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ADVANCED UROLOGIC SURGEONS P.C.

Company Details

Entity Name: ADVANCED UROLOGIC SURGEONS P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 24 Oct 2005
Company Number: CORP_64535889
File Number: 64535889
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
ADVANCED UROLOGIC SURGEONS 401(K) PLAN 2023 203534677 2024-10-01 ADVANCED UROLOGIC SURGEONS 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-10-01
Business code 621111
Sponsor’s telephone number 6182444060
Plan sponsor’s address PERSONAL AND CONFIDENTIAL 4109 S. W, MT. VERNON, IL, 628646293

Signature of

Role Plan administrator
Date 2024-10-01
Name of individual signing DAVID KNOWLES
Valid signature Filed with authorized/valid electronic signature
ADVANCED UROLOGIC SURGEONS 401(K) PLAN 2022 203534677 2023-10-03 ADVANCED UROLOGIC SURGEONS 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-10-01
Business code 621111
Sponsor’s telephone number 6182444060
Plan sponsor’s address PERSONAL AND CONFIDENTIAL 4109 S. W, MT. VERNON, IL, 628646293

Signature of

Role Plan administrator
Date 2023-10-03
Name of individual signing DAVID KNOWLES
Valid signature Filed with authorized/valid electronic signature
ADVANCED UROLOGIC SURGEONS 401(K) PLAN 2021 203534677 2022-07-05 ADVANCED UROLOGIC SURGEONS 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-10-01
Business code 621111
Sponsor’s telephone number 6182444060
Plan sponsor’s address 1009 S. 42ND STREET, SUITE 5B, MT. VERNON, IL, 62864

Signature of

Role Plan administrator
Date 2022-07-05
Name of individual signing DAVID R. KNOWLES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-05
Name of individual signing DAVID R. KNOWLES
Valid signature Filed with authorized/valid electronic signature
ADVANCED UROLOGIC SURGEONS 401(K) PLAN 2020 203534677 2021-10-04 ADVANCED UROLOGIC SURGEONS 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-10-01
Business code 621111
Sponsor’s telephone number 6182444060
Plan sponsor’s address 1009 S. 42ND STREET, SUITE 5B, MT. VERNON, IL, 62864

Signature of

Role Plan administrator
Date 2021-10-04
Name of individual signing DAVID R KNOWLES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-04
Name of individual signing DAVID R KNOWLES
Valid signature Filed with authorized/valid electronic signature
ADVANCED UROLOGIC SURGEONS 401(K) PLAN 2019 203534677 2020-10-14 ADVANCED UROLOGIC SURGEONS 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-10-01
Business code 621111
Sponsor’s telephone number 6182444060
Plan sponsor’s address 4109 S. WATERTOWER PL., MT. VERNON, IL, 62864

Signature of

Role Plan administrator
Date 2020-10-14
Name of individual signing DAVID KNOWLES
Valid signature Filed with authorized/valid electronic signature
ADVANCED UROLOGIC SURGEONS 401(K) PLAN 2018 203534677 2019-10-14 ADVANCED UROLOGIC SURGEONS 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-10-01
Business code 621111
Sponsor’s telephone number 6182444060
Plan sponsor’s address 1009 S. 42ND STREET, MT. VERNON, IL, 62864

Signature of

Role Plan administrator
Date 2019-10-14
Name of individual signing DAVID R. KNOWLES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-14
Name of individual signing DAVID R. KNOWLES
Valid signature Filed with authorized/valid electronic signature
ADVANCED UROLOGIC SURGEONS 401(K) PLAN 2017 203534677 2018-07-27 ADVANCED UROLOGIC SURGEONS 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-10-01
Business code 621111
Sponsor’s telephone number 6182444060
Plan sponsor’s address 1009 S. 42ND STREET, SUITE 5B, MT. VERNON, IL, 62864

Signature of

Role Plan administrator
Date 2018-07-27
Name of individual signing DAVID R KNOWLES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-27
Name of individual signing DAVID R KNOWLES
Valid signature Filed with authorized/valid electronic signature
ADVANCED UROLOGIC SURGEONS 401KPLAN 2016 203534677 2017-07-04 ADVANCED UROLOGIC SURGEONS 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-10-01
Business code 621111
Sponsor’s telephone number 6182444060
Plan sponsor’s address 4109 S. WATERTOWER PL., MT. VERNON, IL, 62864

Signature of

Role Plan administrator
Date 2017-07-04
Name of individual signing DAVID R. KNOWLES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-04
Name of individual signing DAVID R. KNOWLES
Valid signature Filed with authorized/valid electronic signature
ADVANCED UROLOGIC SURGEONS 401(K) PLAN 2015 203534677 2016-10-05 ADVANCED UROLOGIC SURGEONS 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-10-01
Business code 621111
Sponsor’s telephone number 6182444060
Plan sponsor’s address 604 SEVILLE, MOUNT VERNON, IL, 62864
ADVANCED UROLOGIC SURGEONS 401(K) PLAN 2014 203534677 2015-10-05 ADVANCED UROLOGIC SURGEONS 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-10-01
Business code 621111
Sponsor’s telephone number 6182444060
Plan sponsor’s address 604 SEVILLE, MOUNT VERNON, IL, 62864

Signature of

Role Plan administrator
Date 2015-10-05
Name of individual signing DAVID R. KNOWLES
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DAVID RYAN KNOWLES, 4109 S WATER TOWER PL, MT, VERNON, 62864, JEFFERSON Agent 2017-06-06

President

Name and Address Role
DAVID KNOWLES 1260 SCHWARTZ CENTRALIA IL 62801 President

Secretary

Name and Address Role
HEATHER KNOWLES Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
A No data Voting Rights 1000 1000000 No data

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State