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-29
Name of individual signing CHARLES MCKENZIE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
EDWARD J JAROT, JR, 2 N, 129TH INFANTRY DRIVE, JOLIET, 60435, WILL Agent 2021-05-24

President

Name and Address Role
JOHN M FRON 2810 DANIEL LEWISDR NEW LENOX IL 60451 President

Secretary

Name and Address Role
CHERYL L FRON Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 500 100000 No data

Related by officers

EDWARD J JAROT, JR, 2 N, 129TH INFANTRY DRIVE, JOLIET, 60435, WILL

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Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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